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What is Stress Urinary Incontinence (SUI)?

Have you ever gone to sneeze and thought, “Oh no, I hope I make it to the bathroom in time!” for fear of losing badder control? While each woman’s case is different, stress urinary incontinence can occur when an activity, such as coughing, sneezing, exercise or even laughing causes a small amount of urine to leak.

Two muscles are involved in the control of urine flow: The Sphincter and the Detrusor. In stress incontinence, the sphincter muscle and the pelvic muscles, which support the bladder and urethra, are weakened. The sphincter is then not able to prevent urine flow when there is increased pressure from the abdomen (such as when you cough, laugh, or lift something heavy).

Genetics and aging play a major role in the onset of stress incontinence. It can also often be seen in women who have had multiple pregnancies and vaginal childbirths, and whose bladder, urethra, or rectal wall stick out into the vagina (this is called “pelvic prolapse”).

Treatment Options for SUI

Exercises such as kegels may be used to treat a mild case of Stress Incontinence to help strengthen the muscles that support the bladder, uterus, and bowels. By strengthening these muscles, you can reduce or prevent leakage problems. Weight loss is recommended for those who are obese and techniques such as bladder training or longer intervals in between urination may also be used a treatment for milder cases.

If you’re suffering from SUI and have tried these treatment methods but have been unsuccessful, discuss your options with a trained professional in the field of Vaginal Rejuvenation and Reconstruction. Only your doctor can tell you what will work best for you after a complete exam.

Dr. Mark Scheinberg treats patients from Fort Lauderdale, Boca Raton, and Miami as well as from around the U.S. He is a vaginal surgeon with extensive training in cosmetic gynecology with offices currently located in Deerfield Beach on Florida’s Atlantic coast.