The Lowdown: Urge vs. Stress Incontinence
July 25, 2017
Check out the first episode of our new series “The Lowdown” where we explain the difference between the two types of urinary incontinence: stress and urge. Stress urinary incontinence occurs with increased stress or pressure from laughing, coughing, sneezing, exercise or jumping on a trampoline, and at times with intercourse. This type of incontinence occurs due to the weakening of […]
Tensor Fascia Lata Pubovaginal Sling for Incontinence
May 15, 2015
Stress urinary incontinence (SUI) is the leakage of urine with physical stressors, such as coughing, sneezing, laughing or with exercise, causing abdominal pressure to increase. When leakage is minimal and not disruptive to activities of daily living, patients may be satisfied with relief from kegel exercises or pelvic floor physical therapy. The mainstay of treatment for SUI at Austin Urogynecology […]
Pubovaginal Sling with Abdominal Fascia
April 9, 2015
There are several approaches that can be used for the treatment of stress urinary incontinence. Stress urinary incontinence (SUI) is the leakage of urine with physical stressors, such as coughing, sneezing, laughing or with exercise, causing abdominal pressure to increase. When leakage is minimal and not disruptive to activities of daily living, patients may be satisfied with relief from kegel […]
Overactive Bladder and Urge Incontinence
February 11, 2015
Women with frequent urination and sudden unstoppable urges to urinate are considered to have overactive bladder or OAB. OAB can be a result of abnormalities of the nerves that supply the bladder or due to abnormalities of the muscle of the bladder itself. This can result in a sudden urge to urinate, urge incontinence (not being able to make it […]
Do Vaginal Incisions Affect Sensation During Intercourse?
December 23, 2014
Incisions are made inside the vagina for vaginal prolapse repair, da Vinci robotic prolapse repair, and mid-urethral sling procedures. Some women are concerned that these incisions will affect the Graffenberg spot (G-spot), which is an area of condensed nerve tissue in the vagina. However, vaginal sensation is not decreased in any way after vaginal incisions heal. The goal of any […]
Urge Suppression
August 8, 2014
When a woman has a strong urge to void, rushing to the bathroom can result in urine leakage. This is because the bladder contracts as you try to make it to the bathroom before urinating. To train the body out of this pattern, we recommend performing a kegel maneuver and relaxing. Begin the kegel maneuver when you experience a strong […]
Timed Voids
August 8, 2014
Women with overactive bladder experience urinary urgency and frequency as the bladder contracts when it should be relaxing. Timed voids retrain the bladder to contract only when voiding. Void every 2 hours while awake or at a regular time interval that works with your schedule. Set timer or alarm on phone for the selected time interval. Empty the bladder before […]
Suggestions for Suppressing the Urge to Revoid
August 8, 2014
Post Void Urgency Some patients with Overactive Bladder have the urge to void immediately following voiding. The cause of this symptom is the bladder contraction after urination at a time when the bladder should be relaxing. Sometimes this urge results in unexpected urine loss. To train the body out of this pattern, we recommend suppressing the urge to revoid with a kegel maneuver. Allow for […]
Side Effects of Medication for Overactive Bladder
August 8, 2014
Overactive Bladder Medication Side Effects Anticholinergics (such as Ditropan, Vesicare, Myrbetriq, Toviaz, Enablex, Gelnique) work by binding to cholinergic receptors in the bladder, inhibiting involuntary bladder contractions. These cholinergic receptors also exist in other organs, and binding to them thus causes other side effects. Dry mouth: This is not a sign of dehydration. For symptoms of dry mouth, use Biotene […]
Sleep hygiene for bladder symptoms
August 8, 2014
Sleep Hygiene for Your Bladder Women with over active bladder may empty their bladder multiple times at night which can be very disruptive to sleep. To minimize night time voiding: Empty your bladder before sleeping Limit the amount of fluid you drink after dinner. At night, decrease the number of hours of sleep so that you can sleep your maximum number of hours […]