Dr. Alinsod discusses the treatments available to women with stress incontinence.
Stress incontinence by itself can be treated a myriad of ways. Many women already are doing Kegel exercises. Those are the exercises where the woman tries to squeeze her pelvic and vaginal muscles to try to strengthen it and gain control. These exercises can be done while the woman is driving, at home, doesn’t have to go to a gym for this, but they are called Kegel exercises, and so they are pelvic muscle strengthening exercises.
You can also treat stress incontinence issues with pelvic floor physical therapy so you can learn which muscles you are squeezing. There are specialists in this; pelvic floor physical therapists can do it. There are certain machines that can be used to strengthen your muscles with electrical stimulation, like a TENS unit to make the muscles contract.
If those conservative things don’t work, other treatments would be radio frequency treatments of the urethra. There’s a device called the Renessa, Renessa procedure that tries to increase the collagen structure in the urethra so that there’s more resistance to the leakage.
And then if those conservative things don’t work, most surgeons would put a sling in, a piece of usually polypropylene or a nylon mesh underneath the urethra to support the urethra. It’s thought that lack of support from the urethra is the major cause of stress incontinence.
About Dr. Alinsod, M.D., F.A.C.O.G., A.C.G.E.:
Dr. Red Alinsod, M.D., F.A.C.O.G., A.C.G.E., graduated from Loma Linda University School of Medicine, Loma Linda, California, in 1986 and completed his OB/GYN residency at Loma Linda University Medical Center in 1990. His focus in those early years was pelvic surgery. He was the first Rutledge Fellow at MD Anderson Cancer and Tumor Institute and was also selected as a Galloway Fellow at Memorial Sloan Kettering Medical Center.