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Female Incontinence...

 

There are various types of incontinence

Stress urinary incontinence (SUI): is the involuntary loss of urine during every day activities. This can occur when a woman coughs, sneezes, or stands up from a lying position. It can affect intercourse and other activities such as sports. Urgency incontinence: which is the involuntary loss of urine associated with a sudden desire to pass urine, which cannot be deferred. Symptoms may also include frequency and nocturia (waking up more than once at night to pass urine). These symptoms are not life threatening, but it can disrupt a woman's life and therefore affecting her quality of life. Factors that may be associated with USI include childbirth, menopause (lack of oestrogen), trauma and previous surgery, obesity and straining to open her bowels(constipation).


Routine tests

 

A urine sample mid-stream urine) is examined for signs of infection.

 

Bladder diary - to keep a record of how much fluid you drink per day or how much you urinate  

 

Urodynamic studies  

 

Pelvic ultrasound  

 

Cystoscopy (looking inside the bladder with a small camera)  


Treatment

 

Change in life style –managing fluid intake, weight loss, topical HRT and diets, which include lots of fibre to avoid constipation.

 

Pelvic floor exercises  

 

Medical  

 

Surgical  

 

TVT (tension-free vaginal tape)  

 

TOT (trans-obturator tape)  

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