RESTORE YOUR CONFIDENCE Presented By:Stress Urinary Incontinence (SUI)
Discussion Points   You Are Not Alone   What is SUI?   Causes of SUI   Incontinence Impacts   Types of Incontinence ...
You Are Not Alone                              T Chronic Conditions in the US (in millions)                               ...
You Are Not Alone   Stress Urinary Incontinence (SUI)      The involuntary leakage of urine with physical stress, such a...
What is Stress Urinary Incontinence? SUI in women usually occurs because the pelvic   muscles that help to hold or release...
Basic Anatomy        Normal Pelvic Anatomy              Female with SUI                                    In the diagram ...
What Causes SUI?   Stress Urinary Incontinence is the most frequently diagnosed    form of incontinence and can be caused...
Mild to Severe SUI   Many women leak small amounts of urine during    physical activity such as coughing or laughing.    ...
Incontinence Impacts   Embarrassment / lack of awareness of treatment keep women    from seeking SUI treatment       62%...
3 Types of Urinary IncontinenceStress Urinary Incontinence (SUI)
What to Expect   Your doctor will ask about your symptoms    and medical history   A physical examination will be perfor...
Bladder Diary                                    Fluid   intake                                    Leakage    episodes  ...
Bladder Irritants Caffeinated beverages Coffee, tea, soda Alcohol Tobacco Citric fruits & drinks Chocolate Spicy, t...
Non-Surgical Treatment OptionsDepending on the severity of your SUI you and your doctor mayfirst consider non-surgical opt...
Surgical Treatment OptionsFor patients whose lives are adversely effected by SUI, surgerymay be suggested.   A sling proc...
Sling Placement   Placement depends on your condition    and doctor preference. Typically the    sling is placed through ...
Your Recovery   Generally patients are able to go home the same day of surgery.   Resuming Activities      Many women a...
Summary Urinary incontinence is  common in women Incontinence can be treated at  any age Thousands of women have  been ...
Q&AStress Urinary Incontinence (SUI)   LT037 Rev. A 7-10 CM
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You Are Not Alone - Stress Urinary Incontinence

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Patient presentation by Caldera Medical on dealing with and treatment options for stress urinary incontinence

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You Are Not Alone - Stress Urinary Incontinence

