At the Institute for Incontinence and Vaginal Reconstruction, we use the latest advanced technology to research, diagnose, and treat conditions that affect the urinary system, such as kidney stones, urinary incontinence, and bladder cancer. We concentrate heavily on patient care and develop personalized care plans for every patient, aiming for the highest levels of satisfaction.
If you would like to schedule a consultation at our Beverly Hills facility or learn more about incontinence and bladder control treatments, please contact us today.
Treatment for Bladder Leakage
Urinary incontinence is the inability to control your bladder. There are five types of urinary incontinence: urge, stress, functional, overflow, and mixed (the last of which is a combination of two types). Although urinary incontinence can affect women of all ages and can be an embarrassing issue to talk about, being forthcoming about the bladder control loss is the first step towards treating the condition.
Treatment for urinary leakage can include behavioral changes in lifestyle, physical therapy, medications, non-surgical treatment, and surgery. Surgery to treat urinary incontinence is usually considered only if more-conservative strategies aren’t helping. Urinary incontinence surgery is more invasive and has a higher risk of complications than do many other therapies, but it can also provide a long-term solution in severe cases
Sling procedures are used to treat stress incontinence in women. They work by using strips of synthetic material or your own body’s tissue to create a sling around the neck of your bladder that provides support to keep the urethra closed when stress in applied to the body, such as a sneeze. Slings are usually a very popular choice for treating urinary incontinence and have high levels of success. There are a few different types of slings including:
- Tension Free: Tension free slings are made from mesh and do not use any type of stitches. The body’s scar tissue holds it in place by forming in and out of the mesh, holding it in one place. Retropubic or suprapubic procedures allow the surgeon to make a small incision under the urethra and use a needle to push the sling into place. With the transobturator procedure, the surgeon makes an incision near the labia. This lowers the risk of any type of bladder injury, and also does not use stitches to hold the mesh in place.
- Adjustable: Adjustable slings are inserted while a person in under anesthesia and then when the patient awakes, it is adjusted in regards to the patient’s unique needs. Over time, this type of sling can be adjusted.
- Conventional: Conventional slings are made of the body’s tissue, a donor’s tissue, or animal tissue. The sling then is placed into the abdomen and uses stitches to attach it to achieve the right amount of tension.
Most of the time, this procedure is performed on an outpatient basis and only takes a couple of hours. Doctors usually suggest having about two to six weeks of healing time before resuming normal activities, although recovery varies from patient to patient.
Learn more about the sling procedure by visiting WebMD.com.
Bladder Neck Suspension
The bladder neck is where your muscle connects to the urethra. During a bladder neck suspension procedure, your surgeon will secure cartilage (or sometimes bone) to the neck of the bladder to reinforce it and keeping it from sagging. This bladder control treatment involves stitches and an abdominal incision. It is usually done under anesthesia on an outpatient basis. Recovery is different from case to case, but may be two to six weeks. During that time, you may need to use a catheter to urinate.
Bulking agents are another way to treat urinary incontinence. Bulking agents use material that is injected into the tissue around the urethra to help reduce urine leakage. This procedure is usually done on an outpatient basis and sometimes may need repeat injections down the line.
Types of materials used are in bulking agents include:
- Carbon-coated zirconium beads
- A component of bones and teeth
- Silicone implant
Bulking agents are a very successful treatment for bladder control loss. Types of materials used in bulking agents can be different for everyone; one is not more effective than the other. However, if a bulking agent urinary leakage treatment is not working for you, you may want to try another type.
Sometimes a vaginal or anal pessary is used to treat urinary incontinence as well. A pessary is a removable device placed in the vagina or anus to support areas of pelvic organ prolapse. This can happen when a woman’s organ, such as her uterus, is in the wrong position. Pessaries are made of either silicone, rubber, or plastic, and can be inflatable, doughnut shaped, or the Gellhorn. Pessaries help strengthen the pelvic floor muscles as these muscles support the bladder and urinary functions.
Talk to an Incontinence Specialist Today
If you have concerns urinary incontinence or are looking for more information about the bladder control treatments offered at our center, please schedule a consultation with one of our talented urologists in Beverly Hills today.
Next, learn about holistic medicine for bladder control loss.