Curing that Stress – Treating Stress Incontinence

Curing that Stress – Treating Stress Incontinence

By Taikhum Sadiq

There are a number of ways to cure stress incontinence. Given here are a few of those:

Changing Behavior:

There are some behavioral changes that one can imbibe that can improve the condition of stress incontinence. Firstly one has to reduce the amount of liquid consumption, and completely avoid drinking caffeinated beverages as they irritate the bladder. Spicy foods, carbonated beverages, alcohol and citrus also can irritate the bladder and should be also avoided. Quit smoking as it can also improve stress incontinence as smoking irritates the bladder and can make you cough continuously (putting stress on the bladder muscles).

Losing Weight:

Weight loss is another important step as excessive weight puts stress on the abdominal muscles and usually in overweight men and women stress incontinence occurs a number of times in the week. With exercise and a nutritious but restricted diet they can experience greater reduction in overall incontinence episodes.

Exercising:

One of the most common treatments recommended by doctors includes exercising the muscles of the pelvis region. Also known as Kegel exercises they help strengthen or retrain pelvic floor muscles and sphincter muscles that can reduce stress leakage. Patients who are younger than 60 years of age benefit the most from these exercises. A patient should work out at least 24 daily contractions for at least 6 weeks. It is possible to assess pelvic floor muscle strength using a Kegel perineometer. There is evidence of the effectiveness of pelvic floor muscle exercise (PFME) to improve bladder control. For example, urinary incontinence following childbirth can be improved by performing PFME.

Incontinence pads :

An incontinence pad is a multi-layered, absorbent sheet that collects urine. Similar objects include absorbent undergarments and adult diapers . Absorbent products may cause side effects of leaks, odors, skin breakdown, and UTI. Incontinence pads may also come in the form of a small sheet placed underneath a patient in the hospital, for situations when it is not practical for the patient to wear a diaper.

Biofeedback:

Biofeedback is a method that uses measuring devices to help the patient become aware of his or her body's functioning. We use electronic devices or diaries to keep track of the bladder and the time urethral muscles contract, which allows the patient to gain control over these muscles.

Pessaries:

A pessary is a medical device that is inserted into the vagina. The most common kind of pessaries are ring shaped, and are typically given to correct vaginal prolapse. For some women this can reduce stress leakage. If a pessary is used, vaginal and urinary tract infections may occur and regular monitoring by a doctor is highly recommended.

Surgery:

Doctors usually suggest surgery to alleviate the incontinence only after other treatments have been tried and have not been sufficient enough. Many surgical options have high rates of success. Surgical options include:

  • Slings
  • Tension-free transvaginal tape
  • Transobturator tape
  • Readjustable sling
  • Mini-sling
  • Needleless sling
  • Bladder repositioning
  • Marshall-Marchetti-Krantz
  • Peri/trans urethral injections
  • Artificial urinary sphincter