Question Title: Sphincter and incontinence

Dear Shirley,
Thanks for your questions but more history is needed.
Have you been diagnosed with mostly stress or urge incontinence. I am not familiar with the term “30 power” as a gauge to sphincter strength. Does this mean your “ leak point pressure” (the pressure in your bladder at which you leak) is at 30 cm of H2O? Collagen is used to help the urethra stay closed in stress urinary incontinence caused by abnormally weak sphincter. What type of bladder surgery did you have?, a bladder neck suspension?, a pubovaginal sling? These are surgeries for stress urinary incontinence. Do you have risk factors that would predispose you to fail surgery? obesity?, chronic coughing i.e. smoker? If you have failed one of these surgeries in the past you maybe a candidate for repeat surgery. A sling is recommended for a failed bladder neck suspension. I would certainly ask your doctors these questions for a more tailored answers to your particular condition.

More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.

This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: incontinence, stress urinary incontinence, incontinence surgery