Stress Urinary Incontinence Treatment

Lifestyle Modification

• Modifying water intake
• Dietary changes - reduction in alcoholic, caffeinated and carbonated beverages
• Treatment of constipation
• Regular Exercise
• Good Toileting habits
• Modifying the way you lift heavy objects
• Quitting smoking
• Weight loss if you are overweight
• Continence products

Vaginal Estrogen Therpay

• Incontinence often becomes worse around menopause due to a reduction in the hormone estrogen. Low estrogen can cause either stress or urge incontinence due to vaginal atrophy (weakness) which is due to Genitourinary syndrome of Menopause (GSM)
• GSM is associated with urinary frequency, bladder irritation and dysuria and can contribute to incontinence.

Pelvic Floor exercises

• Pelvic Floor exercises (PFE) and bladder retraining has been shown to be more effective in conjunction with a specialist pelvic floor physiotherapist.

EMSELLA

• The Emsella Chair is a High Intensity Focused Electromagnetic (HIFE) pelvic floor treatment, available here at Nurture Gynaecology
• Check out the above link for all the details on the Emsella Chair Treatment and what it can do for you. Contact us if you would like more information on the costs.

Surgery

• Surgery is often NOT the first line of treatment. Less invasive treatments may improve symptoms and may avoid the need for surgery.
• The most common surgical options for SUI include a mid-urethral tape procedures. However the best operation to suit your needs will depend on whether there are other additional problems in the pelvic region. This could be if a prolapse is required to be repaired for example.
• Some patients also require treatment for fibroids or heavy menstrual bleeding.

There so many varied options and it is best to seek an expert opinion to work out the best solution for you.