Female Urinary Incontinence Treatment Rockville

Female Urinary Incontinence

Female urinary incontinence is the loss of bladder control. This condition can present itself when a female sneezes, coughs and/or laughs. We know that there are many reasons why incontinence might present itself and that there are effective treatments available, in order to provide a solution for an inconvenient and/or embarrassing problem. This article will provide all of the information you will need about female urinary incontinence.

Information on female anatomy

Normally the bladder stores urine until you are ready to empty it. The muscles in the lower part of the pelvis hold the bladder in place. Normally, the smooth muscle of the bladder is relaxed, this smooth muscle holds the urine in the bladder. The urethra is the tube that carries urine out of the body. When the sphincter muscles keep the urethra closed, urine doesn’t leak. Once a female is ready to urinate, the brain sends a signal to the bladder. Then the bladder muscles contract. This forces the urine out through the urethra, the tube that carries urine from the body. The sphincters open up when the bladder contracts (Urology Health).

When to seek support for incontinence?

Urinary incontinence can usually be diagnosed after a consultation with a medical professional in Rockville, who will ask about your symptoms and may do a pelvic or rectal examination. it might be important for your medical professional to know previous issues with incontinence, keeping a record of it through a “diary” or notebook

Urinary incontinence Diagnosis

Being open and honest with your doctor will allow you to get a more proper diagnosis. After performing a physical exam and gain knowledge of your medical history. A medical professional might perform a couple different tests to determine the issue. Those tests are:
Urinalysis: A sample of your urine is checked for signs of infection, traces of blood or other abnormalities.
Postvoid residual measurement: You’re asked to urinate (void) into a container that measures urine output. Then your doctor checks the amount of leftover urine in your bladder using a catheter or ultrasound test. A large amount of leftover urine in your bladder may mean that you have an obstruction in your urinary tract or a problem with your bladder nerves or muscles. If these tests do not provide any results, a doctor might perform more-involved tests (Mayo Clinic)

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What are the types of urinary incontinence?

Types of Incontinence – A female can experience one or all of urinary incontinence categories for a variety of different reasons. It is important to consult a doctor if you are experiencing one or all of these issues for a long period of time.

Urge Incontinence

This would happen if a female feels the urge to go to the bathroom and then its followed up with involuntary loss of urine. Urge incontinence might be caused by a minor condition, such as infection, or a more severe condition such as a neurological disorder or diabetes (Mayo Clinic)

Stress Incontinence

This happens when urine is released after a female, sneezes, coughs, laughs or lifts something heavy.

Mixed Incontinence

A female might experience “mixed incontinence” when they have more than one type of urinary incontinence — most often this refers to a combination of stress incontinence and urge incontinence.

Urinary Retention (overflow incontinence)

If you have urinary retention, your bladder doesn’t completely empty when you urinate. This can happen to both men and women and it can be caused by things like blockages, medications or nerve issues (Cleveland Clinic).
We know that there are several reasons that might increase a female’s risk for incontinence, such as: pregnancy and vaginal birth, obesity, a family history of incontinence, increasing age – although incontinence is not an inevitable part of aging (NHS).

Female urinary incontinence treatments

A medical professional in Rockville, might suggest either surgery or lifestyle changes. This will all depend on the severity of the incontinence if the female patient plans on having more kids and/or if a patient is sensitive to medications or side effects.

Surgical

Most surgical procedures to treat stress incontinence fall into two main categories: sling procedures – For a sling procedure, your surgeon uses strips of synthetic mesh, your own tissue, or sometimes an animal or donor tissue to create a sling or “hammock” under the tube that carries urine from the bladder (urethra) or the area of thickened muscle where the bladder connects to the urethra (bladder neck). The sling supports the urethra and helps keep it closed — especially when you cough or sneeze — so that you don’t leak urine (Mayo Clinic). A doctor might recommend, a tension-free sling. This sling doesn’t need any stitches and is composed of a strip of synthetic mesh tape. The body tissue ends up holding the sling in place. Eventually, scar tissue forms in and around the mesh to keep it from moving (Mayo Clinic)

Nerve stimulation to treat overactive bladder

Medical professionals use electrical pulses on the nerves that signal the need to urinate. Eventually eliminating the patients’ incontinence problems. There are 2 different kinds of electrical pulse procedures:
Sacral nerve stimulation – Your surgeon implants a small, pacemaker-like device under your skin, usually in your buttock. Attached to the device (stimulator) is a thin, electrode-tipped wire that carries electrical impulses to the sacral nerve. These painless electrical impulses block messages of needing to urinate sent by an overactive bladder to your brain.
Tibial nerve stimulation – In this procedure, a needle placed through the skin near your ankle sends electrical stimulation from a nerve in your leg (tibial nerve) to your spine, where it connects with the nerves that control the bladder. Tibial nerve stimulation takes place over 12 weekly sessions, each lasting about 30 minutes. Based on your response to the treatment, your doctor might recommend follow-up sessions at regular intervals to maintain the results (Mayo Clinic).

