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Urinary Incontinence Treatment


According to Urology Times, more than half of all adult women in the US experience urinary incontinence, and one in five suffer from moderate or severe urinary incontinence. Even among women in their 20s, the prevalence of any type of urinary incontinence is greater than 1 in 3, and among women in their 70s and older, more than two-thirds suffer with involuntary loss of urine.

Overall, 200 million people worldwide are affected by urinary incontinence. The diaper and incontinence pad industry is a multibillion-dollar industry, indicating how widespread this issue is. 

The loss of bladder control, called urinary incontinence, is common and troublesome for many women. Urinary incontinence can range from small leaks during activities like laughing, coughing or sneezing to failure to make it to the toilet in time.

Pregnancy and childbirth are the most common causes of urinary incontinence in women, as vaginal delivery can tear the pelvic floor muscles that support the bladder and damage bladder nerves and connective tissue. Increasing age, combined with the hormonal changes women experience over time, also weaken bladder and urethral tissue. These changes worsen the symptoms of urinary incontinence. 

Incontinence, which can be a symptom of a variety of conditions, is a common problem among women.

What are the types of urinary incontinence?

  • Stress incontinence. Stress incontinence (not to be confused with psychological stress), occurs when an activity like coughing, sneezing, laughing, exercising, or heavy lifting puts pressure on the bladder, which causes urine to leak. Women of various ages are affected, although it’s more common in older women and women who have just given birth.
  • Urge incontinence.  Urge incontinence describes the strong urge to urinate, which is immediately followed by an involuntary loss of urine. Frequent urination is common, and many women with this diagnosis wake up to urinate 6 or more times each night. Urge incontinence can be caused by a small ailment, such as an infection, or a more serious ailment, such as diabetes or a neurological problem.
  • Overflow incontinence. Overflow incontinence causes persistent dribbling of urine because the bladder doesn’t completely empty.
  • Functional incontinence. Functional incontinence describes urinary leakage due to something preventing timely arrival to the toilet. For example, women with severe arthritis may not be able to unbutton their jeans fast Physical and mental handicaps may cause functional incontinence.

Urinary incontinence can be treated or improved in around 80% of individuals who suffer from it.

What Causes Urinary Incontinence?

Urinary incontinence can be caused by a variety of things, many of which are out of our control.

  • Pregnancy and childbirth
  • Genetics
  • Menopause
  • Pelvic surgery
  • Muscles problems in the bladder and urethra
  • Weakened pelvic floor muscles or a weak sphincter muscle at the bladder’s neck
  • Obesity
  • Chronic medical conditions such as diabetes mellitus
  • Anxiety and clinical depression 

Urinary tract infections can also cause symptoms of urinary incontinence and will negatively affect lifestyle if left untreated. Recurrent UTIs may occur as a result of intercourse or menopause.

What Happens if Urinary Incontinence is Left Untreated?

Skin problems commonly result from persistent urinary incontinence. Skin of the vulva, buttocks or inner thighs, which is constantly moist, may cause rashes, skin infections, and blistering.  Severe urinary incontinence may eventually cause sleep deprivation or a lack of interest in sexual activities.

How Do You Treat Urinary Incontinence?

Approximately 80% of people with urinary incontinence can eliminate or significantly improve their symptoms with the appropriate treatment.

  1. Behavioral and lifestyle modifications are the simplest methods to treat urinary incontinence at home and halt leaking that is within your control. This may involve emptying the bladder more often to avoid a very full bladder or avoiding caffeine, alcohol, or spicy food, which can all trigger urge incontinence.

    A bladder diary (also known as a voiding or urine diary, incontinence chart, or bladder record) is a standard approach used in both research and clinical practice to examine the frequency and features of your incontinence episodes.

    A bladder diary helps discern the amount of fluids ingested, which foods or drinks may worsen symptoms and what time of day symptoms occur.

    • Cut down on fluid intake, especially within 3 hours before you go to bed.
    • Avoid activities that put pressure on your bladder such as jumping or jogging and take up low impact activities.
    • Lose the excess weight because obesity puts pressure on the bladder, and damages urethral structures as well as the pelvic floor.
    • Consume fiber to prevent constipation, which may exacerbate urinary incontinence.
    • Quit smoking and vaping because it can cause a chronic cough which damages the pelvic floor.
    • Avoid alcoholic and caffeinated beverages including coffee, energy drinks, teas, and sodas.
  2. Practice regular Kegal exercises. Daily pelvic floor contractions strengthen the muscles that support the bladder. Performed often these exercises can improve leaking due to stress urinary incontinence.

  3. Empower RF by InMode

    If lifestyle changes and regular kegal exercises fail to improve urinary incontinence symptoms, there is now a cutting-edge technology available to help called Empower RF. The Empower platform by Inmode utilizes three different handpieces to provide an FDA cleared option for women with urinary incontinence, especially those who wish to avoid a bladder mesh surgery. Using these three handpieces, all aspects of bladder support are enhanced.

Votiva treatment enhances blood flow, and rejuvenates vaginal skin using radio-frequency radiation and collagen and elastin are two proteins that maintain a youthful skin aesthetic, lead to the formation of healthy, tight vaginal tissue mucosa as well as improved vaginal sensation and bladder support. Collagen and elastin promote stronger tissues and support bladder control and pelvic floor muscles. The device’s heat radiation tightens and reshapes tissues both the vaginal canal and external vulvar structures.

VTone is one of a very few FDA-cleared devices that use intravaginal Electrical Muscle Stimulation (EMS) and neuromuscular re-education to retrain weak pelvic floor muscles in women who have urinary incontinence. 

The Benefits to VTone:

  • In-office non-invasive procedure to strengthen weak damaged pelvic floor muscles and alleviate urinary incontinence
  • The two-sided tip is single-use and enters quickly and comfortably into the vaginal canal.
  • Restores a patient’s self-esteem and quality of life without bladder mesh surgery or a recovery period.

Morpheus8 V is a radiofrequency technique that remodels vaginal tissue quickly and effectively.  Morpheus8 V is a groundbreaking technology that rejuvenates the vaginal region to boost sexual desire, comfort, and satisfaction while also restoring a young look.

Morpheus8 V vaginal rejuvenation tightens the connective tissue between the vagina and the bladder and promotes the formation of elastin and collagen by delivering regulated pulses of radiofrequency energy deep into the vagina and labia. Greater lubrication and regenerated thickness, strength, and tone in the vaginal walls and labia result in vaginal tightness and increased intimate comfort. It helps:

  • Painful Sex
  • Loose Vagina Walls
  • Vaginal Dryness and Itching
  • Decreased Vaginal Sensation
  • Lowered sex drive
  • Urinary Incontinence
  • Sagging, wrinkled or enlarged labia

Dr. Brady takes a personalized approach to treatment, offering the best individualized combination of sessions to achieve the greatest advantages from the most up-to-date procedures for your lifestyle demands. Discover the best package for you and let’s explore your needs.