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Continence and Advanced Pelvic Surgery
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Urinary Incontinence
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Urinary Incontinence


Female urinary incontinence may cause embarrassment, loss of self-esteem, social isolation and depression. Incontinence often will affect a women's ability to live her life the way she wishes. The good news is there are excellent treatments for urinary incontinence. We have a comprehensive approach to treating incontinence.

Symptoms

  • Stress incontinence - Loss of urine with coughing, sneezing, laughing or exercising
  • Urge incontinence - Loss of urine that happens because you can't make it to the bathroom in time; you have an urge to go very frequently.

Evaluation

  • Health history
  • Pelvic exam

Other tests and diagnostics
Your pelvic floor disorder is unique. Many times these disorders occur with some other problem that demands advanced diagnostic techniques to determine the cause. We have an experienced team of health care professionals and state-of-the-art technology to provide the most accurate diagnosis and most effective treatment of your condition. By using diagnostic tests, we can work with you to determine the best course of treatment.

  • Urodynamics - Urodynamic testing is a series of bladder tests that are done in order to observe how your lower urinary tract reacts under certain conditions. It is usually done to see if you have problems with loss of urine or to figure out what type of incontinence you may have.
  • Urinalysis - This test is done to determine if you have an infection or other substances found in the urine. It is usually performed at the beginning of any type of bladder test.
  • Bladder Diary - An important tool in guiding treatment for urine loss is to keep records over a three-day period of your bladder function. The diary will ask you to measure the volume voided with every void. You also will keep track of your fluid intake - what type, when and how much.


Treatments

  • Fluid management
  • Bladder training
  • Medications
  • Surgery
  • Pelvic Floor Muscle Training - There are muscles around the vagina that help with pelvic support. It is possible to train and exercise these muscles. Pelvic floor muscle training can be used to stop a prolapse from getting bigger. It is usually more helpful in smaller prolapses.
  • Pessaries - A pessary is a small device made of plastic or silicone that is placed inside the vagina to hold the uterus or the walls of the vagina up and inside your body. These are especially useful for women who leak urine during specific activities such as exercise. Several types and sizes of pessaries are available. Identifying the right size and shape for your body makes the device's use easy, comfortable and manageable.

 




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