Classification of Incontinence Stress Incontinence Defined as the loss of urine with coughing, sneezing, laughing, exercising, or any activity that increases the pressure in your abdomen. It is due to weakness in the muscles that support the bladder and urethra. Must be done daily for 1- 3 months before improvement is noted. There are certain medications that can be prescribed to strengthen the urethra, or to relax the bladder. For women who are menopausal, estrogen intravaginal cream may be prescribed to help improve the health of the vagina and pelvic muscles.
Pessaries are devices that are placed in the vagina and add support to the bladder and urethra.
They are commonly used for women who have major medical problems and cannot take medication or have surgery. Surgery to improve stress incontinence may be performed through a vaginal or abdominal approach. The surgery may entail improving support to the bladder, lifting the neck of the bladder, placing a sling under the neck of the bladder, or injecting collagen around the urethra and bladder neck. Depending on what your symptoms are, and what your doctor finds on physical examination will determine which procedure is best for you. Women typically experience sudden, unexpected loss of large volumes of urine or leakage associated with a sudden urge to urinate that cannot be controlled.