Stress Incontinence
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Stress Incontinence Treatment

The urinary bladder is an organ of the urinary system in humans whose job is to hold or store urine until humans are ready to pass it out of their body. A normal functioning bladder allows humans to perform routine activities without worrying about urine leakage. Unfortunately, many people suffer issues with their bladder control- called urinary incontinence.

Stress urinary incontinence (SUI) is an urogynaecological condition marked by an unintentional urine leakage during moments of physical activity or bodily movement that stresses or exerts pressure on the urinary bladder and pelvic floor muscles. It is the most familiar type of female urinary incontinence.

Women experience stress urinary incontinence because of the weakening of muscles and tissues supporting their urinary bladder and urethra. Weakened bladder and urethra muscles/tissues result in poor control over urinary flow. 

Women face the embarrassment of involuntary urine leakage usually after their pregnancy, childbirth, or during menopause. Obesity, ageing, genetic predisposition to weak pelvic floor muscles, previous pelvic surgery, and hormonal fluctuations can all be potential culprits. The common situations wherein women get affected by SUI include laughing, bending over, chronic coughing, sneezing, having sex, exercising/high-impact activities, or heavy weight lifting. Thankfully, there are many treatments available in urogynecology for stress urinary incontinence in females.

Arete Hospital’s Urogynaecology department is top-ranked for providing best Stress Incontinence Treatment in Hyderabad after diagnosing and managing stress urinary incontinence in females by offering the best treatments. It staffs highly trained and experienced female urinary incontinence specialists who utilise high-end technologies to quickly diagnose stress urinary continence and assure the best possible treatment outcomes at affordable prices.

Benefits of Female Stress Incontinence Treatment

  • Offers enhanced quality of life as the treatment reduces leakage embarrassment and allows normal activities
  • Boost confidence as it helps one to regain bladder control and improves self-assurance
  • Offers physical comfort, and this treatment prevents skin irritation and infections
  • Confidence in intimate situations is restored
  • Treatment reduces reliance on pads and liners
  • Long-term savings such as investing in earlier treatment save on ongoing management costs.

Diagnostic Services for Women with Stress Urinary Incontinence

Women who experience problems with their urinary flow control, must not hesitate in bringing in notice of their condition to a gynaecologist in Hyderabad at Arete Hospitals. They must not feel embarrassed to talk about such matters with specialists who specialise in incontinence.

To help make a diagnosis for stress urinary incontinence in females, urogynaecologists in Hyderabad may do the following:

  • Know about the patient’s urinary symptoms
  • Review the patient’s medical history
  • Conduct physical examination of the patient- including checking of the abdomen, pelvic organs, and rectum
  • Test for the strength of pelvic floor muscles and sphincter muscles
  • Suggest the patient maintain a bladder diary to track the frequency and timing of urine leakage and identify its cause over the period
  • Order some diagnostic tests to find the definite cause of urine leakage of the patient and eliminate other causes of urine leakage.

The diagnostic tests recommended by urogynaecologists to confirm stress urinary incontinence include:

  • Urine test- The urine sample of the patient is analysed in a lab to check for blood in urine and the presence of urinary tract infection.
  • Bladder scan- This is done to take note of how much urine is left behind in the bladder after the patient is asked to pass urine.
  • Cystoscopy- In this test, the urogynaecologist uses a cystoscope to get a picture of the inside of the urinary bladder. A cystoscope is a narrow tube with a camera and light at its end. It can help rule out potential serious urinary tract problems.
  • Urodynamic tests- Such tests help urogynaecologists know how well the patient’s bladder, urethra, and sphincters are working and holding and releasing urine. This way they can get help in finding the reason behind urine leakage. It may be important to perform such tests if urogynaecologists believe that SUI patients would need surgical treatment. 

Treatment Options Offered to Women with Stress Urinary Incontinence

Urogynaecologists at Arete Hospital offer a range of Treatments for Stress Urinary Incontinence in Females in Hyderabad, depending on the severity of their condition. These include:

