Common Urinary Issues
Stress Urinary Incontinence
Stress urinary incontinence (SUI) is urine leakage with physical activity, such as exercise, or when coughing, laughing, or sneezing. It is a common problem in women. SUI can be treated with both non-surgical and surgical treatment methods.
Chronic pelvic pain is a pain in the pelvic area that lasts for six months or longer. Chronic pain can come and go, or it can be constant. Sometimes chronic pelvic pain follows a regular cycle. For example, it may occur during menstruation. It also can occur only at certain times, such as before or after eating, while urinating, or during sex.
Vulvodynia most commonly is described as burning, stinging, irritation, and rawness. Aching, soreness, throbbing, and swelling also may be felt. The entire vulva may be painful, or pain may be centered in a specific area. Symptoms of vulvodynia may be constant, or they may come and go. Symptoms can start and stop without warning, or they may occur only when the area is touched.
Urinary Tract Infections (UTIs)
Urinary tract infections (UTIs) are common infections. Many women get them at some point in their lives. Some women have repeat infections and may have them often. But most UTIs are not serious. These infections can be treated with antibiotics, and symptoms can usually be relieved quickly.
Pelvic Organ Prolapse (POP) happens when one or more pelvic organs (the vagina, uterus, bladder, urethra, small intestine, and rectum) drop from their normal position. It’s caused by a weak pelvic floor, the collection of muscles, ligaments, and connective tissues that hold these organs in place.
When a pelvic organ drops, it may bulge into another organ. In some cases, the organ may protrude out of the vagina. Women may accidentally leak urine or bowel contents (stool), or their vagina may make noises during exercise or sex. These symptoms and others can be isolating. Some women don’t seek treatment until they start having severe bladder, bowel, or sexual function problems.
Repair and Surgery
Surgery may be an option for women who have not found relief with non-surgical treatments. There are two types of surgery: 1) surgery to repair the pelvic floor and 2) surgery to shorten, narrow, or close off the vagina.
Treatment options may include:
Surgery using vaginally placed mesh
Urogynecological Problems: Incontinence and Weakend Pelvic Floor Muscles
Whether it’s a few drops of leaking urine or complete emptying of the bladder, incontinence is a bladder control issue that women are twice as likely to have as men. And by the time a woman has made an appointment to talk about what she’s dealing with, she has had enough.
Incontinence can be embarrassing, super annoying, and costly. But you don’t have to suffer in silence – there are many treatment options available.
The two most common types are stress incontinence and urgency incontinence.
Stress incontinence is triggered by a cough, sneeze, or physical exercise, and the result is leaking urine. Urgency incontinence is leaking after a sudden, strong urge to urinate that you cannot stop. If the patient has a combination of the two, we first target the one bothering her the most.
What are the surgical treatments for SUI?
Surgery improves SUI symptoms in most women. There are different types of surgery for SUI:
- Urethral sling
Urethral slings and colposuspension can be done through an incision (cut) in the abdomen, through the vagina, or with laparoscopy.
Injections into the tissues around the urethra do not need an incision. This may be an option for women who do not want a more invasive procedure. It is a minor procedure that can be done in an office.
If necessary, surgical procedures can be combined to give the best results. For example, an SUI procedure and a pelvic support procedure may be done to decrease the risk of developing SUI after the surgery.
Celebration Obstetrics & Gynecology
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Davenport, FL 33837