The Expert Guide to Fixing Stress Urinary Incontinence
Living with the Embarrassment of Urine Leaks For many women, a simple laugh with friends or a sneeze can turn into a source of anxiety. In this insightful discussion, Dr. Ranjana Dhanu addresses a silent struggle faced by countless women: Stress Urinary Incontinence (SUI). Often described as the "tip of the iceberg," many women suffer in silence, believing they must endure involuntary urine leakage as a natural part of aging. Dr. Dhanu assures us that this is a myth effective treatment is available.
What Causes the Leak? SUI is characterized by the involuntary leakage of urine during actions that raise abdominal pressure, such as coughing, sneezing, laughing, or exercising. In younger women, the angle of the urethra and bladder prevents this. However, factors like childbirth, menopause (lack of estrogen), obesity, chronic constipation, or even heavy lifting can cause this angle to straighten out, leading to leaks.
The Solution: Beyond Kegels While Kegel exercises are often the first line of defense, Dr. Dhanu explains that for older women lacking estrogen and collagen, exercises alone may not suffice. The gold standard solution discussed is the TVT-O (Tension-free Vaginal Tape - Obturator), often referred to as a "bladder collar."
How the Procedure Works This minimally invasive vaginal surgery involves placing a global-standard tape to support the bladder neck, restoring the correct anatomical angle. The procedure is remarkably quick (12–15 minutes), leaves no abdominal scars, and boasts a 97% to 99% success rate. Recovery involves a short period of abstinence from sexual activity to allow healing, along with estrogen support.
Reclaiming Quality of Life There is no need to become a social recluse or rely on heavy pads. With proper diagnosis ruling out diabetes and infections this procedure offers a life-changing restoration of confidence and hygiene.
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