Incontinence

website-incontinenceUrinary incontinence affects over 20 million people in our country, and that number is made up mostly of women. It occurs when a person urinates accidentally. Fresno OB-GYN Dr. Gail Mallard-Warren advises that there are several types of urinary incontinence as described below.

Stress Incontinence. This condition results from a sudden increase in abdominal pressure that occurs while exercising, sneezing, laughing, or coughing. Urine sneaks out because the person’s pelvic floor muscles and tissues have become too weak to contain it.

Urge Incontinence. This type of incontinence is also referred to as overactive bladder (OAB) and it produces a need to go to the bathroom so pressing that you may not get there in time and the urine seeps out.

Overflow Incontinence.  You may be experiencing overflow incontinence if you can’t empty your bladder completely, and as a result, you experience some leaking when the bladder is already full.

Functional Incontinence.  If you suffer from functional incontinence, it’s typically the result of physical ailments such as arthritis, or mental issues such as dementia, which prevent you from getting to the bathroom in time.

Forms of Treatment for Urinary Incontinence

Depending on the kind of urinary incontinence you are experiencing, some lifestyle alterations can diminish the effects of the condition. Some methods for the treatment of urinary incontinence include:

  • Pelvic floor exercises (also known as Kegel exercises);
  • Biofeedback, which processes information about something occurring in your body and presents it in a more understandable way.
  • Devices, including a pessary, vaginal funnel, urethral insert and external urethral block;
  • Injections and/or surgery;
  • Pelvic nerve neuromodulation;
  • Scheduled emptying and training of the bladder;
  • Medications and/or surgery.

Urinary incontinence can be an embarrassing topic to approach, but overcoming your hesitancy is worth it, as treatment can reduce or even completely eliminate the problem.

If you are suffering from urinary incontinence and severe symptoms of stress urinary incontinence or an overactive bladder (OAB), surgery may be a permanent solution to the problem.

But surgery isn’t a viable option for everyone. For some patients, symptoms of stress incontinence or overactive bladder don’t react to more traditional forms of treatment. When urinary incontinence begins disrupting your quality of life, surgery may be your best option.

Urinary incontinence surgery is a more invasive type of surgery and carries a higher risk of complications than other therapies, but it can also provide a longer-term solution in cases that are more severe.

Before you choose surgery for treatment of your urinary incontinence:

Get an accurate diagnosis. Different types of incontinence require different forms of treatment. Your Fresno OB-GYN may refer you to an incontinence specialist or urologist for any supplementary diagnostic testing that may be needed.

Consider your plans for having children. Your OB-GYN may suggest that you delay surgery until you’re certain that you don’t want any more children. The strain of pregnancy and delivery may counteract the benefits of a surgical fix or require a caesarean section delivery.

Remain aware that surgery only corrects the problem it’s designed to fix. In some cases, surgery may not cure your symptoms. For example, if you have mixed incontinence, surgery may relieve your stress incontinence, but not help your OAB, and you may still need medication and physical therapy following surgery to treat it.

If you would like more information about treatment options for urinary incontinence and are in need of a caring and experienced OB-GYN Fresno CA residents rely on the professional and caring staff at the office of Dr. Gail Mallard-Warren.

Don’t wait – call us today at (559) 432-4963 to schedule your appointment.

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