Minimally Invasive Procedures for Kidney Cancer & Prostate Cancer

Female Incontinence
Female Incontinence
Female Incontinence

Female Incontinence

Important: This article is not intended to replace a physician examination, review of your pathology report and consultation.

CLICK HERE to schedule your appointment today!

 

1 in 3 women will experience Stress Urinary Incontinence (SUI) in their lifetime.SUI is a very common medical problem that involves leaking urine when coughing or sneezing.  This is caused by exerting pressure on the bladder.  Laughing or straining to lift something heavy may also cause SUI.  You know you have this problem if you involuntarily excrete urine, either a few drops or tablespoons full, when lifting heavy objects, standing up, walking, or bending over.

This is not the sign of an overactive bladder.  Overactive bladders cause a sudden, unexpected need to urinate.  SUI occurs in 1 out of every 3 women sometime during their lives, however, it is more common in women age 30-60.

Obesity, smoking, and chronic cough are risk factors for development of SUI because frequent strain is placed on the pelvic floor muscles.  Pregnancy and child birth may stretch and weaken the pelvic floor muscles, also.

If you are worried about having to change your lifestyle…. Don’t worry!  There are ways available to help you manage SUI.  If you think you have SUI you need to make an appointment with your family doctor far an evaluation.

Your doctor may ask you to keep a diary and record your leakage episodes.  Go to bladder diary at the above website for help in organizing a diary.  Your doctor may also be able to suggest lifestyle changes that will reduce episodes of leakage.  There is a publication you may want to read entitled, “Talking to Your Doctor About SUI.”  Before considering surgery, consult a specialist.  If you prefer to delay surgery, it can wait.

Surgery should only be a last resort.  If leakage is affecting you very often and you really feel you would benefit- the surgery is not reversible.  There is always the risk that leakage will reoccur.  Avoid surgery by keeping healthy, avoiding smoking, and keeping your weight down.  Ask your doctor about pelvic floor muscle exercises.  Your doctor can recommend urinary control devices.

Myths about SUI

·         There are no approved drugs for SUI

·         It is normal for women to have SUI

·         SUI is hereditary

·         SUI is an inevitable part of aging

·         Pelvic exercises can prevent SUI

·         SUI cannot be treated

·         Surgery is the only way to treat SUI

·         Treatment prevents worsening of SUI

·         SUI surgery is not permanent and will only last a few years

Important: This article is not intended to replace a physician examination, review of your pathology report and consultation.

CLICK HERE to schedule your appointment today!

What is Coaptite Injectable Implant?

  • The Coaptite Injectable Implant is a material that is used to bulk or fill out the tissues surrounding the urethra to provide additional support during physical activity.

  • The Coaptite Implant is made of round particles made of calcium hydroxylapatite, which is a natural component of your teeth and bones, in a water-based gel.

What is SUI?

  • Stress Urinary Incontinence: the involuntary loss of urine during physical activity such as coughing, laughing, or sneezing.

  • The round muscle (sphincter) used to keep urine in the bladder can become weak and urine leaks out during these activities.

  • This type of incontinence is treated both surgically and non-surgically.

  • 13 million adults have SUI in the US, 85% are women.

  • Bulking with the Coaptite Injectable Implant increases the resistance of the urethra to urine leakage.

  • Coaptite Injectable Implant is only one way to treat SUI.  Your physician will provide you with recommended options for treating your incontinence and help you make the right treatment decision.

What are the benefits of Coaptite Implant Injections?

  • The Coaptite Injectable Implant may benefit you because it may help you become dry or lessen the amount of urinary leakage.

  • The Coaptite Implant is made of round particles of CaHA in a water-based gel.  The body takes up the gel.

  • The particles remain to act as a space filling bulk, causing the closing of the urethra.

  • In the study, 83 out of 131 (63%) of patients were improved at 12 months following treatment with the Coaptite Injectable Implant.

  • 51 out of 131 (34%) of the patients were dry.

  • A majority of the patients (82 out of 131) (62%) had more than one injection of the Coaptite Implant.

  • Thirteen of 131 (10%) patients got worse after one year.

  • For 35 patients (27%), we do not know if they improved, remained the same, or got worse.

What can I expect during my procedure?

  • The procedure will take place in a doctor’s office, and outpatient surgery center, or in an operating room.

  • The procedure takes approximately 15-20 minutes.

  • Your doctor will determine what type of anesthesia is best for you.

  • During the procedure, a needle is placed into the urethra using a cystoscope and the Coaptite Implant is injected into the tissues surrounding your urethra providing a bulking effect.

  • The doctor removes the needle and the procedure is completed.

  • After the procedure, you will stay in the office or recovery room until you are able to pass urine on your own, usually within a few hours.

  • Your doctor will talk to you so you know what to expect from your treatment.

Can I go back to my normal activity after I go home?

