Gotta go all the time? There is a solution...
Rushing to the restroom, an uncontrollable urge, a feeling of heaviness on your bladder… It’s an uncomfortable, yet common problem that is quite treatable.
“Female urinary incontinence and pelvic organ prolapse are relatively common problems that women of all ages experience,” explains J. Chris Portera, M.D., a urogynecologist on staff at Women's Institute for Specialized Health located in Chattanooga, TN. “They may worry about making it to the bathroom in time and/or having the feeling of heaviness in the vaginal area. The types and degrees of these pelvic problems can be confusing and further complicated by misinformation on the various symptoms and treatment options.”
Better Bladder Control
Urinary incontinence is the involuntary loss of urine and falls under two distinct categories: urge or stress incontinence. Urge incontinence, also known as overactive bladder, is associated with frequent urination, urgency, and trouble making it to the restroom in time. There are multiple medications available to treat urge incontinence. Medication, in conjunction with physical therapy, is an excellent treatment option. Botox injections to the bladder, a newer treatment option available through our OB/GYN practice in Chattanooga, can help patients with more severe urge incontinence.
Stress incontinence is the loss of urine with increased abdominal pressure from a cough, sneeze, or exercise, for example. Treatment includes observation, physical therapy, injections, or surgical options such as a suburethral sling. Slings are the surgical treatment of choice and involve placing a small strip of mesh under the urethra for support.
“Patients should be aware of a frequently misunderstood topic regarding surgical slings and potential complications,” Dr. Portera warns. “The FDA has issued a warning for single incision slings, however, these are not the preferred type of sling for this treatment.”
Additional Patient Resources:
J. Chris Portera M.D. is a Gynecologist, Urogynecologist and Reconstructive Pelvic Surgeon at Women's Institute for Specialized Health in Chattanooga, TN.