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Stress Incontinence (SUI)

This includes the involuntary loss of urine during certain physical activities, including coughing, laughing, and lifting. It is caused by a weak or damaged sphincter, the muscle that holds back urine.

Treatment for urinary incontinence varies for each patient, based on type and severity. Our physicians will work with you to determine which treatment option best fits your lifestyle and needs. Below are some common treatment options that our physicians will discuss with you at length.

 

Non-Invasive Treatments

 

Behavioral Modifications

Lifestyle or behavioral modifications are usually the first therapy our physicians recommend, and it may be the only treatment necessary. The modifications include:

  • Pelvic muscle exercises (Kegel's exercises)
  • Reducing fluid intake
  • Changing or eliminating medications

 

Medications

Unfortunately there are currently no available medications that are effective at treating SUI.

 

Procedural Management

 

Bulking Agents

Bulking agents can be used to treat stress incontinence. A bulking material is injected into the tissue surrounding the urethra to help bring the urethral lining together. This is an outpatient procedure.

 

Suburethral Slings

Composed of a synthetic mesh, suburethral slings act as a hammock under the urethra, compressing it to prevent leaks that occur with daily living.  This is an outpatient surgery with a short time to recovery.

 

 Pessary

In women with pelvic prolapse contributing to incontinence and who are not fit for or would prefer to avoid surgery, this special device is inserted in the vagina to hold up the bladder and may help with leakage by helping the patient empty her bladder more effectively.

 

Pelvic Prolapse Surgery

Surgery performed to restore the bladder and bowel to normal position in women who have pelvic floor weakening.

 

Male Sling

Similar to a sling procedure performed in a woman, a piece of synthetic mesh can be placed through a small incision to help compress the urethra in men who suffer post procedure stress incontinence (usually after prostatectomy). This is very effective for mild stress urinary incontinence in men.

 

Artificial Urinary Sphincter (AUS)

In men who have more severe stress urinary incontinence, the artificial sphincter is very effective at controlling leakage. It involves a cuff that puts pressure around the urethra until a patient desires to void. A small valve in the scrotum is activated by the patient, and this relieves the pressure around the urethra. It is completely concealed, reliable, and has excellent patient satisfaction. As with the male sling, urethral obstruction must be ruled out prior to placement.