Stress Urinary Incontinence
Customized SUI treatment
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Working closely with our patients, customizing treatment options
What Is Stress Inconstancy Leakage?
SUI refers to leakage of urine that occurs with movement or activity such as coughing, laughing, running, jumping jacks, or even just standing up.
SUI is different from leakage that occurs when a person feels they need to void and can’t make it to the restroom before some urine leaks out. This type of leakage is referred to by overactive bladder, urinary urgency, urge urinary incontinence. If you have this type of leakage, click here.
SUI and overactive bladder can occur together which is referred to as mixed stress and urge urinary incontinence.
Treatment for SUI
Evaluation and treatment with a pelvic floor physical therapist to learn targeted strengthening exercises for the pelvic muscles.
The providers at Modern Urology have identified well trained and educated pelvic floor physical therapists, and we work closely with these physical therapists to offer the best outcomes for our patients.
Vaginal estrogen is very safe to use, has minuscule absorption into the blood stream, and restores suboptimal thin vaginal tissue to its healthy state.
Healthy vaginal tissue is a vital component of treating many female urinary issues especially genitourinary syndrome of menopause.
Using 1-2 pea-size amounts of vaginal estrogen to the urethra and inside the vagina can safely bulk up the urethral tissue and result in an improved watertight closure of the urethra to help reduce urine leakage.
The providers at Modern Urology will address questions and concerns about topical vaginal estrogen so the patient can feel comfortable using this very safe cream.
Bulking agents can be injected around the urethra to help the urethra form a water-tight closure. This is a quick procedure done in the operating room and has immediate results.
Urethral bulking does need to be repeated to maintain its benefits and time to repeated bulking varies.
An outpatient surgical procedure that involves placing a hammock of mesh around the urethra to provide support. By supporting a “loose” urethra, the leakage stops.
A retropubic sling is different from vaginal mesh. Retropubic slings have never been removed by the FDA and are safe if the surgery is done by a specialist with significant experience. The providers at Modern Urology have significant experience in retropubic midurethral sling placement.
Fronczak’s success rate is exceptional for treatment of SUI with midurethral slings which is due to her precise and careful technique to properly place mesh and to prevent complications.