The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on single-incision suburethral short tape insertion for stress urinary incontinence in women.


Stress urinary incontinence is the involuntary leakage of urine during exercise or certain movements such as coughing, sneezing and laughing. It is usually due to weak or damaged muscles and connective tissues in the pelvic floor. Single incision sub-urethral short tape insertion involves the insertion of a short synthetic tape under the urethra, through an incision in the vagina. The tape aims to support the urethra (the passage through which urine leaves the bladder), to reduce the chance of urine leaking when the bladder is put under pressure.

Coding recommendations

M53.8 Other specified vaginal operations to support outlet of female bladder

Note: Code M45.9 Unspecified diagnostic endoscopic examination of bladder would also be recorded if a cystoscopy was also performed.

In addition ICD-10 code N39.3 Stress incontinence would be recorded.