• Urinary Incontinence - Information and Treatment Options

  • Woman on a stoolUrinary incontinence falls into two categories: stress and urge. Both forms of incontinence can have a negative effect of a woman’s life so CHPG Women’s Health in Denver, Colorado develops specialized treatment plans to help women regain confidence and return to a normal lifestyle.

    Stress Urinary Incontinence

    Stress incontinence occurs when a minor activities or impulse, such as coughing, sneezing, laughing, running or lifting causes a woman to leak urine. To be considered a stress related, leakage stops when the response or activity ends.

    Stress incontinence is nearly always due to urethral hypermobility, intrinsic sphincteric deficiency or a combination of the two. Many women are prone to one or both of these problems, by having had many children through vaginal deliveries, menopause or injury from surgery or radiation.

    The general goal for women with stress incontinence is to strengthen pelvic muscles. Typical steps to treat women with stress incontinence include:

    • Devices and continent aids for blocking urine in the urethra (vaginal pessaries, adhesive pads, and others).
    • Behavioral techniques and non-invasive devices, including Kegel exercises, weighted vaginal cones, and biofeedback.
    • Medications including alpha-adrenergic agonists and anticholinergics.
    • Surgery if symptoms do not improve with non-invasive methods. There are many surgical techniques. Most are designed to restore the bladder neck and urethra to their natural anatomic position.

    Urge Urinary Incontinence

    Urge incontinence is leakage of urine due to bladder muscles that contract inappropriately. Often these contractions occur regardless of the amount of urine that is in the bladder. 

    In most cases, urge incontinence has no specific cause but it can be attributed to bladder inflammation, obstructions, infection or neurological disease or injury.

    When treating urge urinary insentience, a treatment plan will depend on how severe the symptoms are and how much they interfere with a patient’s lifestyle. The three main treatment approaches for urge incontinence include:

    • Medications that relax the involuntary bladder contractions and help improve bladder function.
    • Bladder retraining that helps the body relearn skills necessary for bladder storage and proper emptying.
    • Surgery for patients who are severely affected by their incontinence and have an unstable bladder (severe inappropriate contraction) and a poor ability to store urine.

    Schedule your appointment with CHPG Women’s Health today at one of our two convenient locations.

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