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AUA & SUFU Release Guideline on Treatment of Stress Urinary Incontinence

With nearly 50 percent of women in the United States experiencing symptoms of stress urinary incontinence (SUI), the American Urological Association (AUA), a leading global urology association and the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU), the premier urological subspecialty society dedicated to improving the art and science of female pelvic medicine and reconstructive surgery, recently released a joint evidence-based clinical guideline on the surgical treatment of SUI in women.  SUI is defined as the involuntary leakage of urine due to increased abdominal pressure, which can be caused by such activities as physical exercise, sneezing, laughing or coughing. Approximately half of all women experience SUI symptoms during their lifetime, and many of these women are sufficiently bothered by their symptoms to seek treatment from a physician. Pelvic floor muscle exercises and other nonsurgical treatments can be effective therapies, but many women choose to undergo surgery to treat their SUI symptoms. Read more.

Source: PRNewswire, April 18, 2017

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Strong Muscles Tied to Lower Risk of Incontinence in Older Women

Women who have more lean muscle mass or better grip strength may be less likely to experience a common type of urinary incontinence, a study suggests.  That’s because strong muscles may help counter what’s known as stress urinary incontinence, which happens when the pelvic floor muscles supporting the bladder are too weak to prevent urine leaks when people do things like cough, sneeze or exercise. Childbirth is a common reason for weak pelvic muscles, and obesity makes the problem worse. Read more.

Source: WHBL, December 15, 2016

hormones change as women age

When Bathroom Runs Rule the Day (and Night)

I have only one regret about not having been born a male, and it concerns plumbing, namely how easy it is for men to eliminate liquid waste,  whether by avoiding long bathroom lines or being able to relieve themselves discreetly when no facility is available.  My male envy grew after I contracted poison ivy on unmentionable parts when nature called during a hike in the woods. Urination has long been a vexing problem for women.  Read more.

Source: New York Times, December 12, 2016

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Botox Beats Implant for Urinary Incontinence in Women

For women with bladder incontinence who haven’t been helped by medications or other therapies, Botox injections may help control leakage better than an implanted nerve stimulation device, a new study suggests. However, both treatments are effective, according to doctors who treat the condition. In a head-to-head comparison, women given Botox saw their number of daily urgency incontinent episodes decrease by four, on average, compared to three for women who received the implant, called InterStim.  Botox patients also said they had a greater reduction in symptoms and were more satisfied with the treatment, the researchers said.  Read more.

Source: HealthDay News, October 4, 2016