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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 […]

Decreasing Habitual Drinking

August 8, 2014

Avoiding Excessive Fluid Intake Wherever you look these days, someone is telling you to drink 8 glasses of water a day. This is one of the reasons many women with OAB carry a water bottle with them most of the time and sip fluid throughout the day. We refer to this as habitual drinking. Habitual drinking is drinking out of […]

What is a Sling Excision?

May 28, 2014

Mid-urethral sling is the treatment of choice for stress urinary incontinence (SUI). The sling provides support to the urethra, preventing leakage with physical stress or urethral mobility. Urodynamics (an in-office bladder study) is done prior to surgery to determine how tight or how loose to make the sling. More severe SUI is treated with a tighter sling, minimal or standard […]

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