Doctor insights on:
Urinary Incontinence (Leaking)
Urodynamics: We do a urodynamic test on all women reporting urinary incontinence that is bothersome. Frequently there is anatomic problems from childbearing that are mixed with bladder muscle spasm as the cause. The anatomy can be fixed, yet muscle problems may remain. They respond to physical therapy, neocontrol treatment. Medications can help but only treat symptoms rather than fixing the problem. ...Read moreSee 2 more doctor answers
Incontinence denotes involuntary leaks of body wastes from urethra or anus; that from urethra is urinary incontinence, which may be classified as stress, urge, mixed (stress + urge), total, & overflow urinary incontinence, signifying its timing & specifics; that from anus is fecal incontinence, which may be urge, stress, total, etc. reflecting the ...Read more
I have back pain cloudy urine frequent urination sometimes urinary urgency leaking urine that i can't feel coming out and i don't really feel myself pee?
Depends: Depends on the cause and type of incontinence. I recommend further evaluation by urologist, urogynecologist, gynecologist or primary physician. There are many non surgical and surgical options. In addition can consider pelvic physical therapy. Once again, this all depends on type and cause of incontinence and it should be evaluated further. www.voicesforpfd.org ...Read moreSee 2 more doctor answers
Depends: Incontinence is a symptom. Finding a "cure" means idenfying the problem and correcting the problem. The problem could be a medication or dietary irritant causing urgency and incontinence associated with it. Or the problem could be a nerve problem related to back surgery. So the cure is really based on what the problem is and identification of the problem is often times the challenging part. ...Read moreSee 2 more doctor answers
Leaking Urine: Incontinence is the leakage of urine. Sometimes one can't tell the difference between sweat, urine, or vaginal discharge. An easy test is to use over the counter AZO that dyes urine orange. Take for 24 hours and evaluate pads. Though vaginal secretions can stain orange, urine will be a more distinct orange color. Consider discussing further with primary doctor, OB/gyn,urogyn. or urologist ...Read moreSee 1 more doctor answer
Urine leakage: Urinary incontinence (ui) is the unintended loss of urine or urine leakage. The most common types of ui in women are stress (sui) and urge incontinence (uui). Sui is leakage associated w/ physical stress on the bladder, such as cough, sneeze, jump, lifting & causes are weak ligaments and muscles around the bladder opening. Uui occurs with an urge & leakage starts before one is seated on toilet. ...Read moreSee 3 more doctor answers
Usually: 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. ...Read moreSee 2 more doctor answers
Urethral sling: There are several outpatient surgeries that can be done to correct urinary incontinence. The most common is a midurethral sling. There are a variety of techniques and your surgeon likely has one he or she prefers.These can be done through small incisions with minimal recovery. Discuss with your obgyn, urologist or urogynecologist. ...Read moreSee 3 more doctor answers
Leak w/pressure: Stress incontinence is due to a combination of weak ligaments and weak pelvic muscles. Commonly associated w/weakness caused by vaginal childbirth but can occur in women who've not given birth. The most common treatments are kegels or pelvic muscle exercise. Muscles can be too weak to exercise on your own; pelvic floor pt is the best method. Minimally invasive surgery can restore ligament support. ...Read moreSee 5 more doctor answers
Physical stress: The term "stress" incontinence has nothing to do with emotional stress but instead means physical stress in the abdomen which increases bladder pressures and causes sudden episodes of leakage. Typical examples are leak with cough, sneeze, jump, lifting, or even getting up out of a chair. ...Read moreSee 3 more doctor answers
Stress incontinence: While many procedures and devices have come along for stress incontinence (i have tried them all as a urologist) the gold standard remains the mid-urethral sling. Peri-urethral bulking agents may help some temporarily. Renessa and other gimmicks done in the office have failed miserably for most women. This is a years old device being re-introduced to a new generation of doctors. ...Read moreSee 2 more doctor answers
Also depends: Risk of any surgery depends on age and other health conditions. Older and more health issues, higher the risk of heart attack, stroke and even death. With incontinence surgery, specifically, injury to bladder, ureter, bowel and blood vessels. Infection, blood transfusion, though rare. Urine retention, "can't pee". These are a few, the consent form is a full page, small print. ...Read moreSee 2 more doctor answers
No: There are of course different type of prostate surgery. Postate removal for cancer has a severe incontinence rate of 3-5% and a mild to moderate incontinence rate of 10-15%. Both are very treatable in hands of surgeons who treat this often. Prostate scraping and laser treatments for benign disease rarely lead to incontinenece buts is also very treatable. Bottom line:it happens and is treatable. ...Read moreSee 1 more doctor answer
No, but common: When one is chronically constipated, bladder symptoms are common, including urinary tract infection (uti), urinary urgency, urinary frequency and urinary incontinence. Often, treating the constipation is the best way to improve bladder control. Further, urinary incontinence can be difficult to treat if constipation continues. ...Read moreSee 2 more doctor answers
Maybe: There are a number of medications on the market for overactive bladder and urge incontinence. There is no fda approved medication currently for stress urinary incontinence (sui). There are several medications that can be used with variable success. Typically the best treatments for sui are procedure based. ...Read moreSee 1 more doctor answer
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