What is the TeslaMax?

It has a unique ability to create massive muscle contractions without causing pain or discomfort for the patient. This stimulates nearby muscles, causing them to contract. The deeper the muscle contractions, the more pronounced the benefits, which include increased muscle tone, improved circulation, reduced fluid build-up, and accelerated wound healing (Global Newswire). The TeslaMax uses a proprietary form of alternating current (AC). With DC output, electrons move only in one direction, which can create friction and heat in tissues.

Bladder Neck Suspension Procedure

Bladder neck suspension adds support to the bladder neck and urethra, reducing the risk of stress incontinence. The surgery involves placing sutures in vaginal tissue near the neck of the bladder — where the bladder and urethra meet — and attaching them to ligaments near the pubic bone.

Non-Surgical

Your medical professional might suggest you start changing your lifestyle choices and/or adding exercise to your daily routine to improve your incontinence issues.
Lose weight – obesity is a large cause of why someone might all of a sudden have incontinence. Losing weight and eating healthier will start to help.
Cut down on specific items: Medical professionals might suggest a patient should decrease the intake of caffeine, alcohol, and/or smoking.
Kegel excercise (pelvic-floor exercise) – This is an exercise women can do, that will rehab the pelvic floor. It is recommended that women, repeatedly contracting and relaxing the muscles that form part of the pelvic floor. Pelvic floor muscle exercise (PFME) is important in the treatment of UI in women because it helps in the restoration of perineal muscles, therefore improving the timing of contractions, the strength, and stiffness of the pelvic floor muscles, and practicing PFME can help women having their first baby to prevent UI in late pregnancy and postpartum (The Journal of Nursing and Midwifery Sciences)
Stimulate collagen elastin – This will help to create a pelvic floor response.

Medications

While some medications can help symptoms of incontienance, medical professionals do warn that each of these medications can cause side effects.
Anticholinergics. These medications can calm an overactive bladder and may be helpful for urge incontinence. Examples include oxybutynin (Ditropan XL), tolterodine (Detrol), darifenacin (Enablex), fesoterodine (Toviaz), solifenacin (Vesicare) and trospium chloride. Mirabegron (Myrbetriq). Used to treat urge incontinence, this medication relaxes the bladder muscle and can increase the amount of urine your bladder can hold. It may also increase the amount you are able to urinate at one time, helping to empty your bladder more completely.The most common side effects of anticholinergics are dry mouth and constipation (Mayo Clinic).
Alpha blockers. In men who have urge incontinence or overflow incontinence, these medications relax bladder neck muscles and muscle fibers in the prostate and make it easier to empty the bladder. Examples include tamsulosin (Flomax), alfuzosin (Uroxatral), silodosin (Rapaflo), and doxazosin (Cardura).
Topical estrogen. Applying low-dose, topical estrogen in the form of a vaginal cream, ring or patch may help tone and rejuvenate tissues in the urethra and vaginal area (Mayo Clinic). When used correctly, topical estrogen therapy typically doesn’t cause side effects.

How does a female get urinary incontinenance?

Different factors can contribute to a women having incontienance such as:

Statistics

A quarter to a third of men and women in the U.S. suffer from urinary incontinence. That means millions of Americans. About 33 million have overactive bladder (also known as OAB) representing symptoms of urgency, frequency and with or without urge incontinence.(Urology Care)
Women who develop urinary incontinence while pregnant are more likely to have it afterward.(Urology Care)
Urinary incontinence can happen to women at any age, but it is more common in older women. This is probably because of hormonal changes during menopause. More than 4 in 10 women 65 and older have urinary incontinence (Womens Health)
Urinary leakage during intercourse is estimated to affect up to a quarter of women with incontinence (Menopause.org)
The prevalence of 10% in 15–19-year-olds and 18% in 20–24-year-olds seems a bit high when one considers the number of young women who actually seek treatment for incontinence.(NCBI).

Research

Nulliparous women have a higher rate of SUI

Compared to women with no SUI, the possible potential risk factors are age (>30 years), higher BMI, and abnormal type I muscle fiber of the pelvic floor.(NCBI, 2021)

Obesity, parity, and high psychological distress are strong correlates of UI in young women

As the majority of women with UI do not seek help, the antenatal period may be a critical time for healthcare providers to identify those at risk, and encourage early prevention or effective management strategies (Wiley Online Library, 2020)

Among postmenopausal women, higher physical activity was associated with lower risk of incident urgency and mixed UI

But not stress UI, independent of baseline weight and weight change (The Journals of Gerontology, 2021)

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