A telescope is introduced into the bladder to enable us to detect obstruction and other conditions. This test measures pressure in the bladder, urethra and rectum. It gives us information to determine if and what form of surgery will be helpful. Not all tests need to be performed in every patient. The urine specimen and cystometry are the more important ones.
Surgery is only helpful in stress incontinence, which is why the correct diagnosis is important.
Less weight means less strain on the bladder. This may not resolve the problem completely but it will be extremely helpful. Estrogens are important in maintaining healthy pelvic tissues. After the menopause, when the ovaries stop producing estrogen the pelvic tissues may become weaker leading to stress incontinence. Hormone replacement may be prescribed in the form of cream, patches or tablets to strengthen the pelvic tissues.