  • Your physician will give you specific instructions regarding your activity level after your procedure.

  • Most people return to normal activity within 1-2 days.

Contraindications

  • You should not have the procedure if you have inflammation of the bladder (cystitis) or the urethra (urethritis) or other infections.

  • Tell your doctor if you have pain when you urinate or if you urinate often because these may be signs of an urinary tract infection.

  • After your infection is treated, using the Coaptite Injectable Implant treatment can be considered.

Warnings

  • Tell your doctor if you have to strain in order to start urinating.  This may be a symptom of a stricture.  Your doctor will be able to discuss the treatment options for urethral strictures.

  • Safety and effectiveness of the Coaptite Injectable Implant in pregnant women is unknown.  It is unknown whether the treatment will harm you or your baby if you are pregnant.  It is also unknown whether the treatment will relieve your SUI if you are pregnant.

  • In some cases after treatment you may not be able to urinate.  If this happens, the doctor may have to put a catheter in you until you can urinate normally.

  • The Coaptite Implant may not stay in place where it is injected and this can lead to complications.

  • The Coaptite Implant may erode through your tissue.  If that happens, surgery may be needed to repair the damaged tissue.  In the study, 2 out of 158 patients developed this problem and had to have surgery to correct the problem.

  • Women with peripheral vascular disease AND prior pelvic surgery may be at increased risk for tissue erosion.

  • Contact your doctor if you have any problem that bothers you or lasts longer than 24 hours after your Coaptite Implant bulking procedure.  If you do not contact your doctor, your problem may get worse and harm you.

 

Boston Scientific Corporation.Coaptite Injectable Implant: For the Treatment of Stress Urinary Incontinence in Women. 2011. www.bostonscientific.com/gynecology

Important: This article is not intended to replace a physician examination, review of your pathology report and consultation.

CLICK HERE to schedule your appointment today!

Urinary Incontinence

  • Urinary incontinence is a symptom of many conditions which may include; diabetes, a stroke, multiple sclerosis, Parkinson’s disease, some surgeries, childbirth, and menopause.

  • Certain medications can make incontinence worse.  These medications include; diuretics, sedatives, narcotics, antidepressants, antihistamines, calcium channel-blockers and alpha-blockers.

  • Stress Urinary Incontinence (SUI) is the most common type of urine leakage.  This occurs when urine is lost during any activity (walking, exercise, etc.).  Pressure on the abdomen from activities can cause urine to leak.

Surgical Treatment for Women with Stress Urinary Incontinence

  • The most common surgical treatment for female stress incontinence is the sling procedure.

  • During the sling procedure, a strip of tissue is placed under the urethra to provide compression and improve urethral closure.

  • Women usually recover quickly because the sling procedure does not require a major surgical incision.

  • The tissue used to create the sling is commonly the patient’s abdominal wall muscle or sometimes other tissue, tissue from a cadaver or synthetic material.

  • For simple stress urinary incontinence, a sling is the surgical procedure of choice.

  • Most women can expect more than 80-90% cure or great improvement from this surgery.

Urethral Injections

  • Another surgical treatment for stress urinary incontinence involves injecting substances known as bulking agents into the urethra and bladder sphincter.

  • These injections improve the function of the sphincter that helps close the bladder and can be done under local anesthesia. They can be repeated if needed.

  • Adding bulk to the tissue around the bladder opening helps keep the urethra closed.

  • Between 10 and 30 percent of men and women are cured of SUI when they have this procedure.

Bladder Prolapse

  • Under normal conditions, the bladder is held in position by a “hammock” of supporting pelvic floor muscles and ligaments.  If these muscles and tissues stretch or become weak the bladder can sag into the vagina.  This is known as bladder prolapse.

  • Bladder prolapse can usually be corrected.

  • Bladder prolapsed can be caused by multiple pregnancies, vaginal child delivery, heavy lifting, constipation (or frequently straining to pass stool), obesity, menopause, pelvic surgery, and even chronic coughing.

What can you do to prevent your SUI from getting worse?

  • Watch your weight.  If you are overweight, weight loss can help.

  • Constipation can make SUI symptoms worse.  Add fiber to your diet.  This may also help you lose weight.

  • Quit smoking.  Smoking irritates the bladder.

  • Do Kegel Exercises every day.

What should Kegel exercises feel like?

  • Imagine you are in a crowded room and felt as if you are going to pass gas or “wind.” Most of us will try to squeeze the muscles of our anus to prevent the passing of gas.  The muscles you squeeze are the pelvic floor muscles.Women will feel a slight pulling in the rectum and vagina.

 

AUA Foundation.  Urology Health for Life! 2009. www.UrologyHealth.org

Map to El Paso Urology

El Paso Urology
4687 N Mesa, Suite 100
El Paso, TX 79912
Ph. (915) 532 3119
Fax. (915) 351 6048

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