Urinary incontinence is a common yet hardly discussed issue that is reported to the doctor only after signs elevate to a high level. Men and women both face this issue, but thankfully, there are multiple ways to deal with the problem. The problem occurs when the person fails to control the urine, and there is often an urge or urine leakage that comes with the pain. There could be multiple reasons behind it. be it the post-pregnancy sign in women or the lack of healthy living in men. Besides, there are some medicines to blame for causing signs associated with urinary incontinence or can exacerbate it. In these situations, surgery presents a viable option for enhancing or restoring urinary function, thereby alleviating discomfort and improving the overall well-being of individuals facing this challenge.
How did the problem arise?
The brain and bladder work together for pee control. The bladder holds pee until you’re ready to go. Muscles in your pelvis keep the bladder in place, and normally, the bladder’s smooth muscle stays relaxed to keep the pee inside. The tube is closed due to sphincter muscles.
Types you need to know:
Firstly, you must understand that urinary incontinence indicates a serious underlying condition. It could be due to the age or a sedentary lifestyle. However, there are different ways in which experts have categorized the problem.
- Stress Urinary Incontinence (SUI): The problem arises when the pelvic muscles are weak. It causes leakage of the urine. This issue is highly notable among senior citizens, especially women.
- Overactive Bladder (OAB): In this issue, the urge to pee is uncontrollable and frequent, irrespective of whether it is at night or during the day. This issue is prevalent among men who have been facing prostate issues. Often, women have raised this concern after menopause.
- Mixed incontinence occurs when someone experiences both stress urinary incontinence (leaking urine with activity) and overactive bladder symptoms (frequent urges to urinate).
- Overflow incontinence is different; it happens when the body produces more urine than the bladder can hold or when the bladder can’t empty, leading to urine leakage. It can be due to an obstruction or weak bladder muscle contractions. One common sign is frequently urinating in small amounts.
Dealing with the issue:
Dealing with Urinary Incontinence: Treatment Options
- Delaying the Event: Learn to control the urge and delay urination when needed.
- Double Voiding: Urinate, wait a few minutes, then urinate again.
- Toilet Timetable: Schedule bathroom breaks at set times during the day, like every 2 hours.
- Objective: Gradually regain bladder control.
Medications for Urinary Incontinence
Often used in combination with other techniques or exercises.
- Anticholinergics: Calm overactive bladders; helpful for urge incontinence.
- Topical estrogen reinforces urethral and vaginal tissue, reducing symptoms.
- Imipramine (Tofranil): A tricyclic antidepressant used in some cases.
Medical Devices for Females
- Urethral Inserts: Insert before activity; remove before urination.
- Pessary: a rigid ring in the vagina to support the bladder and prevent leakage.
- Radiofrequency therapy heats lower urinary tract tissue for better control.
- Botox (Botulinum Toxin Type A): Injected into the bladder muscle for overactive bladder
- Bulking Agents: Injected around the urethra to maintain closure.
- Sacral Nerve Stimulator: Implanted under the skin to stimulate nerves for bladder control.
Consider when other therapies fail; consult with a doctor, especially if planning to have children.
- Sling Procedures: Mesh support under the bladder neck to stop urine leakage.
- Colposuspension: lifting the bladder neck to relieve stress incontinence.
- Artificial Sphincter: Inserted to control urine flow from the bladder to the urethra
- Urinary Catheter: Tube from the bladder to a collection bag.
- Absorbent Pads: Available in stores and online for added protection.
If you’re considering urinary incontinence surgery in New Jersey, Dr. Vinay Shah is the expert to consult for comprehensive guidance and treatment options tailored to your needs.
Some handy tips that can speed up recovery post-surgery
After surgery, balance rest and light activity. Begin with short walks and increase daily movement to prevent blood clots and constipation. Avoid strenuous tasks and heavy lifting, like chores or heavy bags. Stay hydrated, take a stool softener if the doctor advises, and eat fiber-rich foods for a smoother recovery.
Surgical intervention for stress urinary incontinence not only addresses its specific symptoms but can also have a positive impact on urgent urinary incontinence. These procedures offer the potential for significant relief, allowing individuals to lead more active and healthier lives. It’s essential to consult with your doctor to determine the most suitable surgical approach and hospital stay duration, tailored to your individual needs and health status. For those seeking relief through urinary incontinence surgery in New Jersey, Dr. Vinay Shah is a trusted expert known for delivering effective solutions and compassionate care.
Is sling surgery for incontinence worthwhile?
Yes, if lifestyle changes and conservative treatments haven’t improved your symptoms, sling surgery can significantly reduce or eliminate urine leaks, improving your quality of life.
Is it possible to lead a normal life after bladder surgery?
After a cystectomy, your life will change permanently, impacting bathing, travel, body image, relationships, and sexual life. However, with time, you should regain the ability to do nearly everything you did before.