Loss of bladder control (even a little leakage) isn’t normal and it isn’t an inevitable part of childbirth. It can happen when you cough or sneeze or a sudden episode makes you worry that you’ll be unable to get to the toilet in time.
Stress incontinence typically happens when you are active and you leak when you cough, sneeze, laugh or exert yourself. Exertion causes an increase in pressure on the bladder, resulting in leakage that the weakened pelvic muscles cannot effectively stop.
The person with urge incontinence typically experiences a sudden need to urinate, whether they are active or not. The bladder muscle appears very irritable, and like any irritable muscle will contract quite forcibly without warning. When the bladder muscle contracts in this fashion, urine leaks.
People with stress and urge incontinence experience both the uncontrollable urge, and the irrepressible leak with exertion.
Don’t be embarrassed. Talk to your physician as there are new ways to help urinary incontinence.
- Self-education by keeping a careful bladder diary
- Beyond Kegel™ using biofeedback, exercise and behavioral counseling offered by Henry County Hospital Rehabilitation Services
- Bladder training with scheduled trips to the toilet
- Removal of bladder irritants
- Thoughtful fluid management
Medications are often used along with behavioral techniques
The most common device for treating incontinence is a pessary, which is a ring inserted into the vagina to help hold up the bladder and urethra.
Minimally Invasive Surgery
This option is used to support and stabilize the urethra during strain.