Urinary incontinence is the unintentional loss of urine. Stress incontinence is prompted by a physical movement or activity — such as coughing, sneezing, running or heavy lifting. Stress incontinence is not related to psychological stress.
Childbirth is the commonest cause of urinary Stress incontinence in women.
Other factors that may worsen stress incontinence include:
- Illnesses that cause chronic coughing or sneezing
- Smoking, which can cause frequent coughing
- Excess consumption of caffeine or alcohol
- High impact activities over many years
- Hormonal deficiency
Treatment of urinary stress incontinence:
Pelvic floor muscle exercises. Kegel exercises strengthen your pelvic floor muscles and urinary sphincter.
Fluid consumption. The amount and timing of fluids you consume during the day must be scheduled. Avoid caffeinated and alcoholic beverages . These dietary irritants affect your bladder function.
Healthy lifestyle changes. Quitting smoking, losing excess weight or treating a chronic cough will lessen your risk of stress incontinence as well as improve your symptoms.
Scheduled toilet trips. A schedule for toileting (bladder retraining) if you have mixed incontinence. More frequent voiding of the bladder may reduce the number or severity of urge incontinence episodes
Can be used but not as effective as laser & surgical treatment.
It is an office procedure painless &effective in treatment of selected cases with the advantage of return to normal activity in the same day.
Laser Tightening can reverse the damage or otherwise improve the tightness of a woman’s vagina.
Surgical interventions to treat stress incontinence are designed to improve closure of the sphincter or support the bladder neck.
Many effective surgical procedures had been introduced including trans vaginal tap TVT &transobturator tape TOT.