Stress Incontinence

Stress incontinence is the unintentional loss of urine associated with some physical activity due to the increase pressure on the bladder.  This is common in women especially after multiple pregnancies where the pelvic floor muscles may be weakened..  The other forms of incontinence are overactive bladder or urge incontinence whereby you get a sudden urge to pass water.  If you are unable to get to the bathroom in time, you may wet yourself.

Symptoms

When you have stress incontinence, urine typical leaks during these occasions especially when the bladder is nearly full with urine;

• Cough, sneeze or laugh
• Lift heavy objects
• Vigorous exercise
• During sex

Management

1. Lifestyle modifications 

• Adult diapers to help in minor cases
• Exercises such as pelvic floor exercises to improve bladder control

2. Surgical Procedures
The are four surgical procedures options which your doctor may discuss with you to treat your condition. They include :

• Mid-Urethral Sling using Mesh to support the urethra
• Colpo-suspension Surgery
• Tissue Sling
• Urethral bulking agent

3. Post-treatment Care
You should be able to return to your usual daily activities 1 week after treatment. Nonetheless, you should avoid heavy lifting, physical activities or sex for around 2 months to allow the wound to heal completely.  Avoid driving or sitting for long periods to prevent discomfort.  Discuss with your doctor about any other special precautions you need to follow.

Possible post-operative complications

You need to take good care after the procedure to reduce the risk of the following post-operative issues;

• Urinary tract infection
• Mild bleeding will occurs for the first few days
• Pain is common for 1-2 weeks after the procedure
• Overactive bladder symptoms resulting in urgency to urinate
• Difficulty to pass urine during the first few days

See a Urologist if you have any urinary issues

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