Female Urinary Incontinence Treatment in Winter Haven, FL
Dr. Booker of Winter Haven OBGYN provides extensive obstetric and gynecologic procedures including providing treatment for urinary incontinence, or women suffering from a leaky bladder. If you have symptoms of incontinence, please call our office today to schedule an appointment.
Approximately 17 million women in the U.S. encounter urinary incontinence in their lifetime.
What is Urinary Incontinence?
Urinary incontinence is a condition where there is loss of control in managing the flow of urine from your body. This condition can occur in women between the ages of 18 and 60 and beyond and is usually a result of the urethra not being closed tightly to keep urine in the bladder.
Symptoms can vary from an inability to prevent leaking urine when exercising or other involuntary actions such as coughing or sneezing and an overwhelming urge to urinate that often causes them to urinate before getting to a bathroom.
What are Female Incontinence Treatment Options?
Behavior modification is used to train one’s bladder and sphincter muscles by decreasing fluid intake and by prompting or scheduling voiding.
Pelvic muscle exercises
Called Kegel exercises, these exercises commonly are intended to strengthen weak muscles surrounding the bladder.
Basically these are pads undergarments designed to absorb leaked urine.
These tubes are inserted into the urethra to collect urine into an external drainage bag. These are generally left in place 24 hours a day.
Called a Pessary, this device is designed to apply pressure to help re-position the urethra permitting it to close tightly. It features a stiff ring that is inserted into the vagina to exert pressure press against the wall of the vagina and urethra.
Bulking agents such as collagen are injected directly into the urethral lining to firm and bulk up the urethral lining so that the urethra can close more tightly.
There are a number of medications to treat incontinence caused by urge to continually void. Where incontinence is stress related, there are no medications for to treat this. For incontinence caused by a combination of both urge and stress, drug therapy may be helpful in treating the urge component.
Evidence suggests that breakdowns in the bladder-brain communication pathway are the root cause of OAB and non-obstructive urinary retention. While other therapies focus on the bladder muscles, InterStim targets the nerves, which is thought to help restore normal bladder function
There are a number of surgical approaches to strengthen, support, elevate and/or restore the urethra and bladder. These are employed when other treatments are not working and include:
- Retropubic Suspensions. Surgical procedures (Burch procedure) intended to restore the urethra and neck of the bladder to a higher anatomical position.
- Slings. Procedures used to treat that treats hypermobility in which a sling is used to support the urethra when there is increased abdominal pressure.
- Bone-fixed slings – treat incontinence by supporting the urethra with a graft material attached to the pubic bone.
- Self-fixated slings – can be used to support the urethra and are secured in place by friction and tissue ingrowth, and require no sutures or screws.