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Stress Urinary Incontinence

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An injectable that temporarily freezes the muscles that cause most facial wrinkling.

Many women suffer urinary leakage without ever seeking treatment. Don’t be embarrassed to discuss this with your practitioner. You don’t have to live with urinary leakage. There is a link between menopause, childbirth, aging and stress urinary incontinence. Learn more and discover ways that this common issue can be addressed at Contemporary Health Center.

Stress urinary incontinence is the most common form of incontinence. It means you leak urine when you increase the pressure on the bladder, as in coughing, sneezing or exercise. It happens when the pelvic floor muscles that support the bladder are weakened.

What causes stress incontinence?

Most cases of stress incontinence are due to weakened pelvic floor muscles. Pelvic floor muscles are often weakened by childbirth. The pelvic floor muscles are a group of muscles that wrap around the underside of the bladder and back passage (rectum). Stress incontinence is common in women who have had children, particularly if they have had several vaginal deliveries. It is also more common with increasing age, as the muscles become weaker, particularly after the menopause. Stress incontinence is also more common in women who are obese. Stress incontinence can occur in men who have had some treatments for prostate cancer. This includes surgical removal of the prostate (prostatectomy) and radiotherapy.

Stress incontinence is the most common form of urinary incontinence. Overall this is about 4 in 100 adults and well over half of these are due to stress incontinence. Stress incontinence becomes more common in older women. As many as 1 in 5 women over the age of 40 have some degree of stress incontinence.

It is likely that the true number of people affected is much higher. Many people do not tell their doctor about their incontinence, due to embarrassment. Some people wrongly think that incontinence is a normal part of aging that has to be accepted, or that it cannot be treated. This is unfortunate, as many cases can be successfully treated or significantly improved.

Most of the symptoms associated with menopause are related to a lack of estrogen, the hormone that regulates female sex characteristics during puberty, pregnancy, and menstruation. During menopause, estrogen levels in the body decline, which can cause a thinning of the lining of the urethra and a weakening of the pelvic floor. Either of these issues alone or the combination of the two can lead to bladder control problems.

There are different kinds of urinary incontinence, but some are specifically associated with menopause. For example, stress incontinence occurs when drops of urine leak during sneezing, coughing, laughing, or lifting a heavy object. Urge incontinence means that the urge to urinate comes on suddenly and intensely, so much so that you may have trouble making it to the bathroom in time. Some women also experience leakage during the middle of the night.

Stress incontinence occurs when urine leaks because there is a sudden extra pressure within the tummy (abdomen) and on the bladder.

This pressure (or stress) may be caused by things like coughing, laughing, sneezing or exercising (such as running or jumping).

Small amounts of urine may leak but sometimes it can be quite a lot and can cause embarrassment.

If you’re experiencing incontinence, the good news is there are treatment options available. It all starts with a consultation at our office. We will want to rule out other underlying conditions that can lead to urine leakage. The treatment depends largely on the type of incontinence you have and the extent of your symptoms, and it may begin with simple lifestyle changes.

We may recommend hormone replacement therapy, laser treatment, PRP therapy, medications, or surgery, depending on your situation. We urge you to schedule a consultation at Contemporary Health Center to learn all about your treatment options. Our medical practitioners would be happy to evaluate your case and come up with a individualized treatment plan for you!

  • Physical and medical history
  • Urinalysis – urine test chemistry of bladder
  • Urodynamics – electronic, computerized testing of bladder function test
  • Cystoscopy – painless viewing interior of bladder with small camera

Treatment Options:

Juliet Feminine Laser

A five minute vaginal laser treatment designed to increase the health of the vaginal wall and better support the bladder. The results with Juliet laser treatment are amazing and treatment is a breeze.

Bio-Identical Hormone Replacement Pellet Therapy

Hormone replacement therapy, or HRT, can provide relief from urinary incontinence, particularly for women. Bio-identical hormone replacement therapy uses chemically identical hormones, such as estrogen, to restore your body to more youthful state, increase vaginal health, and boost bladder support tissue.


More than 90 percent of these women who previously suffered with stress incontinence reported that they completely stopped leaking urine after theO-Shot™.

Get a treatment on your lunch break, and you may leave with no more stress urinary incontinence.

The O-Shot’s ability to eliminate such an embarrassing and socially debilitating condition goes beyond the cure rates of other traditional and alternative methods of treating stress incontinence: acupuncture, biofeedback training with electrical stimulation, bulking agent injections, Kegel exercises, microcurrent stimulation, pelvic floor exercises, Renessa, and others.

In addition, PRP injections are “autologous” (meaning the material comes from a woman’s own body) to stimulate the production of her own tissue. To date, there has never been a report of PRP injections causing allergic reactions or urethral obstruction issues.

Unlike PRP, urethral bulking injections with such materials as Coaptite®, which are used to artificially increase the size of the vaginal wall to reduce the incidence of stress incontinence, can cause urethral obstruction/blockage. So women can go from not being able to hold their urine to not being able to urinate.

In addition, bulking injections can also cause painful granulomas (nodules) in the vaginal tissue. There have been zero reports of granulomas forming with vaginal PRP injections.

Medi Weightloss

Obesity. Stress incontinence is more common in women who are obese. Weight loss is advised in those who are overweight or obese. It has been shown that losing a modest amount of weight can improve urinary incontinence in overweight and obese women. Even just 5-10% weight loss can help symptoms.


The last resort

Anterior repair-cystocele with retro pubic sling

Bladder lift surgery