IF YOU EXPERINENCE ANY OF
THESE PROBLEMS, YOU ARE NOT ALONE :
LEAKING OF URINE WHN YOU COUGH
, LAUGH, SNEEZE OR STRAIN
FELLING A CONSTANT NED TO PASS
HAVING DRIBBLING OF URINE THROUGHOUT
THE DAY, OR
WEARING A PAD OR OTHER PRODUCTS
TO PROTECT CLOTHING
Almost half of the women do not seek treatment, often
because they mistakenly believe nothing can be done.
Fortunately, there are effective solutions to the
problem of involuntary loss of urinary control, or
Urination is a fairly complex process, requiring the
coordinated function of various muscles and nerves.
Therefore, it is not uncommon for a disruption in
normal bladder control to occur. When this happens,
involuntary loss of urine from the bladder –
is the result. Causes of urinary control vary widely.
For many women, bladder control problems may be caused
by the stress of childbirth or when pelvic muscles
weaken after menopause.
There are several different types of incontinence
- Overflow Incontinence
- Urge Incontinence
- Stress Urinary Incontinence
Overflow incontinence occurs when the bladder never
fully empties and simply overfills to the point of
leakage. Overflow incontinence may be caused by factors
such as scar tissue resulting from prior surgery o
from neurologic problems.
Urge incontinence is the loss of urine related to
strong desire to void, regardless of how full the
bladder is. Causes may be related to infection, nere
problems, prior surgery or coexisting stress incontinence.
It is an involuntary leakage of small quantities of
urine during physical activities that increase pressure
in the abdomen. In describing this condition, the
word “stress” does not refer to emotional
stress, but to the stress of increased physical pressure
on the bladder.
SUI is the most common cause of urinary incontinence
among women. Women experience urinary leakage when
lifting something heavy, during exercise, or simply
when laughing, sneezing or coughing. SUI occurs because
the valve mechanism in the urethra is not functioning
properly or due to a condition called hypermoblity
and / or internal sphincter deficiency.
NO MATTER WHAT THE CAUSE, YOUR DOCTOR CAN
Treatments can vary depending on the type of incontinence
and is cause, but may be as simple as:
Changing current prescription
Decreasing caffeine in diet
Performing exercises to strengthen
pelvic floor muscles
Minimally invasive day care
A basic work-up would include :
Overflow and Urge Incontinence do not require surgery
and usually can be controlled with the help of Behavioral
therapy, Bladder training and Medications.
In patients with mild SUI conservative therapy in
the form of Pelvic Floor Exercise, Electrical Stimulation
is tried failing which medical therapy can be instituted.
Patients with severe SUI should go for surgical therapy.
SURGERY FOR STRESS INCONTINENCE
There are over 100 operations described to correct
stress incontinence. The two most effective and popular
BURCH COLPOSUSPENSION (LAPAROSCOPIC)
TENSION FREE VAGINAL SLING OPERATION
TOT VAGINAL SLING OPERATION
Your doctor will be able to decide
whether you require surgery, and which surgery is best
for you depending on you age, degree of pelvic floor
relaxation, severity of incontinence, associated problems
of he uterus etc.
TAKE CONTROL OF YOUR BLADDER
TAKE CONTROL OF YOUR LIFE
TALK TO YOUR DOCTOR