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.

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

Reasons for incontinence occurring

• 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
• Caffeine/alcohol
• Constipation
• Excess weight

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

Surgical procedures:

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