Highly Advanced Female Urinary Incontinence Treatment at World Class Hospitals in India

Highly Advanced Female Urinary Incontinence Treatment at
World Class Hospitals in India
 Web: www.safemedtrip.com
 Get Free Medical Opinion from Top Surgeons in India: Post a query
SafeMedTrip.com

SafeMedTrip.com
Email your medical reports for a Free No Obligation Opinion by Top Doctors in India.
Email : help@safemedtrip.com, hospitalindia@yahoo.com
Visit us at www.SafeMedTrip.com International Helpline Phone : 0091-9899993637
Urinary incontinence is seen in men and women. Females attain
bladder control before males, but as age progresses there can be
incidences of accidental leakage in both men and women. The
causes are different. The embarrassment due to accidental leak
creates a stigma and emotional distress for the women
preventing her from enjoying outdoor activities or sexual
activities. But like every disease has a cure, urinary incontinence
is also curable.
Bladder Control and Causes of Urinary Incontinence
Women face the embarrassment of urine leakage after pregnancy, childbirth or during
menopause. The alignment of the bladder in the female pelvis also makes her twice as
much vulnerable to leaks as compared to males. The causes of incontinence are the
same in men and women except for the addition of childbirth and menopause.

SafeMedTrip.com
The functioning of the bladder is controlled at the local level by a micturition
reflex and by the spinal cord and the brain at the higher level. The brain has
centers that tell the individual if it is the right place and time to urinate. These
centers are affected in conditions like Stroke, Parkinsonism, Alzheimer’s and Brain
tumor because of which the person may urinate immediately after she gets the
urge. The person may pass urine in bed, in a gathering etc. This is a type of urge
incontinence.
At times the person may suffer from spinal cord injury. The spinal cord has
nerves that carry sensation of bladder fullness from the bladder to the brain. As
soon as the brain senses bladder fullness, it instructs the individual to go to the
washroom to relieve him. Till such a place is found the brain sends signals
through other nerves to keep the bladder opening closed. But in cases of spinal
cord injury, this connection between the brain and bladder is lost as the spinal
cord nerves are cut. In this case the person gets the urgency to void urine and
she does it immediately. This is also a type of urge incontinence. Also in spinal
cord injury the bladder gets spastic or overactive. A little bit of urine causes reflex
contraction of bladder resulting in its contraction and expulsion of small amounts
of urine with increased frequency. This is known as overactive bladder.

SafeMedTrip.com
In conditions such as diabetes mellitus or other nerve diseases,
the bladder muscles become weak and nerves causing the
bladder contraction are diseased. As a result even after the
bladder is full, there is no reflex contraction and emptying of
bladder and the bladder keeps filling up till it overflows. This is
known as overflow incontinence or dribbling.
Vaginal delivery or any other surgery causes injury to the pelvic
floor muscles which actually provide strength to the radial
sphincter muscles that surround the opening of the bladder. As a
result the bladder is never fully closed and some amount of
urines leaks. This is known as genuine stress incontinence and
occurs in situations where intra-abdominal pressure increases as
in running, laughing, coughing, sneezing, lifting weights and
obesity etc. lowered estrogen seen a few days before menses and
during menopause is also responsible for incontinence as the
sphincter muscles around the bladder mouth become weak.

Diagnosis
SafeMedTrip.com
The condition can be diagnosed by various methods.
• Maintaining a diary on number of times you need to go to the washroom to relieve
yourself is also a good indicator of incontinence.
• Bladder stress test - is done by coughing vigorously. The doctor watches for loss of
urine from the urinary opening.
• Urinalysis and urine culture - Laboratory technicians test your urine for evidence
of infection, urinary stones, or other contributing causes.
• Ultrasound - This test uses sound waves to create an image of the kidneys, ureters,
bladder, and urethra to see for any abnormality or compression.
• Cystoscopy - The doctor inserts a thin tube with a tiny camera in the urethra to see
inside the urethra and bladder.
• Urodynamics - Various techniques measure pressure in the bladder and the flow of
urine.

