Treatment of Urinary Incontinence

Treatment of Urinary Incontinence

Urinary stress incontinence in women can cause frequent involuntary releases of urine during activities that put pressure on the bladder. This condition can be mild, moderate, or severe. However, the condition is treatable and there are several treatment options. TVT midurethral sling is an option for treatment at NCCRM.

Pelvic organ prolapse is a condition when an organ or more organs in the pelvis slip down from their position to bulge into the vagina. These organs could be the bladder, bowel, uterus, or top of the vagina. Prolapse can cause discomfort and pain but it is not a life-threatening condition. This condition is treatable.

TVT midurethral sling

This procedure is the most common surgical procedure to treat urinary stress incontinence. A victim of this condition releases urine with slight stress on the bladder caused by actions like lifting, coughing, or sneezing.

The surgeon treating you will create a “sling” out of human tissue or mesh. They put it under the urethra. It is a tube through which urine passes. The sling acts like a hammock between the urethra and the neck of the bladder to lift and support them to prevent leaks.

Pelvic organ prolapse repair

Both surgical and nonsurgical treatments are available for pelvic organ prolapse. The non-surgical options include a pessary, biofeedback therapy, and Kegel exercises.

If you have symptoms of pelvic organ prolapse, the NCCRM doctors will likely recommend pessary as the first line of treatment. A pessary is a device that looks like a ring, which is inserted in your vagina to hold and support your pelvic organs.

Biofeedback therapy teaches you to contract your pelvic muscles with abdominal control and breathing exercises. Kegel exercises will help you control your pelvic muscles. These exercises are easy to perform.

There are several surgical procedures to repair pelvic organ prolapse, including reconstructive and obliterative surgeries. Reconstructive surgery will repair the pelvic floor for the organs to be brought back to their original position. Obliterative surgery is required when you are not healthy enough to undergo a more invasive surgery. This procedure narrows or closes part or all the vagina. This option is used when other options have not succeeded. There are several more surgical options including vaginal mesh, sacrocolpopexy, and sacrohysteropexy, posterior and anterior colporrhaphy, and sacrospinous ligament fixation.

Contact us for more information or to schedule an appointment today.


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