stress urinary incontinence is a condition that is very common today and affects many people most especially women. This condition is reached when either through weakening or through injury the pelvic floor muscles that support the bladder and the urethra. Therefore, most situations that apply pressure to the bladder for instance when coughing, sneezing, laughing or even exercising leads to involuntary passing of urine. This can be an embarrassing an cause distress, thus the search for a proper treatment that would help one to gain full control over their bladder and increase their quality of life.
These exercises are meant for the contraction, and ultimately the strengthening of the pelvic floor muscles in order to better support the bladder and therefore minimize SUI treatment leakage. Kegel exercises are easy and can be performed at any place and hence they could be preferred by many. Though, the problem is the steadiness: It takes many weeks or even months to see effectiveness if the practice is maintained regularly. For patients, they are encouraged to undergo a program of pelvic floor exercises alongside other changes like; losing weight, smoking cessation, alcohol and caffeine cut, among others. These modifications can help decrease the pressure o the bladder thus decreasing the urinal incontinence occurrences and its severity.
If the changes in one’s lifestyle, exercises, and other related issues are not effective in improving his/her situation sufficiently, then use of medical interventions may be prescribed. Vaginal pessaries are one of the most frequently used non-surgical approaches. A pessary is a device that is used in the vagina whereby it supports the bladder together with the urethra thus ensuring that there is no seepage. They can be a rather efficient approach to some women especially those who cannot undergo surgery or they just do not want to. Another non-surgical management is the insertion of urethral plugs which are small, tampon like objects which is inserted into the urethra and prevents leakage as one exercises. A larg Those inserts are usually applied on the temporary basis and are removed once the applied activity is over.
So, in cases of severe stress urinary incontinence treatment intervention is applied. Among different surgical interventions the most frequently performed is the sling surgery where a small strip of synthetic material or tissue harvested from the patient’s body is placed around the urethra as a sling. This sling affords another degree of support to the urethra so that the part does not gape during exercise and causes incontinence. Sling surgery is usually almost entirely a surgical procedure that has a very high success rate of bringing out results but like any other surgery, there are some risks which include; infections, pain as well as risks that come along with the use of mesh. Anyone receiving a diagnosis that puts them in this category ought to consult with their doctor about this method’s advantages and disadvantages.
The other surgical management is the Burch colposuspension, in which a surgeon sutures the neck of the bladder to a ligament beside the pubic bone to support the urethral wall. It is normally conducted via a small cut on the belly area or through keyhole surgery. Originally, Burch colposuspension was used in treatment of SUI and though it has worked its success rate is lesser than sling surgery and the patient needs a longer recovery period as it is more invasive than sling surgery.
It has been seen in the current years that the technology has produced noninvasive treatments like bulking agents and radiofrequency therapy to treat stress urinary incontinence. Scatterers are materials that are used by injecting them to the surrounding tissues of the urethra to assist in sealing the opening which results to leakage. This is normally carried out as a day surgery and is very much an office surgery as it is invasive with most people being discharged within a short time.
