Stress Urinary Incontinence
Stress urinary incontinence describes the leakage of urine during physical activity that increases abdominal pressure, such as coughing, sneezing, laughing or exercise.
- Weakening pelvic tissues and muscles supporting the bladder and urethra allow where the bladder and urethra intersect to descend during physical activity.
- A weakening of the sphincter muscle that controls the urethra could allow urine to escape the bladder.
- Weakness may occur from pregnancy, childbirth, aging or prior pelvic surgery.
- Other risk factors include chronic coughing or straining, obesity and smoking.
A simple physical exam can diagnose this issue.
- Pelvic floor exercises to strengthen the pelvic floor muscles, promoting the ability to hold urine in the bladder longer
- Avoiding activities that trigger episodes of leaking
- Urethral bulking
- A doctor injects a thick, permanent gel (Bulkamid) into the body to add volume to the wall of the urethra to provide support of the urethra and better control of urine flow.