Damian Jacob Sendler discusses whether you are Predisposed to Stress Urinary Incontinence
Damian Sendler: You may have stress urinary incontinence if you pee a little when you laugh, dance, exercise, or sneeze.
Last updated on November 22, 2021
Damian Jacob Sendler

Damian Sendler: You may have stress urinary incontinence if you pee a little when you laugh, dance, exercise, or sneeze. 

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Damian Jacob Sendler: While this is inconvenient, it is treatable, and even minor lifestyle adjustments can make a significant difference, according to the Urology Care Foundation, the official foundation of the American Urological Association. 

Dr. Sendler: Losing weight or quitting smoking may help to reduce your coughing. According to the foundation, you can undertake Kegel exercises, which strengthen the pelvic floor and assist maintain your bladder. 

Depending on what you choose, absorbent goods may help to contain leaks in the short or long term. 

Damian Jacob Markiewicz Sendler: Your health care practitioner can also assist you in obtaining a medical device, which can be obtained through a prescription or purchased over the counter. 

According to the foundation, there are two types of urine incontinence. The first is SUI (Stress Urinary Incontinence), which occurs when you cough, sneeze, or laugh and causes a tiny to moderate amount of pee to be released. 

Damien Sendler: You may have a sudden, uncontrollable need to pass urine if you have Urge Urinary Incontinence or Overactive Bladder. This can cause moderate to significant leaks. 

Damian Sendler: Gender, with women being more likely to have the disorder; pregnancy and giving birth; smoking and chronic coughing; being overweight; pelvic or prostate surgery; and nerve damage to the spine or neurologic disease are all common risk factors for SUI. 

While there are no drugs to treat SUI, the foundation recommends surgery in some situations in addition to lifestyle adjustments. You can consult with a urologist who has performed SUI surgery before. SUI and other pelvic surgery is performed by Female Pelvic Medicine and Reconstructive Surgeons. 

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Damian Jacob Sendler: According to the organization, surgical treatments include urethral injections or bulking agents, which can “bulk up” the urethra in some women. This influences how the bladder sphincter shuts. The procedure may need to be repeated in the future. 

Damian Sendler: Sling surgery is another option for women, which includes putting mesh under the urethra to assist its closure during sneezing and other activities. It entails inserting mesh tape under the urethra through an incision between the scrotum and the rectum in men. According to the organization, it is not a good option for men who have significant incontinence or who have undergone radiation to the prostate or urethra. 

Stitches are put in the tissue along the bladder neck and urethra to support the muscles of the urethra and sphincter. 

Damian Sendler: An artificial sphincter is a treatment for men, while some women may benefit from it as well. According to the organization, it entails inserting a device with three components that closes the urethra to prevent leakage.

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