A member asked:

What is stress incontinence caused by?

11 doctors weighed in across 3 answers
Dr. George Klauber answered

Specializes in Pediatric Urology

Weak pelvic floor: Muscular support allowing stress urinary incontinence causes wetting with coughing, sneezing etc), which can increase after childbirth or after menopause when ovaries stop producing estrogen and bladder neck and urethral lining thins out. Cystocele where bladder tends to prolapse into vagina. Uterine prolapse. Fistula between bladder and vagina. Many women are incontinent with urinary infections.

Answered 8/28/2012

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Dr. Scott Kramer answered

Specializes in Gynecology

Torn Urethral Lig.: Begin with kegel exercises to strengthen muscles that close urethra. Some women leak because of poorly supported urethra after having babies, which can be fixed with a urethral sling as an outpatient 10 minute procedure with minimal downtime. Others need medication for over active bladder. While it's embarrassing don't acquiesce to suffer in silence, ask for help.

Answered 12/9/2013

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Dr. Betsy Greenleaf answered

Specializes in Gynecology

Stress Incontinence: Stress incontinence: leaking urine with activity, cough, sneeze. It occurs because of a weakness to the ligaments supporting the urethra. Tthere are many treatment options. Follow up with a gynecologist, urogynecologist or urologist to discuss. Treatment options can be pelvic PT, topical estrogen, pessary, plugs, radiofrequency, bulking, slings Resources: www.voicesforpfd.www.ics.org

Answered 3/12/2015

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