Urinary Incontinence Treatment in Dievo Surgery Center

Urinary incontinence care at Dievo Surgery Center in Kyiv, Ukraine, includes diagnostic tests, medication, and surgery. An online urologist consultation may cost around $40. The center has European Board of Urology accreditation and is an official clinical base of two Ukrainian medical universities.

Dr. Bohdan Dzhuran, MD, PhD, associate professor, performs endoscopic and laparoscopic urological operations. The clinic’s assessment options include:

• Physical tests: Gynecological examination, cough test, and pad test.
• Imaging and function tests: Urethrocystography, ultrasound, urodynamic study, and MRI.
• Online consultation: A consultation with a urologist may cost around $40.

Treatment options: medication, sling, and sphincter implant

• Conservative therapy: For mild incontinence, treatment may include adrenomimetics or estrogens, plus pelvic floor muscle training. These medicines aim to raise sphincter tone or calm bladder muscle activity.
• Mid-urethral sling surgery: For moderate to severe stress incontinence, a synthetic, biologically inert tape is placed beneath the urethra like a hammock. It supports the urethra and reinforces sphincter closure. The procedure uses local or epidural anesthesia, and the surgeon can adjust tape tension while the patient is awake.
• Artificial urinary sphincter implantation: This is an option for severe incontinence when sling surgery has not worked as needed. The clinic provides 24/7 inpatient and intensive care monitoring after implantation.

Same-day discharge may be possible after minimally invasive surgery, with recovery taking up to 3 days. Patients can request a consultation through Bookimed to discuss assessment and treatment options.