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Archive for the ‘Stress Incontinence’ Category

Bladder Sling

Wednesday, April 7th, 2010

Incontinence Sling May be a Last Stitch Effort

An incontinence or bladder sling is a surgical procedure used to help manage stress incontinence, and as with any surgery this one should not be entered into lightly. Bladder slings are particularly effective in women, though recently it is also being performed in men, who have tried other surgical solutions to no avail; who have other risk factors such as obesity; or who have a sagging bladder neck or urethra.

This surgery is usually very successful at relieving stress incontinence, and it is performed by placing a sling around the urethra to support it in the proper position. The bladder sling also exerts pressure on the urethra, the urinary tube from the bladder, which helps it retain urine, and it is attached to the patient’s abdominal wall on either side to hold it in place. The bladder sling is made of any number of different materials. Some are natural materials like muscle taken from the woman’s own body. The muscle tissue can also be taken from an animal like a pig. There are also slings composed of man made materials like plastic or polymer

dryforlifeBladder sling surgery is invasive, and it requires very deep incisions to attach the sling to the patient. For this reason, the patient is hospitalized for several days. The patient is normally catheterized to allow the urethra to drain during the healing process. Allow up to a month for healing, and do your best to take it easy during this time. While pain is a very individual experience, you will most likely feel some pain at the area where the incisions took place, and you may experience some cramping. Your doctor will send you home with medication to relieve the pain, especially the first few days after surgery. Your doctor may also prescribe a stool softener, because constipation can accompany the healing process. Drinking plenty of non caffeinated beverages helps, and including a healthy dose of fiber including fruits and vegetables in your diet will work wonders. If you find that you are suffering from constipation, then let your doctor know so that they can help you to resolve the problem.

While this surgery is typically successful, it is not a simple surgery. By using tissue from your own body, the risk of erosion of the urethra or vagina is somewhat diminished. However, the tissue must be harvested from your body, so it increases the surgical activity that you must endure. Aside from the danger of wearing away tissue, there are some risks involved with this surgery. The sutures can pull out, and if the patient is obese, this risks are even greater. There is always the possibility of post surgical infection or rejection of the tissue used for the sling. The surgery can also affect sexual function, and then there is the ever present risk of complications with the anesthesia.

Before jumping right in and assuming that bladder sling surgery is perfect for you, make sure that you do your homework, and find a doctor who has performed many, many of these surgeries. This is a difficult procedure, so you want to make sure that you have a skilled surgeon performing the operation. To boost the likelihood of the operation being a success, you as a patient can stop smoking, lose weight if you are heavy, and doing Kegel exercises before undergoing the surgery.

Further Stress Incontinence Articles

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Bladder Stress Incontinence Treatment Revolutionized with Stem Cells

Wednesday, March 31st, 2010

One of the more prevalent types of urinary incontinence, especially common among women, is stress incontinence. It occurs as a result of a weak sphincter muscle, which is the muscle located at the base of the bladder. Stress incontinence can be caused by pregnancy, childbirth and age among other things. Frequently the answer to managing stress incontinence is to use Kegel exercises to build up the pelvic floor muscles, which support the bladder.

Traditionally, surgery has not been the ‘go to’ option for stress incontinence. However, it looks as though that might be changing. While the process is still new, and there are no long term data documenting its effectiveness, a simple, surgical option may be the answer to curing stress incontinence. Using a local anesthesia, a biopsy is taken from the patient’s bicep. The cells from the biopsy, which are new muscle cells, myoblasts, and connective tissue cells, fibroblasts, are cultured in a lab using a new, patented technique. These stem cells are grown for six weeks and produce 50 million of each cell type.

After six weeks the cells are injected into the weak sphincter muscle and the urethra building up muscle tone and volume preventing stress incontinence. This procedure is done with a 3D ultrasound to ensure that the stem cells are injected correctly in contact with the urethra and sphincter muscles guaranteeing that the stem cells replicate the right kind of tissue. These stem cells are amazing in that they stay where they are injected and form new muscle tissue very quickly. Then when the muscle mass reaches its proper size, the cells stop growing on their own. Stem cells are the master cells in the body, and they can grow into tissue from any part of the body. Located throughout the tissues of the body, stem cells sit and wait until they are needed to help fight disease and injury.

The study, led by radiologist Dr. Ferdinand Frauscher, was conducted in 2004 at the Medical University of Innsbruck in Austria, so the process is still very new. Long term data are still not available, however, results to date are promising. One year after completing the procedure 18 out of 20 patients were content with their results. After a three year follow up, there are no severe side effects, and the success rate remains unchanged. Annual investigations and assessments of the patients continue, and researchers remain optimistic that they have developed an effective treatment for stress incontinence with the added benefit that the treatment is generated from the patient’s own tissue.

Urinary incontinence is a big problem for women, and it is occurring in more and more men as well. This operation is simple and can be completed as an outpatient procedure in under twenty minutes. If the long term results are as good as researchers expect, then this could be a revolutionary breakthrough in the treatment of incontinence problems with the bladder, stress incontinence in particular.

Further Stress Incontinence Articles

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Can Exercise Cause Stress Incontinence?

Tuesday, October 13th, 2009

How annoying to get yourself motivated, out of the house and off to the gym only to find out that your “step class” is very likely contributing to your stress incontinence.  Studies have shown that about 28% of women who work out suffer from stress incontinence, and that percentage rises as high as 66% if only evaluating elite athletes.  Stress incontinence is a result of straining the pelvic floor muscles while training or working out.  This muscle strain can occur either as a result of a rigorous workout or improper form. 

