Canada’s Trusted Specialist for Advanced Incontinence Treatment

Patients from Across Canada Choose Dr. Darren Lazare in Vancouver for Expert Surgical Care and Proven Relief.

Loss of bladder control can interfere with everyday activities, emotional well-being, and overall confidence. While urinary incontinence is common, it is not something patients have to accept as part of aging, childbirth, or hormonal changes. With today’s medical advances, effective and individualized treatment options are available.

At Pacific Plastic Surgery Group, Dr. Darren Lazare, a board-certified gynecologist, provides comprehensive care focused on restoring comfort, function, and quality of life for women experiencing incontinence.

What is Incontinence?

Urinary incontinence refers to the unintentional leakage of urine due to changes in bladder function, pelvic floor support, or nerve signaling. It can range from occasional leaks during physical activity to more frequent or sudden urges that are difficult to control.

The most common form, stress urinary incontinence, occurs when pressure is placed on the bladder during activities such as coughing, laughing, sneezing, or exercise. Other forms may involve urgency, frequency, or a combination of symptoms.

Incontinence often develops as a result of pregnancy, childbirth, menopause, pelvic surgery, or the natural weakening of pelvic tissues over time. Although common, these symptoms can be distressing and disruptive, affecting work, social activities, and self-confidence. Understanding the underlying cause is the first step toward finding an effective and lasting solution.

Dr. Darren Lazare | MD, FRCSC

Restorative Gynecology Surgeon

A board-certified gynecologist, Dr. Darren Lazare, is an experienced surgeon and committed advocate for women’s health. His practice in Vancouver and Surrey, BC focuses on female pelvic medicine and reconstructive surgery which encompasses non-surgical and surgical management of urinary incontinence, pelvic organ prolapse, voiding dysfunction, post-partum perineal injury and cosmetic gynecology. He has been performing labiaplasty, vaginoplasty and other vaginal reconstruction procedures for more than ten years, helping women regain confidence and achieve their desired aesthetic.

Dr. Lazare is rated as the #1 gynecologist in Surrey, British Columbia according to RateMDs.

Dr. Darren Lazare received his residency training in Obstetrics and Gynaecology at the University of British Columbia. He successfully completed his subspecialty fellowship training in female pelvic medicine and reconstructive surgery at the University of Alberta. Dr. Lazare has been appointed as a Clinical Associate Professor at the University of British Columbia where he is the residency supervisor for the urogynecology program. He is a Surgeon Champion for the American College of Surgeon’s National Surgical Quality Improvement Program (NSQIP). He is a committed advocate for women’s health, medical education and quality improvement initiatives while maintaining a full clinical, reconstructive and cosmetic practice.

Dr. Lazare’s professional memberships include the Royal College of Physicians and Surgeons, the Canadian Society of Pelvic Medicine, the International Urogynecology Association, the International Continence Society and the American Urogynecology Society.

Types of Incontinence Surgery

Urethral Bulking

Urethral bulking is a minimally invasive procedure that helps reduce leakage caused by stress or urge incontinence. During treatment, a safe, gel-based bulking agent, often made of collagen, is injected into the urethral wall. This creates gentle compression that narrows the opening, allowing the urethra to stay closed more effectively.

Retropubic Sling (TVT)

A retropubic sling, also known as a tension-free vaginal tape (TVT), acts as a supportive hammock beneath the urethra. The sling is placed through small incisions in the lower abdomen and vaginal wall to help maintain closure during physical activity or strain. The material remains in place naturally without stitches and provides long-term support for those with moderate to severe urinary leakage.

Autologous Fascia Sling

For patients who prefer a natural approach, Dr. Lazare offers an autologous fascia sling procedure that uses the patient’s own connective tissue rather than synthetic material. A small section of fascia, typically taken from the thigh or abdomen, is positioned beneath the urethra to restore proper support. This technique is ideal for patients with recurrent or complex incontinence.

