Urinary Incontinence (leakage)

This symptom complex can be treated by several methods and combination of methods: Multiple treatment modes are available at Total Care for Women

 

Total Care for Women is associated with the Bladder Health Network (BHN). Urogynecologists in Jackson, Ms evaluate the office urodynamic testing that is performed in Meridian, Mississippi by a female technician from the Bladder Health Network. Treatment options may include both medical management as well as surgical treatment for certain conditions. The testing data is reported to Dr. James Purdy by Dr. Robert Harris or Dr. Stephen Speights - both board certified urogynecologists.

  • What is  Urge Urinary Incontinence?
  • Urinary urge incontinence is defined as the involuntary leakage of urine. The problem afflicts approximately 13 million adults in the United States. This condition causes overactive bladder symptoms including daytime urgency, frequency and accidental urine loss as well as nightime frquent urinary urgency. This condition my be a component of mixed incontinece with urinary stress incontinence. Medication therapies can help reduce these symptoms.
  • What is Stress Urinary Incontinence?
    Urinary incontinence is defined as the involuntary leakage of urine. The problem afflicts approximately 13 million adults in the United States, 85% of them being women. There are many conditions that can cause loss of bladder control. Among women, the problem is most commonly associated with a specific condition called Stress Urinary Incontinence or SUI. Stress urinary incontinence is the involuntary loss of urine during physical activity such as coughing, laughing, or lifting. The muscles that support the urethra (the small tube that carries urine out of the body) and bladder neck (the opening that connects the urethra to the bladder) have weakened, causing the urethra to drop during physical activity, resulting in urine leaking out of the body.
  • Another cause is Intrinsic Sphincter Deficiency (ISD) that results from aging and weakness of the muscle that surrounds the urethra and bladder  - this muscle can be controlled by the person - it is called a voluntary muscle like our skeletal muscles.

 

 

  

 

Treatment options

Medications to reduce urge symptoms:        Anticholingeric meds: Detrol LA                                             Enablex 

                                            Gelnique

                                            Myrbetriq

                                            Toviaz                                             Vesicare                                             generic oxybutrin and                                             many more drugs

  1. Estrogen topical therapy to treat urogenital aging
  2. New vaginal plastic surgery (by Dr Purdy) for correction of anterior vaginal defects by surgery with use of Xenform urinary stress incontinence): TOT Urethral Sling Procedure

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