|Women's Health Education Series...|
Women of all ages have bladder control problems. Some younger women find they can't hold their urine after having a baby. Others have problems when they stop having periods. Many women over the age of 75 also have bladder control problems.
You may feel ashamed about
bladder control problems. Remember that it's a medical problem and it's
not your fault. Millions of women have the same problem. Also, Don't
believe people who tell you that urine leakage is normal. It isn't. Most
of the time it can be improved. The first step is to ask your family doctor
to refer you to a urogynecologist who treat women's bladder and urine problems.
The newest and safest trend to deal with incontinence involves the use of polypropylene, an inert nylon-type material, that is placed right under the mid urethra to act as a backboard when one sneezes or coughs to then occlude or block the urethral opening and either decrease of stop the leakage of urine. These procedures are all called “Tension-Free” because the slings are not sutured into muscle, fascia, or bone and are just left alone for ones own fibroblast to ingrow and hold the mesh. You may hear the term TVT or TOT. They refer to the route the slings are placed. TVT, or tension-free vaginal tape can be placed through an incision right above your pubic bone. TOT, or transobturator tape, is placed through incisions on the crease of your inner thighs. These incisions are just about invisible. Both procedures are outpatient surgeries of about 15 to 30 minutes.
M. Alinsod, M.D., FACOG, ACGE
South Coast Urogynecology
The Women's Center
31852 Coast Highway, Suite 200
Laguna Beach, California 92651