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Urogynecology ABC’s

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Urogynecology ABC’s - Lesson One: Types of Incontinence

There are five basic types of incontinence:

Stress incontinence occurs when pelvic muscles have been damaged, causing the bladder to leak during exercise, coughing, sneezing, laughing, or any body movement which puts pressure on the bladder.

Urge incontinence, the urgent need to pass urine and the inability to get to the toilet in time, occurs when nerve passages along the pathway from the bladder to the brain are damaged, causing a sudden bladder contraction that cannot be consciously inhibited.

Overflow incontinence refers to leakage that occurs when the quantity of urine produced exceeds the bladder’s holding capacity.

Reflex incontinence, the loss of urine when the person is unaware of the need to urinate, may result from an abnormal opening between the bladder and another structure, or from a leak in the bladder, urethra, or ureter.

Incontinence from surgery follows such operations as hysterectomies, caesarean sections, prostatectomies, lower intestinal surgery, or rectal surgery.

Urogynecology ABC’s - Lesson Two

You are not alone. We can help.

Approximately 80% of those affected by urinary incontinence can be cured or improved. Despite the high success rates in treating incontinence, only one out of every twelve people affected seeks help. Many types of treatment are available for incontinent people. After a thorough evaluation, Dr. Lucente can recommend the treatment that is appropriate for you. The three major categories of treatment are: behavioral, pharmacological, and surgical.

Behavioral Techniques include bladder retraining and pelvic floor stimulation.

Pharmacologic Therapy (medications or drugs) is another common treatment for incontinence.

Surgical Treatment may be used to treat your incontinence. Several of the more common surgeries include, bladder neck suspension or sling procedures. Periurethral bulking agent injections (collagen injectionsaround the urethra) are another out-patient treatment modality.

Urogynecology ABC’s - Lesson Three

Statistics and other Fun Facts

Common Bladder Irritants:

Urogynecology ABC’s - Lesson Four

Understanding Pelvic Support Problems

The pelvic organs are held in place by three types of support:
1. Layers of connecting tissue called fascia
2. Thickening of the fascia called ligaments
3. A group of muscles that lie on either side and around the openings of the urethra, vagina, and anus

When tissues that support the urethra, bladder, uterus, cul-de-sac, and rectum become stretched, they allow the organ that they support to sag or bulge into the vagina. Based on the organ or organs involved, the main types of pelvic support problems are described as:

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