A Few Important Points On Urinary Stress Incontinence For Women

You are suffering from urinary incontinence if:

• You are older than 18
• You are having difficulty holding your urine
• Urine leaks while coughing, sneezing, or performing any physical tasks

In such situations you are in a quandary as to which line of treatment to choose.

Yes, you must first consult a doctor who will decide whether you really suffer from urinary incontinence.

The doctor may ask you a lot of questions. He or she will go through your medical history to evaluate which type of incontinence you suffer from - stress incontinence or urgency incontinence.

The reasons for urinary incontinency are several.

The chief underlying cause is the muscles you use to hold urine are no longer as strong as they were before.

Weakened pelvic muscles can be due to the aging process, pregnancy, having undergone C section for delivering the baby, being overweight, or because of frequent urinary infections.

Most doctors recommend conservative treatment to start with. These include:

• bladder training
• special exercises – like Pelvic Floor Muscle Training ( PFMT)
• medication
• Devices that perform percutaneous tibial nerve stimulation, and magnetic and electric stimulation

If conservative treatments fail to deliver results, doctors may recommend surgery.

The practice of performing surgery for urinary incontinence has changed significantly over the last many years. The numbers have increased dramatically.

The various procedures now in place include:

• colposuspension and needle suspension procedures
• bladder neck buttress
• tension free vaginal tape
• retropubic suspension
• urethral sling

If noninvasive treatments do not work, for urinary incontinence surgery, Maryland has a few good doctors.

Fortunately, surgeries to treat incontinence are now having a good record of success.

Yet, women must not ignore the noninvasive options as the first line of treatment before they decide on surgery.

“Try Kegel first”, says an urologist. “Strengthening the pelvic floor is the most basic approach”.

If after exhausting all noninvasive methods, women feel surgery is needed, then finding the right surgeon is the first step.

A good surgeon is one who is qualified in pelvic female medicine and reconstructive surgery and has performed several successful operations.

Quite often the procedure can be an outpatient one.

Sling procedures are an example.

In the sling procedure for urinary incontinence surgery, Maryland doctors administer local anesthesia.  For other procedures like retro pubic suspension, surgeons administer either general or spinal anesthesia that can involve hospital stay.

For many women, urinary incontinence surgery has been a life changer.

“It is good sign that women are now more open about their intimate problems”, says a specialist of vaginoplasty Westminster MD. More women than ever before are now keen to undergo reconstructive procedures to address their cosmetic and functional needs.