How is long-term stress incontinence managed?

Question

Hello doctor,

I have stress incontinence for more than ten years. I leak when I sneeze, laugh, or jump. Also, I have a protruding abdomen.

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

Thank you for consulting us. I understand your concern. Stress incontinence is mainly caused by weakening pelvic floor muscles leading to urethral hypermobility or a weak urethral sphincter. It sometimes occurs in combination with an overactive bladder. Urodynamic studies are essential to role out an overactive bladder. In addition, other investigations like urine analysis, urine culture, KUB (kidney, ureter, bladder) X-ray, ultrasound scan, and serum creatinine are important. If stress incontinence is diagnosed, treatment can be from pelvic floor exercises to intraurethral fillers to slings depending on the degree of incontinence. From your short presentation, it seems to be mild; therefore, it is better to go for conservative treatment like pelvic floor exercises.

If you need any further assistance, please let me know.

Kind regards.

Answer 2

Hello,

Welcome back to icliniq.com.

I suggest you get urine analysis, urine culture, serum creatinine, and ultrasound KUB.

Kindly follow up with the reports so that I can guide you further.

Regards.