Treatment for Female Urinary Incontinence in Columbus, OH
Urinary incontinence is a condition where there is loss of control in managing the flow of urine from your body.
Approximately 17 million women in the U.S. encounter urinary incontinence in their lifetime. This condition can occur in women between the ages of 18 and 60 and beyond and is usually a result of the urethra not being closed tightly to keep urine in the bladder. Symptoms vary from:
- an inability to prevent leaking urine when exercising or other involuntary actions such as coughing or sneezing
- an overwhelming urge to urinate that often causes them to urinate before getting to a bathroom.
- InterStim Percutaneous Urinary Nerve Stimulation Therapy. InterStim therapy is a proven neuromodulation therapy that targets the communication problem between the brain and the nerves that control the bladder. If those nerves are not communicating correctly, the bladder will not function properly. The InterStim system uses an external device during a trial assessment period and an internal device for long-term therapy.
The trial InterStim device can be inserted by our physicians at a regular office visit. In the procedure, the physician will numb a small area and insert a thin, flexible wire near your tailbone. The wire is taped to your skin and connected to a small external device which you’ll wear on your waistband. The external device sends mild electrical pulses through the wire to nerves near your tailbone which may get your bladder working the way it’s supposed to.
- Durasphere. Known as a “bulking agent,” Durasphere is a substance that helps the weak muscles of the bladder neck by adding bulk to the area, increasing the ability to resist urine leakage during exercise or other activities. Durasphere EXP is a water-based gel, into which tiny carbon-coated beads are placed. It is a black, odorless, sand-like material, placed through a hollow needle into the middle layer of tissue surrounding the urethra. Once injected, the gel is dissolved by the body, leaving the tiny beads in place permanently. These tiny beads add “bulk” to the urethra muscles, allowing the bladder neck to close enough to stop urine from leaking. When you decide to empty your bladder the urethra expands, allowing urine to pass.
- Sling Procedure. A urethral support sling is a minimally invasive procedure that can help correct incontinence with a small tape made of soft material that supports the urethra. The sling functions much like a hammock on which your urethra rests to prevent accidental urine leakage. Mesh has been used to treat incontinence since 1968, and has been used in millions of patients worldwide.
More Treatment Options
Behavior modification is used to train one’s bladder and sphincter muscles by decreasing fluid intake and by prompting or scheduling voiding.
Pelvic muscle exercises
Called Kegel exercises, these exercises commonly are intended to strengthen weak muscles surrounding the bladder.
Basically these are pads undergarments designed to absorb leaked urine.
These tubes are inserted into the urethra to collect urine into an external drainage bag. These are generally left in place 24 hours a day.
Called a Pessary, this device is designed to apply pressure to help reposition the urethra permitting it to close tightly. It features a stiff ring that is inserted into the vagina to exert pressure press against the wall of the vagina and urethra.
There are a number of medications to treat incontinence caused by urge to continually void. Where incontinence is stress related, there are no medications for to treat this. For incontinence caused by a combination of both urge and stress, drug therapy may be helpful in treating the urge component.
There are a number of surgical approaches to strengthen, support, elevate and/or restore the urethra and bladder. These are employed when other treatments are not working and include:
Retropubic Suspensions. Surgical procedures (Burch procedure) intended to restore the urethra and neck of the bladder to a higher anatomical position.
To make an appointment for treatment for urinary incontinence in the Columbus, OH area, call Comprehensive Women’s Care today at (614) 583-5552.