Stress incontinence solutions include a bladder sling, kegel exercise, bio-feedback, and urethral bulking agents. [more]
Sacral Nerve Stimulation
Kegel exercises, sacral nerve stimulation, urethra bulking, and bladder sling surgery are used to stop stress incontinence. [more]
Pelvic floor bio feedback training and the first non-invasive diagnosis of male bladder function machine are available at Urology Specialists. [more]
Stress incontinence, the involuntary release of urine, affects over 13 million Americans. Almost 85% of those patients are women. Stress incontinence in women is more common than male urinary incontinence because the causes of incontinence naturally occur in females more often. Many times bladder symptoms such as urinary incontinence in women are caused by pregnancy and childbirth, which can stretch muscles and put added pressure on the urinary tract. Sometimes there is damage to the nerves during delivery that can lead to weakened muscles. As a result, stress incontinence in women can occur soon after delivering a child or it can develop later on.
Stress incontinence is a common urinary symptom among the elderly. Genuine stress incontinence affects many older women. Women who are losing estrogen due to menopause or a hysterectomy also lose strength in the pelvic muscles and organ tissues that are needed to keep the bladder and urethra in place and functioning properly. Other incontinence causes include diabetes, urinary tract infections, previous urologic surgery for cancer bladder invasion, pelvic operations such as a hysterectomy, obesity, certain exercises, some genetic conditions, smoking and illnesses that cause excessive coughing or sneezing.
Men with stress incontinence often have post-operative prostate cancer surgery prostate symptoms. Prostate surgery such as radical prostatectomy, prostate cryosurgery, da Vinci prostatectomy, or even prostate radiation may create short term incontinence. Penis surgery such as the insertion of a penile prosthesis (penis implant) to correct erectile dysfunction causes may have short term urinary symptoms but is very rare. Our Urology Specialists will monitor these and any other post procedure side effects.
Urinary incontinence treatment can involve some therapeutic methods that do not require surgery. One example is doing regular pelvic floor exercises. You can develop incontinence from a pelvic floor being weak. The pelvic floor consists of muscles, ligaments, and tissues that support the pelvic organs, including the uterus, vagina, bladder, urethra, and rectum. By regularly conducting Kegels, or similar exercises that involve contracting and releasing pelvic muscles, you can help build up strength in the pelvic floor and reduce your risk of incontinence. Our Miami Urology Center has biofeedback machines to help bring back urinary continence naturally. Our Florida Urology Center offers a natural medicine holistic approach to gaining and maintaining continence. We also evaluate current clinical research trials and employ the finest diagnostic equipment in the form of complex urodynamic studies, flow monitors, and post void ultrasound machines.
Treatment for incontinence may also lead to incontinence surgery called prolapse surgery. Bladder surgery for incontinence can include the implantation of a “sling” type device to provide incontinence support and keep the bladder in its proper position. Surgery for incontinence may also involve the removal of loose tissue or the gathering and tightening of weak muscle and tissue. Urethral bulking agents can be applied to the bladder sphincter to help stop it from leaking.
Stress incontinence should not be confused with urinary frequency which can be brought on by totally different urological reasons. Kidney stones treatment or kidney surgery to remove a kidney mass from renal cell carcinoma may cause frequent trips to the bathroom. Frequent urination is usually caused by the sensation to urinate while stress incontinence comes about from a sudden pressure on the bladder and an uncontrolled leaking of urine.
Stress incontinence can cause discomfort physically as well as emotionally. Some people develop a rash or skin irritation if urine stays in contact with the skin on a regular basis. This can be avoided by using an incontinence product such as a moisture barrier or incontinence pad. However, you may feel self-conscious about using such incontinence aids. If you suffer with urge and stress incontinence, you may feel embarrassed, distressed, or isolated. You may limit your work hours, your time to exercise, your social events, or your leisure activities to avoid having an accident in public. Stress incontinence can also affect your sex life. However, with the right kind of incontinence help, you can manage your condition and live a happy, healthy life.
Stress Incontinence (continued)