Urinary incontinence is a condition where an individual passes urine involuntarily. It affects approximately 200 million people worldwide, though it is more common in women than men. Dr. Amal Al Qedrah specializes in advanced urinary stress incontinence treatment for women based on focused and individualized patient care.
Our specialists help patients effectively manage the symptoms of UI with the goal of enabling them to enjoy a better quality of life. It’s important to determine the type of urinary incontinence that you have, and your symptoms often tell your doctor which type you have.
So you need to take care of your health by visiting and consulting doctors periodically.
Childbirth incontinence may occur as a result of pressure, overweight or other medical conditions that tighten the pelvic floor muscles.
When the pelvic floor muscles are unable to support the bladder properly, the bladder descends and presses the vaginal walls. The muscles surrounding the urethra cannot be strengthened.
Urine may leak due to excess pressure on the bladder caused by coughing, sneezing, laughing, exercising or various other movements.
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Symptoms of Urinary Stress Incontinence
Urinary stress incontinence occurs when some external pressure is put on your bladder.
This includes pressure from activities such as sneezing coughing or even laughing or physical movements like running and lifting heavy objects.
This adds stress on your bladder resulting in unintentional loss of urine.
Urinary stress incontinence is different from Urgency incontinence.
In urgency incontinence, you may face an urge to urinate when your bladder muscles contract even when you do not have to empty the bladder whereas in Urinary Stress incontinence you pass urine unintentionally.
Hence, if you notice that you pass urine when you simply, laugh, sneeze, cough, are exercising or lifting weights then you probably have urinary stress incontinence. Your urine may also leak while having sex.
What leads to a Urinary Stress Incontinence?
Your pelvic floor muscles and the urinary sphincter weaken.
Therefore, when your bladder fills, the weakened pelvic floor muscles and muscles in the urethra cannot remain closed.
Hence, when your abdominal muscles and pelvic muscles sense pressure, it adds pressure to the bladder and urine leaks out of your body.
Urinary Stress Incontinence is most common in women and this is linked to childbirth.
Nerve and tissue damage can accompany childbirth delivery. Therefore, this weakens the pelvic floor muscles and causes stress incontinence immediately or years after childbirth.
Moreover, if you had a vaginal delivery, you are more susceptible to get incontinence than if you had a cesarean section.
Those who undergo a forceps delivery are also likely to get urinary incontinence, while those with vacuum-assisted delivery do not have a high risk.
Though, men can get urinary stress incontinence too. Men who undergo prostate surgery to remove the prostate gland can get urinary incontinence.
The sphincter that lies beneath the prostate gland weakens and results in the condition.
Moreover, your chances of getting urinary stress incontinence increase as you age and your muscles weaken.
Moreover, you are more likely to develop stress incontinence if you are obese as it puts pressure on your abdominal and pelvic muscles if you smoke or have a disease that leads to excessive coughing.
Long term physical activities like jumping and running can also eventually cause stress incontinence.
How does Urinary Stress Incontinence affect you?
You may not always leak urine from physical movements like laughing and coughing, however, you are most likely to especially with a full bladder.
This greatly affects your self-esteem and quality of life because these are routine activities and physical movements.
Since Stress Incontinence is unintentional, it may lead to embarrassing situations.
You will eventually avoid going out and reduce your social and work life, limiting your leisure and fun activities, eventually resulting in isolation.
However, Urinary Stress Incontinence is treatable and with effective treatment and management at Dr Amal Qedrah Medical center, we can get you out of your misery.
Our team of expert and highly qualified doctors can improve your quality of life and well being.
Effective Diagnosis at Dr. Amal Al-Qedrah Medical Center
Our clinic provides high-level diagnosis and treatment for different types of UI: stress urinary incontinence, urge incontinence, overflow incontinence, and total incontinence.
During a focused consultation with the patient, Dr. Amal Al Qedrah will aim to determine the underlying cause of urinary stress incontinence and recommend the most suitable treatment.
We will take a look at the patient’s medical history, family history, lifestyle, and habits. Physical exam, blood test, rectal exam, and pelvic ultrasound are some tests that may be conducted to accurately identify the cause and type of incontinence.
You will also undergo additional tests to check for your bladder function and muscles. These include:
- Urinalysis detects the abnormalities present in your urine like present infection or blood.
- Cystoscopy checks for blockages in your urethra and bladder. It also determines abnormalities like inflammation and stones.
- Post void Residual Test checks the functioning of the bladder. It checks the remaining urine in your bladder once you have emptied it all.
