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Stress Incontinence

What is Stress Incontinence?

This is the most common form and most reported by women. Patients will often report that they do not leak when undertaking normal activity, but that they do leak or gush or spurt urine when undertaking activities such as coughing, sneezing, laughing, intercourse, lifting heavy objects/babies and feel unable to participate in sports activities such as trampolining or squaring or weight training.

What are the symptoms of Stress Incontinence?

It is common post baby delivery and some women never do recover full continence. It also more likely to happen to women who carry extra weight, specifically around their middle, as this puts additional pressure in the pelvic floor.

See also: Urge incontinence, overflow incontinence, functional incontinence, reflex incontinence

Why does Stress Incontinence occur?

Vulvo Vaginal atrophy (VVA)
Menopause changes
Injury (from a catheter, surgery or an accident)
Childbirth (Vaginal and Caesarean)
Connective tissue disorders
Urethral (urine tube) changes
Medications (Diuretics)
Urine infections
Excess weight

What can I do to find out about possible Stress Incontinence?

Treatments available:

Vaginal Laser treatment & ongoing assessment
Pelvic floor exercise (including during pregnancy)
Referral and treatment with specialist women’s physiotherapy
Use of electro-stimulation devices and weights. (Kegel 8, Neen pericalm, Aquaflex weights)
Medication/medication changes
Bladder Training
Reduction in caffeine/alcohol intake
Relaxation therapies and cognitive behaviour training
Pelvic floor assessment and education

What treatments are available for Stress Incontinence?

Surgical procedures:

Trans Vaginal Tape (TVT)
Mesh repair
Anterior/posterior repair of vagina