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Conditions
Urinary incontinence is a common and treatable condition in which a woman suffers from an uncontrollable loss of urine. If you leak urine when you cough, sneeze, or laugh; dribble urine constantly; or if your bladder empties without warning, you may have a problem with urinary incontinence.
There are several types of urinary incontinence including stress incontinence, overflow incontinence, and urge incontinence. Each type of incontinence has specific signs and symptoms and may include the following:
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Stress Incontinence
- Leaking urine during activity such as coughing, sneezing, laughing, or lifting heavy objects.
- You may also go to the restroom more frequently in order to avoid accidents.
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Overflow Incontinence
- Urinate only small amounts and don't feel empty
- Get up frequently during the night to urinate
- Have trouble starting to urinate; weak stream
- Dribble urine throughout the day
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Urge Incontinence
- Bladder feels full and pushes urine our even when almost empty
- Wet self if don't get to the bathroom quickly; "gotta go, gotta go" feeling
- May go to the bathroom every 2 hours and frequently during the night
After speaking with a physician, you will be able to pinpoint the specific type or combination of incontinence you may have as well as decide upon the appropriate treatment.
Treatments
Once you and your physician have decided on which type of incontinence you have, you will better understand your options for treatment. There are several noninvasive options for managing incontinence such as kegal exercise to strengthen your pelvic floor muscles and medications. If these exercises or medications aren't successful in treating your problem, your physician may suggest surgery.
Surgery for stress urinary incontinence generally has the highest success rate of any procedure. the goal of surgery for stress incontinence is to support the bladder neck in the correct position so it can function properly.
A newer, less invasive surgical procedure that The Woman's Surgery Center offers is the TOT - Trans Obturator Taping - a tension free support for urinary incontinence. During this surgery a meshlike tape is positioned under the urethra like a sling for support. The surgeon inserts the tape through a small incision in your vagina and pubic hair line. The surgery takes about 30 minutes and is performed under local anesthesia.
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