- Cystometry determines pressure around and in your bladder when it fills. Moreover, it also checks the flow of urine.
These tests will help our doctors to determine the problem at hand and devise a treatment plan for that.
Urinary Stress Incontinence Treatment
Our team of skilled and qualified doctors can suggest different treatment procedures for your condition.
You can also cure urinary stress incontinence with the help of Behavior therapies and lifestyle changes recommended by our doctors. However, some people may also require medications and even surgery.
Your doctor along with a physiotherapist will help you do pelvic floor or kegel exercises.
Kegel exercises along with Biofeedback can help strengthen your urinary sphincter and pelvic floor muscles. Moreover, they will facilitate pelvic floor muscle contractions.
However, you will have to regularly cooperate with our doctors to see effective results. Exercise does not give immediate results but is a process that involves persistence and patience.
Hence, book your sessions regularly with our doctors and physiotherapists.
Our doctors will also advise you to regulate and adopt some lifestyle changes. These include:
Reduce fluid consumption
Our doctors will devise a plan to regulate your fluid consumption without reducing it greatly. They may also suggest you abandon caffeinated drinks, alcohol and carbonated drinks for your bladder to function better.
Emptying your bladder more frequently
This is recommended for people dealing with both urge incontinence and urinary stress incontinence. Developing a schedule with your doctor will help you lessen the severity of the incontinence.
Quit smoking and lose weight
Both obesity and smoking can worsen your risks of developing urinary stress incontinence. Our doctors will advise you to get rid of your smoking habit to avoid any coughing and work on losing weight.
In certain cases, our doctors may advise you to go for vaginal pessary. They will put a ring inside your vagina.
This ring will help compress the urethra and control and provide support to your bladder.
This is removable and you can take it off to clean.
Surgeries for Urinary Stress Incontinence Treatment at Dr Amal Al-Qedrah Medical Center
Your doctor will examine if lifestyle changes and Kegel exercises improve your condition.
However, if they do not, then you may require surgery.
We provide safe and hygienic environments for a surgical procedure. Moreover, our expert doctors use state of the art equipment to carry out your surgery safely.
Women face more cases of urinary incontinence than men.
Moreover, a sling procedure is a common procedure performed on women.
Either your own body tissues, a donor or synthetic tissue is used to make a sling. This sling supports the urethra to stop the unintentional leakage of the urine.
This surgery helps to lift and provide support to the tissues in the upper urethra and near the bladder neck.
Sutures are attached to ligaments either through a laparoscopy or by a small incision in the abdomen.
Synthetic polysaccharides are injected into the upper portion of your urethra.
This bulks up that area that helps to close and contract the sphincter muscle in order to stop unintentional urine leakage.
Why choose Dr Amal Al-Qedrah Medical Center?
Dr. Amal Al-Qedrah is a leading Consultant in Obstetrics and Gynecology.
Your treatment will be carried out by the most skilled and leading doctors in their field.
Our procedures are carried in light of your safety, needs, expectations and concerns.
We make sure that our patients leave satisfied and healthy.
If you recognize any of these symptoms, book your appointment with us soon.
After diagnosis, our doctors will devise your treatment plan.
However, it is possible that only lifestyle changes can help you get rid of urinary stress incontinence.
Though, if they will give you any medicine, they may be to relax your bladder or reduce contractions.
Such medicines include Imipramine or Duloxetine. They may also give you medicines to deal with an overactive bladder.
However, do not take these medicines without our doctor’s prescription.
Besides urinary stress incontinence which is primarily linked to unintentional urine leakage, there is overflow incontinence and urge incontinence.
In overflow incontinence, the bladder fills completely however, does not empty properly. Hence some urine keeps leaking continuously.
Urge incontinence happens when you do not want to urinate but bladder contractions still occur resulting in loss of urine.
Lifestyle changes can help reduce your symptoms and better your quality of life.
However, they may not entirely cure stress incontinence. Therefore, you may require surgery.
Advances in medicine and technology are constantly bringing new treatments to light that can help completely cure it.
People with diabetes have issues emptying their bladder. They are also prone to develop overflow incontinence.
This increases their chances of getting stress and urge incontinence.
No, not all childbirth delivery lead to incontinence. You are more at risk if you had a vaginal delivery and a forceps delivery.
Women who had a Cesarean section are less prone to urinary stress incontinence.
However, women who had a vacuum-assisted delivery have a lower risk comparatively.