|
|
|
|
TREATMENT OPTIONS
NON-SURGICAL TREATMENT OF URINARY INCONTINENCEPelvic Muscle Exercises Exercises, also known as Kegels, which strengthen the support of the pelvic organs to treat stress urinary incontinence; click here for specific instructions on how to perform Kegel Exercises Biofeedback A variety of techniques that teach bladder and pelvic muscle control through positive feedback provided by an electronic device or a health professional when the desired action is performed Bladder Training Gradually increasing times between scheduled trips to the bathroom to teach a patient with urge incontinence to urinate according to a timetable; click here for instructions about Bladder Training Bladder Diet Improving frequency and urgency by avoiding dietary
irritants to the bladder; click here for a copy of the Bladder Diet Medications Treating urge incontinence with prescription medication Prescription medication treats symptoms of urge incontinence by decreasing the intensity of involuntary bladder contractions that cause a strong desire to void. They also increase the volume of urine the bladder can hold before an involuntary bladder contraction occurs. They do not increase the time interval between an involuntary bladder contraction and the need to empty the bladder in response to a strong desire to void, prior to an incontinence episode. This is why bladder training remains an important treatment option for urge incontinence in addition to prescription medications. Prescription medications for treating urge incontinence can be taken by mouth. The major side effect of these medications is dry mouth. Recent advances in drug development have improved compliance with these prescription medications including a once-a-day formulation and alternative delivery methods designed to reduce unwanted side effects such as bladder instillations or skin patches. Click on the following links for further information about these prescription medications for treating urge incontinence. New prescription medications for treating urge incontinence are presently being developed and should receive FDA approval for marketing in the U.S. soonSupportive and Occlusive Devices Wearing specially designed pessaries for treating stress incontinence, such as Evacare® Pelvic Floor Electrical Stimulation Delivering electrical current to the pelvic floor through vaginal or anal probes for the treatment of urge and mixed incontinence; click here for more information on Pelvic Floor Electrical Stimulation Extracorporeal Magnetic Innervation Sitting fully clothed in a special magnetic chair that stimulates pelvic floor muscles; click here for more information about Extracorporeal Magnetic Innervation NON-SURGICAL TREATMENT OF PROLAPSEPelvic Muscle Exercises Exercises, also known as Kegels, which strengthen the support of the pelvic organs to treat stress urinary incontinence and prevent prolapse Pessary Worn in the vagina like a diaphragm, pessaries are devices that come in a variety of shapes and sizes to support the vagina, bladder, rectum and uterus SURGICAL TREATMENTS FOR STRESS INCONTINENCEBurch Retropubic Urethopexy Resupporting the bladder base by suturing the vagina to a ligament on the public bone; may be performed through an abdominal incision or a laparoscope Suburethral Sling (TVT®, Monarc®) Placing a synthetic or natural strap of material to support the urethra and prevent stress incontinence. A less invasive mid-urethral sling may be performed on an outpatient basis under local anesthetic. These sling products differ in technique and that location that they are placed. Periurethral Injections An office-based procedure of injecting material next to the bladder opening to prevent stress incontinence Suprapubic Catheter Placing a catheter into the bladder through the abdomen to drain the bladder after surgery Neuromodulation Surgically inserting electrodes into the nerves that control the bladder to treat overactive bladder, urinary retention and urinary frequency. Click here for more information about Neuromodulation SURGICAL PROCEDURES TO CORRECT PROLAPSEAnterior Colporrhaphy Vaginally reestablishing supports between the bladder and vagina to correct a cystocele Paravaginal Repair Attaching the vaginal wall to the pelvic sidewall to correct a cystocele, either vaginally or abdominally Posterior Colporrhaphy Vaginally reestablishing supports between the vagina and the rectum to correct a rectocele Halban's Culdoplasty Closing the space between the vagina and rectum
through an abdominal incision Transvaginal Enterocele Repair Closing the space between the vagina and rectum and resuspending the top of the vagina through a vaginal incision McCall's Culdoplasty Another procedure for closing the space between the vagina and rectum and resuspending the top of the vagina through a vaginal incision Moschowitz Culdoplasty Another procedure for closing the space between the vagina and rectum through a vaginal incision Total Abdominal Hysterectomy (w/ or w/o bilateral salpingo/oophorectomy) Removing the uterus, cervix, tubes and ovaries through a vaginal incision Bilateral Salpingo/Oophorectomy Removing the tubes and ovaries, either abdominally, vaginally or laparoscopically Uterosacral Ligament Suspension Suspending the top of the vagina to the uterosacral ligaments, either abdominally, vaginally or laparoscopically Sacrospinous Vaginal Vault Suspension Vaginally attaching the top of the prolapsed vagina to a ligament in the pelvis Sacral Colpopexy Abdominally or laparoscopically attaching the top of the prolapsed vagina to the sacrum using either synthetic or natural material Illiococcygeal Fascial Attachment Vaginally attaching the top of the prolapsed vagina to pararectal supportive material Total Colpectomy Correcting prolapse by completely closing the vagina Total Colpocleisis Closing the vagina while leaving side channels to drain the uterus Overlapping Anal Sphincteroplasty Correcting fecal Incontinence by reattaching divided muscle edges around the anus |
|
[Home] [Our Physicians] [Appointments] [Driving Directions] [Your First Visit] [Specialized Testing] [Questions?] [Treatment Options] [About Your Surgery] [Patient Handouts] [Pelvic Floor Research Center] [Fellowship Program] [Glossary of Terms] [Links] Copyright © 2005 USK, PLLC All rights reserved. |