Non-Surgical Treatments

  • Pelvic Floor Exercises (Kegel Exercises)- These include all those exercises that can contract and relax muscles surrounding the opening of the urethra, vagina, and rectum. Such exercises help strengthen the pelvic floor muscles and improve the functioning of pelvic floor organs, including a longer hold of urine in the bladder. Best Female Incontinence Treatment Doctors in Hyderabad can suggest Kegel exercises to their patients for regular practice for specific periods to treat their mild stress urinary incontinence. 
  • Behavioural modifications- With this approach, the urogynaecologist avoids advising any physical activities or behaviours that could trigger urine leakage in SUI patients. 
  • Pessary- In this treatment, the urogynaecologist inserts a removable device called a pessary into the patient’s vagina against the vaginal wall and urethra to provide support to the bladder neck. This is done to reposition the patient’s urethra and reduce SUI symptoms.
  • Transurethral Bulking Agents- One temporary solution to SUI in females could be injecting collagen around the urethra to make the surrounding space thicker. This thickening can help control involuntary urinary leakage by making the urethral opening smaller. The bulking agents can even be injected into tissues around the sphincter muscles up towards the bladder neck.  
  • BTS Emsella- This is one of the best and innovative non-invasive treatments for female stress urinary incontinence. This technology employs focused electromagnetic stimulus to support the pelvic floor muscles responsible for urinary control. 

    Patients remain fully clothed during the procedure and the device induces deep pelvic muscle contractions, enhancing muscle tone and reducing urinary leakage. 

Emsella is known as the Best Stress Urinary Incontinence Treatment in Hyderabad and offers a relaxed and efficient choice for those seeking to improve bladder control without surgery or downtime. Multiple sessions are typically recommended for optimal results. It's important to consult a doctor in Hyderabad to determine if BTS Emsella suits one's needs and to develop a personalised treatment plan.

To learn more about these treatments one can consult the Best Doctors for Urinary Incontinence Treatment in Hyderabad at Arete Hospitals. 

Surgical Interventions: Every female suffering from stress urinary continence is not a good candidate for surgical treatment. Surgery is only recommended for women having severe stress urinary incontinence impacting their daily activities. If the patients have a desire for future pregnancies and vaginal childbirths, then surgery isn’t recommended. That’s because they would need future surgery to treat their recurrent SUI symptoms. 

The surgery to either prevent or reduce urine leakage in SUI patients can be performed through the patient’s abdomen or vagina. The surgery involves suturing of the urethra and bladder neck either alone or with tissue/ sling. The tissue used during the operation can either be taken from other parts of the patient’s body such as the leg (fascia sling) or abdominal wall or else from another person’s body (a donor tissue). Otherwise, the surgeon may use a material like a surgical mesh/ mesh sling. This material can serve as a lifetime support for the closure of the urethra or bladder neck during activities that stress the bladder.

SUI surgery in Hyderabad using surgical mesh is less invasive than other alternative surgeries that require making of large abdominal or groyne incision. There are two approaches to performing sling surgery for treating SUI. One is the multi-incision sling surgery. This surgical procedure involves making three incisions in either way: retropubic (one vaginal cut and two lower abdominal cuts) or transobturator (one vaginal cut and two cuts in the groyne or thigh). Another approach is a mini sling surgery. In this surgery, the surgeon places a shorter piece of surgical mesh, probably through only a single incision in the vagina. It is a simple, 20-30 minutes long, outpatient surgery.

Midurethral sling surgery using a surgical mesh is easily performed on female SUI patients provided with limited anaesthesia. It is associated with quick recovery. The surgery has a long-term success rate of 90%.

Urinary Incontinence Cost in Hyderabad

The Cost of Urinary Incontinence Treatment in Hyderabad can vary widely depending on factors such as the type of treatment, severity of the condition, and the medical facility. It's recommended to consult with a doctor to get accurate and up-to-date cost information.

Frequently Asked Questions

1. What to do after undergoing surgery for stress urinary incontinence?

After stress urinary incontinence surgery, the patient must continue with annual reproductive health check-ups and follow-up care. If the patient is experiencing any surgical complications like persistent vaginal bleeding or unusual discharge, painful sexual intercourse, or pain in the pelvic or groyne area, then the concerned urogynaecologist must be notified.

2. Is there any problem if I use pads?

There is no such perfect treatment for stress urinary incontinence in females. If your SUI can’t be resolved with any treatment options, you might need to rely on time-to-time use of sanitary napkins, tampons, adult diapers, or urinary incontinence pads. The usage of pads can even be an appropriate treatment strategy for SUI patients who aren’t bothered much with their urine leakage or do not consider it a major issue in life. Besides using adsorbent products like pads, SUI female patients can even use external urine collection systems like funnels and pouches.

3. Are there any medications to treat SUI?

No. So far, there are no approved drugs to treat stress urinary incontinence.

4. It is not convenient for me to undergo surgery for my SUI at present. Can I wait?

Surgery for stress urinary incontinence is performed if the patient asks for it. There is no risk or harm if you delay your SUI surgery.

To get effective Urinary Incontinence Treatments for Women in Hyderabad, make a visit to Arete Hospitals experts.

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