
Dr Sam Daniels is a benign gynaecologist who provides expert care across Sydney in Women’s Health. Sam has undertaken additional training in advanced urogynaecology and minimally invasive surgery.

Urinary incontinence is the medical term provided when a person leaks urine or loses bladder control.
Incontinence is a very common problem, particularly as we age and progression can be influenced by a number of factors. Good news, once the underlying cause is identified, the treatment is very effective.

The three most common forms of urinary incontinence are:
The treatment options for urinary incontinence will be very dependent on your diagnosis and severity. This becomes apparent from both a detailed history and examination and often urodynamic studies are indicated.
Non-surgical management is typically reserve for urgency incontinence. This can involve bladder retraining, use of medications and pelvic floor physiotherapy. Pelvic floor physiotherapy can also be utilised to treat mild stress incontinence.
Stress incontinence may require surgery, especially if pelvic floor physiotherapy fails to improve symptoms. There are a variety of procedures that can be offered. Sam offers a minimally invasive procedure – laparoscopic burch colposusupension. This procedure utilises a stich material to support the bladder neck and prevent leakage.

Every patient is different and will have a unique bespoke journey for their treatment of urinary incontinence.
Patients should expect an initial 45 minute consultation that can be performed face to face of via telehealth. During the consultation:
A discussion on treatment planning will occur identifying your goals as a patient and should surgery be indicated there will be a detailed discussion about the processes, risks, costs, post-surgical management as well as time frames.
Urinary incontinence is very common and can affect your quality of life. Surgery may be indicated if you have seen a specialist and other treatment modalities have not improved your symptoms and your quality of life continues to be impacted by daily urine leakage.
Incontinence symptoms can be complex, one size does not fit all. As such, bespoke care is required and a detailed consultation reviewing your history, examination and any investigations will best determine your treatment plan.
Yes, Sam does offer non-mesh surgical procedures for urinary incontinence.
The recovery time is highly dependent upon the nature of your surgery and whether concomitant procedures need to be done at the same time, but typically will require 2 weeks off work.
General advice is to avoid sex and heavy lifting (anything greater than 7kg) for a period of 6 weeks. You will be given advice on how to avoid constipation post the surgery to ensure that the stitches heal effectively and thus reduce the risk of the procedure failing.