When working out it is incredibly important to use good form to properly align and support muscles.  More and more young women are putting themselves at risk of damaging the muscles of their pelvic floor permanently through high-impact aerobics or weight training.  When lifting weights proper body form is paramount and proper breathing techniques are important to help engage the stomach muscles to protect the muscles of the pelvic floor.  If the stomach muscles are not properly engaged they will likely strain the muscles of the pelvic floor causing it to sustain some slight damage and become weaker.  If this process continues, then eventually stress incontinence will occur.  

The pelvic floor muscles can also be compromised by any activity that has a high impact component to it such as running or aerobics.  Genetics plays a big part in this predisposition to weakening pelvic floor muscles, so while some women can be runners their entire lives and suffer no ill effects, other women are not so lucky.

Something as simple as a sit up, if done improperly, can contribute to the demise of the pelvic floor muscles; therefore, it is important to cross train with a carefully constructed workout to reduce any risk of accidentally developing stress incontinence.

Other exercises, like pilates and yoga, can do wonders to build and strengthen core muscles as well as the muscles of the pelvic floor.  However, it is important to have a trained instructor demonstrate the proper techniques, because just like weight training, improper form can actually cause permanent damage to the pelvic floor muscles by straining them instead of making them stronger. 

While the threat of stress incontinence may make a woman think twice about her workout routine, it should not stop her from getting the exercise that she needs to be healthy.  She simply needs to take the time to build a quality workout routine.  By including low impact alternatives like cycling or swimming, and having a trained professional guide her through proper techniques, any woman can stay healthy and active for many years to come.

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New Procedure Treats Stress Incontinence

Wednesday, September 23rd, 2009

Dr. Julie Reil, physician and owner of the Advanced Laser Center in the United States, has applied for a patent for her treatment which she states can treat stress incontinence successfully. Stress incontinence occurs when pressure is placed on the bladder, as in when a woman coughs, sneezes, lifts a heavy object, or laughs, resulting in the leakage of urine. Dr. Reil states that this condition is often the result of pregnancy and childbirth.

The treatment involves the application of infrared light to the genital area, resulting in a tightening of the tissues surrounding the urethra. It uses the same technology as is used in cosmetic procedures which can tighten loose skin elsewhere on the body. Dr. Reil’s use of this technology is the first time this technology has been used to treat stress incontinence specifically. The treatment is called Genityte.

The treatment may be a breakthrough in the treatment of stress incontinence, as it is safe and non-invasive, and may prevent women from having to undergo more invasive procedures. The treatment can be used on women of all ages and with varying degrees of severity of stress incontinence.

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Bulking Agents as a Treatment for Stress Incontinence

Wednesday, September 9th, 2009

Injectable bulking agents to treat stress incontinence have been used safely for several years. Bulking agents are usually composed of collagen (bovine), synthetic materials, or material obtained from the patient (autologous).

Stress incontinence is often the result of a weakened sphincter muscle (intrinsic sphincter deficiency), allowing the sphicter to remain partially open at rest. When abdominal pressure exceeds urethral pressure, the patient will experience loss of urine involuntarily.

Candidates for treatment with bulking agents include women who suffer from stress incontinence as a result of sphincter deficiency and men who become incontinent after prostate surgery. The procedure does not improve urge or overflow incontinence. The intervention itself is simple and can be performed in the office or in a hospital. It takes approximately 30 minutes to complete the procedure, and a local or general anaesthetic may be used.

For some, the injection of a bulking agent around the urethra may result in a cure (25%), while others experience an improvement in symptoms (50%). The procedure works less well in men. In addition, the procedure may need to be repeated every few years, as collagen is broken down by the body, resulting in a return or worsening of symptoms.

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Exercise and Stress Incontinence

Friday, September 4th, 2009

You are determined to go to the gym to get back into shape and lose those few extra pounds that have been plaguing you since you recently gave birth. You sign up for an aerobics class and all goes well until, mid-bounce, you feel your bladder give way, resulting in the leakage of a small amount of urine. Mortified, you wonder why this is happening to you. After all, you are young and healthy and have never experienced this before.

Sound familiar? If this has happened to you, don’t despair. Stress incontinence occurs as the result of some stressor being placed on the bladder, such as exercise. It may also occur with activities such as coughing, sneezing or even laughing. It is usually the result of  pelvic floor muscles that may become damaged as a result of pregnancy, childbirth or hormonal changes. Excess weight can also contribute to the problem.

The cure for the problem is exercise targeted specifically towards strengthening these muscles, known as Kegel exercises. Kegel exercises, when performed properly and regularly, can help tone your bladder and the muscles that support it. Losing excess weight can also go a long way to heping to cure the problem as well. Using an incontinence pad designed specifically for this problem will add to your level of confidence and help you feel secure while exercising.

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Autologous Muscle Cell Injections- Effects on Stress Incontinence

Saturday, August 29th, 2009

There is exciting news for those who suffer from stress incontinence. Stress incontinence occurs as the result of some form of “stress” on the bladder, such as coughing, sneezing, lifting heavy objects, exercising, or even laughter. Stress incontinence is the result of weakened pelvic muscles or bladder musculature.

Autologous muscle cell injections are being used to treat stress urinary incontinence. Muscle cells are taken from a person’s own muscle, generally in the thigh, and are transplanted into the urethral sphincter at key spots. Because the muscle cells come from the person’s own body, there is no risk of rejection. There may be some discomfort at the injection site.

Best of all, results of a study of 29 women in the US showed that quality of life was vastly improved following the injections, with 68% of the study participants experiencing an improved quality of life 3 months after the injection. Researchers intend to expand the study to include a wider range of patients. Autologous muscle cell injections can be done on an outpatient basis with no restriction on activity following the injection. A report of this research was made at the American Urological Association (AUA) 104th Annual Scientific Meeting (Abstract 1526. Presented April 28, 2009).

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