Intractable Urinary Incontinence Despite Treatments and Surgeries

My Story – Submitted by: Marguerite

I have suffered from intractable urinary incontinence for 20 years with many treatments and no success.   I have undergone the so-called gold standard Burch Procedure surgery during which time I acquired Clostridium difficile in the hospital.  I have had vaginal mesh surgery. I have  tried Medtronic’s Interstim implant in my buttocks to stimulate my sacral nerve (which later was removed as no longer functioning) and have had several infusions of botox in my bladder. I have had cocktails injected to treat (non existent) interstitial cystitis and now I rely on self-catheterization to Continue reading

mother post pregnancy

More Than Just a Cosmetic Procedure — ‘Tummy Tuck’ Reduces Back Pain and Incontinence

In addition to restoring the pre-pregnancy shape of the abdomen, abdominoplasty (‘tummy tuck’) surgery with muscle repair can improve back pain and urinary incontinence after childbearing, reports a study in the March issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).  Although abdominoplasty is classified as a cosmetic procedure, it also improves two of the most common physical complaints experienced by women after labor and delivery. According to the new research “Abdominoplasty has a proven functional benefit as well as a cosmetic benefit,” comments lead author D. Alastair Taylor, FRACS, of The CAPS Clinic in Deakin, Australia. Read more.

Source: EurekAlert, February 28, 2018

Apple iPhone

BewellConnect’s MyPeriTens Multi-Action Pelvic Floor Trainer

BewellConnect recently unveiled their new pelvic floor muscle trainer to help women with related issues, including post-partum complications and incontinence. The MyPeriTens device is both an electrical nerve stimulator and electrical muscle stimulator that is controlled through a smartphone app, allowing women to have precise control over the intensity and nature of the electrical signals delivered.  The smartphone app has a number of routines built in that the woman can perform on her own, or with assistance of a physical therapist. Each routine can be selected to run at the patient’s preferred intensity level, maximizing benefits while keeping any pain and discomfort at a minimum.  Read more.

Source: Medgadget, February 15, 2018

pregnancy woman childbirth

There Are Some Benefits to C-Sections, Researchers Say

It may seem like undergoing surgery to have a child wouldn’t have a lot of advantages, but it turns out there may be some benefits to having a cesarean section.  Experts warn, however, that it doesn’t mean you should schedule the operation unless it’s needed.  A study in PLOS Medicine concluded that women who have cesarean deliveries (also known as C-sections) have a lower risk of urinary incontinence and pelvic prolapse.  Dr. Sarah Stock, who researches preterm birth at the University of Edinburgh in Scotland, and her team looked at one randomized controlled trial and 79 cohort studies involving nearly 30 million women.  The studies looked at long-term outcomes of women who had the surgery compared to those who delivered vaginally. Read more.

Source: Healthline, January 23, 2018

sleep woman nocturia

Sleep Quality Improves with Help of Incontinence Drug

A drug used to curtail episodes of urinary incontinence in women also improves quality of sleep, a researcher at the Stanford University School of Medicine reports.  People who experience urinary incontinence, especially at night, often have trouble maintaining normal sleep cycles. Now, the Stanford researcher sees promise in using one drug to help remedy both problems.  “Two of the biggest quality-of-life factors for older women are poor sleep quality and incontinence, and the older you get, the more prevalent both conditions are, and they do seem to be correlated,” said Leslee Subak, MD, professor and chair of obstetrics and gynecology. “And so, if we can find a drug to treat one and effectively decrease the other too, that could be big for improving quality of life.”  Read more.

Source: Stanford Medicine News Center, January 11, 2018

You may also with to read:  Incontinence Drug May Help Sleep Dysfunction in Older Women

women friends

Elidah Welcomes the New Year with New Funding for Incontinence Therapy

Elidah (http://www.elidah.com) has received multiple awards for further development of its neuromuscular stimulation technology to treat incontinence. Elidah has received a grant from the National Science Foundation (NSF) to continue development of its wearable device, Elitone, designed to treat urinary incontinence, a condition that affects one in three women. Additionally, the Defense Health Agency (DHA) Small Business Innovation Research (SBIR) Program in the Department of Defense (DoD) has awarded Elidah a contract to develop and adapt the Elitone technology for the treatment of injured Service members. These awards start in January 2018. Read more.

Source: NBHerard, January 9, 2018

women friends

USPSTF Recommends Against HT for Prevention of Chronic Conditions in Postmenopausal Women

Hormone therapies in menopausal women are associated with some beneficial effects, such as decreased risk for diabetes and fracture, but are also associated with increased risks for stroke, thromboembolic events, gallbladder disease and urinary incontinence, according to an evidence report and systematic review for the U.S. Preventive Services Task Force.  In 2012, the USPSTF recommended against the use of HT for prevention of chronic conditions, and the current update continues to recommend against its use.  Read more.

Source: Healio, December 12, 2017

DNA genetics

New Genomic Analysis Promises Benefit in Female Urinary Incontinence

Urinary incontinence in women is common, with almost 50% of adult women experiencing leakage at least occasionally. Genetic or heritable factors are known to contribute to half of all cases, but until now studies had failed to identify the genetic variants associated with the condition. Speaking at the annual conference of the European Society of Human Genetics today (Monday), Dr Rufus Cartwright, MD, a visiting researcher in the Department of Epidemiology and Biostatistics, Imperial College, London, UK, will say that his team’s investigations hold out the promise that drugs already used for the treatment of other conditions can help affected women combat this distressing problem. Read more.

Source: Medical Xpress, May 29, 2017

nurse and patient

Incontinence Tied to Low Testosterone in Women

A possible link between low levels of testosterone in women and urinary incontinence raises the possibility that testosterone replacement therapy might help, results from a new study suggest.  “Testosterone may prevent pelvic floor atrophy, thereby reducing the risk of urinary incontinence,” said investigator Michelle Kim, MD, PhD, from Massachusetts General Hospital in Boston.  Levator ani muscles are known to have androgen receptors. In one rodent model, testosterone administered after surgically induced urinary incontinence resulted in levator hypertrophy (Int Urol Nephrol. 2011;43:1003-1008).  Because it is unclear whether the same association exists in humans, Dr Kim and her colleagues were prompted to assess the correlation between testosterone and incontinence. Read more.

Source: Medscape, May 18, 2017

Acupuncture

Acupuncture Stops Urinary Bladder Leakage Over Drugs

Acupuncture outperforms drug therapy for the treatment of mild to moderate female stress urinary incontinence (FSUI). Researchers from Weihai City Hospital of Traditional Chinese Medicine conclude that electroacupuncture is effective for the control of FSUI. In the study, an electroacupuncture treatment group produced a positive patient outcome rate of 86.7%. The drug control group produced a 68.9% positive patient outcome rate for the treatment of FSUI. The electroacupuncture group had a significantly higher complete recovery rate and total effective rate. Read more.

Source: Health CMi, May 9, 2017