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Answers to Patient Questions Regarding Mid-Urethral Slings

March 20, 2013

Women have many questions when it comes to vaginal mesh products and mid-urethral slings. Advancing Female Pelvic Medicine and Reconstructive Surgery (AUGS) and Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) published frequently asked questions by patients. Find these questions and answers by clicking here.

Botox and the Bladder

January 17, 2013

Botulinum Toxin, better known as Botox, is now approved by the U.S. Food and Drug Administration to treat adults with overactive bladder. Botox had previously been approved to treat urgency incontinence due to known neurologic injuries such as spinal cord trauma, stroke and Multiple Sclerosis. Now its use is expanded to treat patients with overactive bladder or OAB where the […]

Intrinsic Sphincter Deficiency (ISD) and Urethral Bulking for Stress Incontinence

October 27, 2012

Intrinsic Sphincter Deficiency (ISD) occurs when there is weakness of the urethral sphincter. ISD may be caused by genetics, nerve damage from prior surgery, or neurological disorders. Urinary leakage typically occurs more frequently and in greater volumes in cases of ISD than in cases of stress urinary incontinence without ISD. The mid-urethral sling is the mainstay of treatment for ISD. […]

New Bladder Device for Interstitial Cystitis

August 16, 2012

It is estimated 300,000 Americans suffer from interstitial cystitis (IC), chronic pelvic pain or discomfort related to the urinary bladder with symptoms that include urinary urgency or frequency. Women are primarily affected by IC and may live with symptoms for years before diagnosed. The cause of symptom flare-ups is still unclear and diagnosis is often made after ruling out other […]

How Successful is InterStim in the Treatment of Urinary Urgency, Urgency Incontinence, Urinary Retention and Fecal Incontinence?

August 9, 2012

InterStim may be a good treatment of urinary urgency, urge urinary incontinence, urinary retention or fecal incontinence. Many of these symptoms are first treated conservatively with behavioral modification and medications. Sometimes, physical therapy is also employed. If symptoms are still intolerable, or if patients cannot tolerate the medications used, InterStim is considered. InterStim is a dynamic form of treatment which […]

New Medication Approved for Treatment of Overactive Bladder (OAB)

July 27, 2012

Myrbetriq (mirabegron) was approved by the FDA for symptoms of overactive bladder (OAB) including urge urinary incontinence, urgency and frequency. Myrbetriq was studied for 10 years in more than 10,000 individuals before approval by the FDA on June 28, 2012. Antimuscarinics traditionally used to treat OAB work by binding to muscarinic receptors in the bladder, inhibiting involuntary bladder contractions. The […]

Kegel Exercises for Urinary Incontinence

June 29, 2012

Urinary incontinence may occur as a result of a weakening of the pelvic floor muscles. These muscles provide support to the uterus, bladder and other pelvic organs. For some women, this involuntary loss of urine can be treated with pelvic floor muscle training. Training includes exercises to strengthen the pelvic floor muscles, similar to kegel exercises. Studies have shown women […]

Is the Midurethral Sling Surgery for Stress Urinary Incontinence Cost Effective?

May 3, 2012

Is the mid-urethral sling operation done to repair urinary incontinence cost effective? It seems like everyone is talking about containing medical costs these days. So how about the mid-urethral sling we know it improves patients’ Quality of Life Index but is it cost effective? The answer is yes. Dr. Leslee Subaks clinical trial of 491 women who underwent either Burch […]

Bowel / Fecal Incontinence

January 28, 2012

Bowel (fecal) Incontinence is the impaired ability to delay the release of gas or stool. Its severity ranges from mild difficulty with gas control to severe loss of control over liquid and formed stools. Causes: Pelvic floor muscle damage: If the muscles that control bowel continence are damaged, fecal/bowel incontinence may result. These muscles include the anal sphincter and the […]

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