Stress urinary incontinence (SUI) in women is common. Those affected experience involuntary urinary leakage when exerting pressure onto their bladder, such as while coughing, laughing or lifting heavy objects. Treatments vary, with one of them being surgical repair with a midurethral sling.
A committee from the American College of Obstetricians and Gynecologists (ACOG) has released new guidelines for evaluating uncomplicated SUI before being recommended for surgery. The following guidelines were published in the June 2014 issue of Obstetrics & Gynecology:
- Obtain medical history. This includes history related to urological behaviors and symptoms, medical and neurological, and medications. Specialists should ask about the type of urinary incontinence experienced, how often leakage occurs, how often pads are used and how the symptoms affect daily living. Patients will be evaluated using validated questionnaires, such as the Incontinence-Quality of Life Questionnaire (I-QoL) and Incontinence Severity Index (ISI).
Urge incontinence often comes in waves and without warning. The condition affects millions of people in the U.S. and can cause disruptions in one’s work, social and personal life. One effective way to manage this condition is bladder retraining.
This process involves creating a timed voiding schedule, which is essentially a schedule of when you’ll use the bathroom throughout the day. Timed voiding programs are designed to help people increase their bladder’s capacity to hold urine and to learn how to control sudden bladder spasms.
Symptoms of overactive bladder (OAB) and stress urinary incontinence (SUI) are more common and severe after vaginal birth when compared to cesarean birth, according to a new John Hopkins study.
Led by Victoria L. Handa, MD, of Johns Hopkins University, the study included 1,481 women who had given birth 5-10 years prior. Symptoms of OAB and SUI were assessed using the Epidemiology of Prolapse and Incontinence Questionnaire.
Although urinary incontinence affects more than 25 million people in the United States, it isn’t a very popular subject to talk about. And because of this miscommunication, there are many misconceptions about the condition. Below, we dispel five of the most common myths about incontinence:
Myth: Urinary incontinence affects only elderly adults.
Fact: While elderly adults are more affected by urinary incontinence, the condition is non-discriminatory and actually affects people of all ages. A teen may experience bladder loss due to a spinal cord injury and a man in his 40’s may lose control over his bladder due to diabetes. Incontinence is a symptom of an underlying medical issue – contact your doctor to determine the cause and methods of treatment.
“Sometimes I pee when I laugh. Why is this happening and what can I do to stop it?”
If you’re like me, you like to laugh. And you laugh at lot. This can be quite a problem if you’re leaking every time someone tells a joke or while you’re watching a Friends rerun.
Involuntary leakage while laughing is called stress incontinence. The physical act of laughing, coughing, sneezing and lifting heavy objects can put pressure on your bladder, causing urine to accidentally squeeze out. This may occur due to weak bladder muscles and connective tissues around your pelvic floor muscles. In women, pregnancy can stretch out and weaken pelvic floor muscles. Pelvic organ prolapse can also play a role in urinary incontinence.