{"id":985,"date":"2020-08-19T18:25:03","date_gmt":"2020-08-20T01:25:03","guid":{"rendered":"http:\/\/northislandurology.ca\/?page_id=985"},"modified":"2022-05-05T12:52:03","modified_gmt":"2022-05-05T19:52:03","slug":"stress-urinary-incontinence","status":"publish","type":"page","link":"https:\/\/northislandurology.ca\/procedures\/urinary-incontinence\/female-urinary-incontinence\/stress-urinary-incontinence\/","title":{"rendered":"Stress Urinary Incontinence"},"content":{"rendered":"
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Stress urinary incontinence (SUI) is the involuntary loss of urine with straining or activity. You may find that you leak with coughing, sneezing, laughing, or exercise. This type of incontinence is caused by weakening of the muscles that support the urethra and bladder. Common causes of this weakening include age, childbirth, trauma, or hormone changes.<\/p>

There are many different options to treat stress urinary incontinence.<\/p>

  1. Do nothing. Urinary incontinence is not life threatening. You do not need management for it if you are not bothered.<\/li>
  2. Pelvic floor physiotherapy\/pelvic floor muscle training. A physiotherapist will teach you some exercises to try and strengthen the muscles of the pelvic floor.<\/li>
  3. A pessary. This is a device that is inserted into the vagina and applies pressure to the base of the bladder and urethra to try and prevent leakage.<\/li>
  4. Some patients will find some mild benefit from a medication called duloxetine. This is an anti-depressant medication, however in smaller doses it can help some patients with SUI.<\/li>
  5. Urethral bulking agents. This is a medication which is injected under the lining of the urethra to try to \u201cbulk\u201d it up to prevent urine leakage.<\/li>
  6. Midurethral sling. This is a mesh device that is placed under the urethra to recreate the structural support of the muscles of the pelvis. It is the most common surgical procedure performed for SUI.<\/li>
  7. Fascial sling. This is very similar to the Midurethral sling, however instead of mesh, we use fascia, which is from your own body.<\/li>
  8. Burch colposuspension. This is a surgery performed by the gynecologists, which raises the sides of the vagina to try and support the bladder and urethra.<\/li><\/ol>

    The most common surgical procedure we perform is the midurethral sling.<\/strong><\/em><\/p>

    Procedure:<\/strong><\/p>