The two common types of urinary incontinence are stress urinary incontinence and urge incontinence. Stress urinary incontinence is urine leakage due to coughing, laughing, exercising or sneezing. Urge incontinence is a sudden urge to urinate that leads to involuntary loss of urine.
“Urinary incontinence can affect quality of life and there are multiple treatment options available for women,” Singh said.
Treatment options for stress urinary incontinence may range from lifestyle modifications and pelvic floor physical therapy to nonsurgical devices, such as a pessary, and surgery. A pessary is a silicone device inserted into the vagina, and designed to support the urethra and improve urinary leakage.
Singh specializes in midurethral sling procedures, which is a common minimally invasive procedure performed for stress urinary incontinence. It can result in improvement of symptoms in 85% of women and has a quick recovery time and high cure rate.
Urge incontinence, or overactive bladder, is a condition whereby patients may experience a strong urge to urinate, frequent urination and urinary leakage with the urge to void.
As an initial management option for overactive bladder, Singh recommends a conservative treatment that includes dietary modification, limiting bladder irritants, such as caffeinated and carbonated products, lifestyle modifications and pelvic floor physical therapy.
Other treatment options that can help improve overactive bladder symptoms include medications, bladder Botox injections and nerve stimulations.
“Educating women about PFDs and the available options is the key to empower them to achieve treatment goals,” Singh said.