Stress urinary incontinence occurs when urine leaks out with sudden pressure on the bladder and urethra, causing the sphincter muscles to open briefly. Mild SUI may develop due to pressure from sudden forceful activities, such as coughing, sneezing, and laughing. If your SUI is very severe then you may leak with less forceful activities like standing up, walking, or bending forward.
Stress urinary incontinence is a more common bladder problem for women than men.
Another common bladder problem is known as overactive bladder (OAB). People suffering from OAB have an urgency that they cannot control and they may leak. The difference between SUI and OAB is anatomical. SUI is a urethral problem and OAB is a bladder problem. With SUI, the sudden increase in pressure cannot be stopped by the urethra. With OAB, the bladder spasms and squeezes uncontrollably.
The symptoms of SUI, is when urine leaks out during any activity that puts mild to moderate pressure on the abdomen such as:
Stress urinary incontinence affects mostly older women but not everyone. It happens in younger women too due to childbirth and will come back to normal after some time.
Factors of SUI include:
A doctor may perform the following tests to understand why UTI is recurring:
Other specialized tests to diagnose are:
Once the doctor diagnosis the type of incontinence you have, he/she will start the treatment that can make you feel better.
The doctor will explain the different treatment options to treat your SUI symptoms. He/ she will explain the benefits and risks of each option which will help you to decide what works best for your condition. You should know that not every treatment will work for everyone. You might need to try more than one to get relief from the symptoms.
Lifestyle changes- absorbent pads, Kegel exercises, maintain good bowel function by eating fiber-rich foods, drink 6-8 glasses of water every day, maintain a healthy weight, bladder training, avoid smoking and alcohol.
Medical devices to manage SUI- if your pelvic floor muscles are weak then an inserted vaginal device may help prevent leaks. There are different types of devices which include- vaginal pessaries, disposable pessaries, non-disposable pessaries.
Urethral plug- to prevent SUI during high activity, these devices block the urethra while a vaginal device gives support through the vagina (these are used very rarely and in specific cases). Using these devices may irritate the vaginal tissue.
Address: Rao Saheb, Achutrao Patwardhan Marg, Four Bungalows, Andheri West, Mumbai, Maharashtra 400053
Phone: +91-98 88 66 22 00