Treatment for Stress Incontinence
Urinary incontinence happens when a person sneezes, coughs, runs, or lifts heavy loads, e.g. after any activity putting stress on body. This is an unintentional loss of urine that is typical of women more than men. This condition can be frustrating and worrying, and can contribute to social withdrawal in people. MediClin specialists help people with stress incontinence to overcome the condition using various techniques and methods.
How stress incontinence is treated in MediClin?
Health professionals in MediClin put focus in behavioral therapies for stress incontinence treatment and offer multiple options:
- Pelvic floor (Kegel) muscle exercises are aimed at strengthening urinary sphincter and pelvic floor muscles. MediClin specialist will teach you to perform these exercises correctly and explain how to find pelvic floor muscles, and how Kegel exercises work when you perform them regularly.
- MediClin has leveraged a special Biofeedback technique that boosts the efficiency of Kegel exercises. Pressure sensors of electrical stimulation trigger muscle contractions and improve their strength.
- Our doctors recommend increased fluid consumption and can figure out an optimal timing of water you drink during daytime. Stick to the recommended dose and do not drink less than suggested to avoid dehydration. You may also be recommended to abstain from drinking alcoholic and caffeinated beverages, because they are believed to irritate bladder.
- Patients with stress incontinence are also advised to stop smoking, normalize weight and treat chronic cough – that will reduce the risk of stress incontinence.
- MediClin doctors recommend scheduled toileting for people with mixed incontinence. The more often you void the bladder, the less is severity of incontinence cases.
Although there are no approved medications for special treatment of stress incontinence, MediClin doctors can recommend patients various antidepressants (for instance, Cymbalta) to reduce the symptoms.
As an alternative treatment method, women can use special devices for controlling stress incontinence. These include:
- Vaginal pessary in the form of a ring with two bumps attaches to both sides of the urethra. The device will be fixed on its place by your doctor or nurse. A pessary supports bladder and prevents occasional urination during activities, and if bladder dropped. This is a good option for those who want don’t want to go through surgery, and the device is typically prescribed for patients with pelvic organ prolapsed.
- Urethral inserts remind of tampons, and are put into urethra to prevent urine leakage. They can be worn either the whole day (but not on 24/7 basis), or during some particular activities. As a rule, people use them for physical activities and sport like lifting, jogging, etc.
Those who want to solve the problem of stress incontinence forever are recommended to go through a surgery. Doctors in MediClin are experienced and skilled enough to perform several types of surgeries that are aimed at improving functionality of sphincter closure and supporting the bladder neck. Available options include:
- Injection of bulking agents. Our surgeons inject gels or synthetic polysaccharides into the muscles and tissues inside the upper part of the urethra. The filler bulks the area surrounding the urethra, and restores normal closing abilities of the sphincter. This is a non-invasive method, so it should be considered the first thing. Note that bulking agents dissolve, and this is not a permanent treatment – several injections should be made.
- Retropubic colposuspension – a surgeon attaches sutures to bones or ligaments to ensure normal support of bladder neck and upper part of the urethra. The operation can be performed either laparoscopically (with minimal invasion), or traditionally (with one big incision in abdomen). The first option is preferable in MediClin.
- Sling procedure is typically prescribed for women: a surgeon will take patient’s own tissue, a synthetic mesh, or donor’s or anima’s tissue to make a sling that will support the bladder and the urethra. Such technique is also suitable for men with minor symptoms of stress incontinence.
- Inflatable artificial sphincter is an option for men. A surgeon will insert a cuff to fit around the upper part of the urethra to perform the function of the sphincter. The cuff is connected with the balloon for pressure control hidden in the pelvic zone and a pump in the scrotum. A person manually operates the pump to control urine discharge.
How MediClin helps people?
We use the full spectrum of techniques for stress incontinence treatment, including special devices and surgeries. Our hospital not only provides different kinds of treatment for patients, but also helps and encourages them psychologically. Adjusting to a new lifestyle with stress incontinence can be different, but our health professionals will counsel and support you!