It’s incredible how the usual day-to-day things become risky. No bending. No sitting. No sudden movements. Sneezing and coughing are off limits, unless you cross your legs. You can’t even laugh out loud without worrying about what’s going on down there.
For your bladder to work properly, the outlet valves – called urethral sphincters – must also work properly. Their job is to squeeze during any strenuous activity such as laughing, coughing, or sneezing. Any time these occur, your diaphragm is activated. The downward movement of the diaphragm places pressure on your bladder. To prevent any accidental loss of urine, your Kegel muscles and urethral sphincter contract at the same time. This contraction prevents any leakage, known as stress urinary incontinence.
If they become damaged, or your pelvic floor is damaged and can’t support the urethral sphincters properly, your sphincters will not be able to contract at the time the diaphragm moves. Initially, it takes a very strong contraction of the diaphragm to overwhelm the mildly weak urethral and Kegel muscles. This results in mild stress incontinence.
But over time, as your pelvic floor muscles become weaker, less force is needed to beat the strength of the muscles. This results in a gradual worsening of the bladder leakage, until you develop severe stress incontinence. Some patients have told us that the simple act of bumping into a turnstile or even lifting a can of food resulted in loss of drops of urine.
Physical changes from pregnancy, childbirth, and menopause often cause stress incontinence. These result in damage to the nerves, ligaments, and muscles of the pelvic floor. While most women will recover their stregnth, some will have damage that results in stress incontinence that requires additional support.
Stress incontinence is the most common form of incontinence in women and is easily treatable.
Traditionally, the most effective method for addressing stress urinary incontinence was surgery. Over the past 10 years, vaginal slings have become the gold standard in outpatient surgeries. While effective, the procedures had their risks and complications, but the Better Bladder Center offers a non-surgical, in-office procedure that does not require anesthesia as an alternative. Our advanced solutions address the causes of urinary stress incontinence and provide relief from accidental urine leakage. Our procedures are for people with weak pelvic floor muscles that do not want to take the risks of surgery. By strengthening the muscles, we can help you regain your bladder control. After your therapy, the symptoms of stress urinary incontinence generally disappear.
Once a Better Bladder Center therapist has completed the course of treatment, you will be able to return to your daily activities without any side effects.