  1. 1. RESTORE YOUR CONFIDENCE Presented By:Stress Urinary Incontinence (SUI)
  2. 2. Discussion Points You Are Not Alone What is SUI? Causes of SUI Incontinence Impacts Types of Incontinence What to Expect at your Doctor Visit What Are My Treatment Options Summary Q&AStress Urinary Incontinence (SUI)
  3. 3. You Are Not Alone T Chronic Conditions in the US (in millions) op 40 35 30 25 20 15 10 5 01. Adapted from: National Center for Health Statistics. Vital Health Stat.10;1994.2. Adapted from: Fantl JA et al. Managing Acute and Chronic Urinary Incontinence. Clinical Practice Guideline. No. 2, 1996 Update. Rockville, MD: Agency for Health Care Policy andRelated Research; January 1996. AHCPR publication 96-0686. Stress Urinary Incontinence (SUI)
  4. 4. You Are Not Alone Stress Urinary Incontinence (SUI)  The involuntary leakage of urine with physical stress, such as coughing, sneezing, laughing, bending and exercise. Prevalence  Over 15 million Americans experience SUI, mostly women.  SUI can occur at any age – it is the most common type of urinary incontinence US Female Population in women. 80+  While more common in older women, 70-74 Est. 15 million adult SUI is NOT inevitable with age and SUI is women suffer SUI # of Years 60-64 NOT a normal part of aging. 50-54  With new and minimally invasive 40-44 techniques available, you no longer 30-34 0 2,000 4,000 6,000 8,000 10,000 12,000 need to live with SUI. Population (in millions)Stress Urinary Incontinence (SUI)
  5. 5. What is Stress Urinary Incontinence? SUI in women usually occurs because the pelvic muscles that help to hold or release urine have been weakened.  If coughing, sneezing, exercising, laughing or doing other activities that put pressure on your bladder causes urine to leak, you may have Stress Urinary Incontinence. Image source: NIDDK Image Library Stress Urinary Incontinence (SUI)
  6. 6. Basic Anatomy Normal Pelvic Anatomy Female with SUI In the diagram above the urethra is no longer supported in the correct position.Stress Urinary Incontinence (SUI)
  7. 7. What Causes SUI? Stress Urinary Incontinence is the most frequently diagnosed form of incontinence and can be caused by many different medical problems, including diabetes and weak pelvic muscles. Pelvic muscles and connective tissue are often weakened by:  Pregnancy  Previous Pelvic Surgery  Child Birth  Obesity  Menopause  SmokingStress Urinary Incontinence (SUI)
  8. 8. Mild to Severe SUI Many women leak small amounts of urine during physical activity such as coughing or laughing.  Mild leakage effects most women at some time in their lives. Severe SUI occurs most frequently in women between the ages of 30-60 years and in women who have had previous pelvic surgery.  Women with severe SUI may require 6-8 pads per day or more and may avoid activities outside of the home.Stress Urinary Incontinence (SUI)
  9. 9. Incontinence Impacts Embarrassment / lack of awareness of treatment keep women from seeking SUI treatment  62% wait a year or longer before discussing with physician1  17% wait 5 or more years11. The 2001 Gallup Study of Incontinent Women2.Waetjen, L. Elaine, et al. “Stress Urinary Incontinence Surgery in the United States,”Obstetrics & Gynecology. Vol. 101, N0. 4, April 2003, p671-676. Stefanakos, Victoria Scanlan.“Hold It! (If You Can),”Working Mother, p25-26.3.Wilson, Leslie, et al. “Annual Direct Cost of Urinary Incontinence,”Obstetrics & Gynecology. Vol. 98, No. 3, September 2001, p400.Stress Urinary Incontinence (SUI)
  10. 10. 3 Types of Urinary IncontinenceStress Urinary Incontinence (SUI)
  11. 11. What to Expect Your doctor will ask about your symptoms and medical history A physical examination will be performed Bladder Diary  To record when you void and what liquids you consumeStress Urinary Incontinence (SUI)
  12. 12. Bladder Diary Fluid intake Leakage episodes Pad count/day Night time voids Daytime voids Voided amountsStress Urinary Incontinence (SUI)
  13. 13. Bladder Irritants Caffeinated beverages Coffee, tea, soda Alcohol Tobacco Citric fruits & drinks Chocolate Spicy, tomato foodsStress Urinary Incontinence (SUI)
  14. 14. Non-Surgical Treatment OptionsDepending on the severity of your SUI you and your doctor mayfirst consider non-surgical options: Kegel Exercises  Consists of a series of pelvic exercises to help increase the strength of the pelvic floor.  Kegel exercises may reduce or cure mild cases of stress leakage. Bulking Agents  Consist of a collagen or a biocompatible substance injected around the urethra to reinforce the surrounding tissues.  The effects of bulking agents are usually temporary and the cure rates are lower compared to surgery. A Pessary  A stiff ring that is inserted into the vagina. The pessary presses against the wall of the vagina and the nearby urethra, which helps reposition the urethra leading to less stress leakage.Stress Urinary Incontinence (SUI)
  15. 15. Surgical Treatment OptionsFor patients whose lives are adversely effected by SUI, surgerymay be suggested. A sling procedure is used to help rebuild and restore support under the urethra. Slings have the highest rate of success of all treatment options.  A sling is a synthetic, knitted polypropylene mesh which has been proven to effectively treat SUI.  The procedure is usually performed as an outpatient and takes about 30 minutes. ® Caldera Desara SlingStress Urinary Incontinence (SUI)
  16. 16. Sling Placement Placement depends on your condition and doctor preference. Typically the sling is placed through two small incisions. The sling is placed under the skin, resting just below the urethra creating a hammock to support the urethra so you can maintain bladder control. The sling is not visible and your own tissue will quickly grow into the sling material. This tissue ingrowth will help you regain continence. Supported urethra using slingStress Urinary Incontinence (SUI)
  17. 17. Your Recovery Generally patients are able to go home the same day of surgery. Resuming Activities  Many women are able to return to their daily activities within several days.  You will want to avoid sexual intercourse, heavy straining and lifting for about six weeks. Pain Management  Pain from the procedure is usually mild and well managed with medication. Catheter  A catheter may be inserted to drain urine from your bladder. Depending on the progress of your recovery your doctor will decide on the length of time it will be needed. Results  In most cases women see results immediately after the procedure with little pain or discomfort. Risks  Serious complications are rare.Stress Urinary Incontinence (SUI)
  18. 18. Summary Urinary incontinence is common in women Incontinence can be treated at any age Thousands of women have been successfully treated with the Desara® Sling System Get Your Life Back; there is no reason to live with incontinenceStress Urinary Incontinence (SUI)
  19. 19. Q&AStress Urinary Incontinence (SUI) LT037 Rev. A 7-10 CM

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