Stress Incontinence

Symptoms

Stress incontinence is the involuntary loss of urine associated with physical activity such as coughing, sneezing, and exercising. It is caused by several factors some of which may be childbirth and previous pelvic surgeries. As many as 50% of all women experience symptoms of stress urinary incontinence. As with urinary urgency incontinence, a thorough history and physical exam is crucial.

Treatments

Treatments for Stress Incontinence

    Non-Surgical:

  • Kegal Exercises
  • Dietary Modification / Times Voiding
    Surgical:

  • Sling
  • Non-mesh Option
  • Bulking Agents
Treatments

Small fistulas may sometimes resolve with a foley catheter drainage. However, the majority of times, surgical treatment is needed. Depending on the location of a fistula, the physician may repair the defect either vaginally or abdominally. Trained physicians can repair this robotically, which greatly minimizes post-operative discomfort.

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