Recovery After Incontinence Surgery

Recovery depends on the type of procedure performed. Patients who undergo urethral bulking typically resume light activities within 24 hours, although they should avoid heavy lifting or intense exercise for about two weeks. Those recovering from sling procedures can expect two weeks of initial downtime before returning to work. Full recovery, including a gradual return to exercise, lifting, and sexual activity, generally occurs within four to six weeks. It may take up to three months for the pelvic muscles to fully heal and strengthen after surgery.

Why Patients Travel to Vancouver for Incontinence Treatment

Bypass the waitlist and pay privately. Women from across Canada choose to travel to Vancouver for incontinence treatment with Dr. Darren Lazare because of his specialized expertise in female pelvic medicine and reconstructive surgery. As a board-certified gynecologist with advanced fellowship training, Dr. Lazare focuses extensively on the diagnosis and treatment of urinary incontinence, offering a depth of experience that is not always readily available in smaller communities.

Patients also value Dr. Lazare’s comprehensive approach to care. Each treatment plan is individualized, based on a thorough understanding of pelvic anatomy, bladder function, and a patient’s unique symptoms and lifestyle. Combined with access to modern surgical techniques and a practice dedicated to women’s pelvic health, many patients feel confident traveling for care that prioritizes long-term results, safety, and quality of life. Vancouver’s accessibility and the clinic’s supportive care model further make out-of-province treatment both manageable and worthwhile.

Virtual Consultations Available

To make specialized incontinence care more accessible, Dr. Lazare offers virtual consultations for patients who live outside the Vancouver area. These secure, private appointments allow you to meet with Dr. Lazare from the comfort of your own home, discuss your symptoms, review your medical history, and explore appropriate treatment options, without the need for immediate travel.

Local Vs. Out-of-Province Patients

Start Your Journey to Expert Care

Out-of-Province Patients

1. Request Your Consultation: Use our online form to let us know you’re interested in prolapse treatment with Dr. Lazare.
2. Connect With Our Team: A patient coordinator will reach out to review your options and schedule a virtual or in-person consultation.
3. Plan Your Travel: We’ll provide guidance on what medical information to prepare and tips for a smooth visit to our Vancouver clinic.

British Columbia Residents

1. Get a Referral: Speak with your family doctor or healthcare provider to arrange a referral for MSP-covered services at our clinic.
2. Schedule Your Consultation: Once your referral is received, our office will contact you to arrange your consultation at a convenient time.
3. Prepare for Your Appointment: Collect any relevant medical records or test results so we can provide the most thorough evaluation.

Our Travel Concierge Program

Our travel concierge program is designed to support out-of-province patients by making every step of the process straightforward and well-organized.

• Dedicated Patient Care Coordinator: From your initial inquiry through recovery, you’ll work closely with a knowledgeable patient care coordinator who serves as your main point of contact and guide.
• Procedure Scheduling Support: We help coordinate a surgical date that aligns with your personal schedule, travel needs, and recovery timeline to ensure a smooth experience.
• Pre-Procedure Planning Assistance: Our team provides clear guidance on required paperwork, medical history forms, and any necessary pre-operative testing to help you feel prepared well in advance.
• Accommodation and Transportation Guidance: We can offer recommendations for nearby hotels, transportation options, and local amenities in Vancouver to help you plan your stay comfortably.
• Recovery and Follow-Up Coordination: Post-treatment follow-up appointments are arranged to support your recovery, with virtual visit options available when appropriate so you can return home with confidence.
• Ongoing Support and Communication: If questions arise before or after your visit, our team remains easily accessible by phone or message to provide reassurance, guidance, and continued care.

Incontinence Frequently Asked Questions

Who Is a Candidate?

Candidates for incontinence surgery are individuals who experience urine leakage during physical movement or strain. The right approach depends on your anatomy, lifestyle, and preferences for recovery time and invasiveness. Patients in good general health who have realistic expectations and wish to reduce urinary leakage and improve bladder control are typically excellent candidates.

Schedule a Consultation

Taking the first step toward improved bladder control starts with a personalized consultation. Dr. Darren Lazare offers both in-person and virtual consultations to ensure patients across Canada can access specialized incontinence care with ease.

To schedule your consultation, contact our office by phone or complete the online request form. We look forward to helping you regain comfort, confidence, and control.