Treatment for Female Urinary Incontinence
SafeMedTrip.com
• Behavioral modification : involves bladder training and timed voiding.
Adjusting the time of fluid intake before bedtime or before going for a car trip or
party can help avoid accidents during sleep or parties. Also timed voiding involves
emptying of bladder after regular intervals. This technique is suitable for people
with mechanical compression of bladder or overflow incontinence.
• Kegel exercise : involves strengthening of the pelvic floor muscles which help
to keep the sphincter muscles tight which in turn keep the bladder outlet closed
during strenuous activities. Pull in the pelvic muscles and hold for a count of 3.
Then relax for a count of 3. Repeat, but do not overdo it. Work up to 3 sets of 10
repeats. This is possible with the help of biofeedback also. This helps people with
stress incontinence.
• Medications : certain medications help to relax the bladder and surrounding
muscles to allow full emptying (Alpha blockers). Anticholinergics relieve the
bladder muscle spasm thus preventing sudden bladder contractions.

SafeMedTrip.com
• Neurostimulation : of the nerves that leave the spinal cord and supply the
bladder can help by modulating the nerve signals to the bladder which helps to
control voiding. It is helpful in some people.
• Vaginal Devices : like pessaries are a stiff ring that a doctor or nurse inserts
into the vagina, where it presses against the wall of the vagina and the nearby
urethra. The pressure helps reposition the urethra, leading to less stress leakage.
If you use a pessary, you should watch for possible vaginal and urinary tract
infections and see your doctor regularly.
• Surgery for Stress Incontinence :
In some women, the bladder can move out of its normal position, especially after
childbirth. Different techniques have been developed by surgeons for supporting
the bladder back to its normal position. The three main types of surgery are
retropubic suspension and two types of sling procedures.

SafeMedTrip.com
• Retropubic Suspension : uses surgical threads called sutures to support the
bladder neck. The most common retropubic suspension procedure is called the
Burch procedure. In this operation, the surgeon makes an incision in the abdomen
a few inches below the navel and then secures the threads to strong ligaments
within the pelvis to support the urethral sphincter. This common procedure is often
done at the time of an abdominal procedure such as a hysterectomy.
Sling procedures are performed through a vaginal incision. The traditional sling
procedure uses a strip of your own tissue called fascia to cradle the bladder neck.
Some slings may consist of natural tissue or man-made material. The surgeon
attaches both ends of the sling to the pubic bone or ties them in front of the
abdomen just above the pubic bone.

SafeMedTrip.com
• Midurethral slings : are newer procedures that can be done on an outpatient basis.
These procedures use synthetic mesh materials that the surgeon places midway along
the urethra.
The two general types of midurethral slings areretropubic slings, such as the
transvaginal tapes (TVT), andtransobturator slings (TOT). The surgeon makes small
incisions behind the pubic bone or just by the sides of the vaginal opening as well as a
small incision in the vagina. The surgeon uses specially designed needles to position a
synthetic tape under the urethra. The surgeon pulls the ends of the tape through the
incisions and adjusts them to provide the right amount of support to the urethra.
If you have pelvic prolapse, your surgeon may recommend an anti-incontinence
procedure with a prolapse repair and possibly a hysterectomy.
• Catheterization : This can be done if the bladder does not empty completely in
cases of poor muscle tone, past surgery, or spinal cord injury. It can be an indwelling
catheter or intermittent type.

SafeMedTrip.com
How it Works
1. Email your Medical Reports to us for opinion by India's
Top doctors at hospitalindia@yahoo.com or
help@safemedtrip.com
2. We will send you No Obligation Expert Medical Opinion
and Treatment Cost Estimate from India's Leading
Hospitals.
3. Once you Decide, We will help you to Schedule
appointments, Apply for Medical Visa, Airport Pick up,
Post Hospital Stay. No advance payment to be made. You
will the hospital directly.

SafeMedTrip.com
Contact us for a Free No Obligation Medical Opinion and
Treatment Cost Estimate from India’s Top Doctors.
Please scan and email your medical reports and images to us at
hospitalindia@gmail.com or help@safemedtrip.com and we shall get you a Free,
No Obligation Opinion from India's leading Specialist Doctors.
For Any Assistance Call our 24 X 7 Helpdesk
International Helpline Numbers: 0091-9899993637
Visit us at www.SafeMedTrip.com

Highly Advanced Female Urinary Incontinence Treatment at World Class Hospitals in India

Recommended

Recommended

More Related Content

More from SafeMedTrip

More from SafeMedTrip (6)

Recently uploaded

Recently uploaded (20)

Highly Advanced Female Urinary Incontinence Treatment at World Class Hospitals in India