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Posted by Martha on May 17, 1999 at 20:06:09 I had surgery 8 wks. ago to "tack-up" my bladder to help with stress incontinence. So far it seems to have been very helpful. I am also being treated for urge incontinence. Recently, while having intercourse, I leaked a large amount of urine. Although my husband was very understanding, I was very embarassed. Is this a problem that relates to either my stress or urge incontinence? This has happened 2 or 3 previous times over the last 2 years. I am also being followed for, as of yet, undiagnosed neuromuscular problems which include the bladder problems, bowel difficulties, tremors, fatigue, and myoclonic jerks among the symptoms. Any thoughts would be appreciated.
Posted by HFHS M.D.-CK on May 18, 1999 at 11:21:03
Dear Martha,
Urinary incontinence can be divided into subtypes. Overflow incontinence is associated with incomplete bladder emptying. This type of leakage may be associated with obstructive changes after bladder suspension or with a neurologic disease causing decreased strength of the bladder. This can be tested for with a post-void residual urine measurement. Urge incontinence is another subtype where the bladder has uninhibited contractions causing leakage. Medicines and behavior modifications to keep the bladder on the empty side (decreasing fluid intake, avoiding caffeine, emptying the bladder every two hours by the clock) are used to treat this type. Stress incontinence (leakage with coughing, sneezing, lifting, or pressure during intercourse) is treated surgically if more conservative measures fail.
Since your surgery was only eight weeks ago your symptoms may continue to evolve. If they persist, fluorourodynamic studies to evaluate bladder filling, emptying, bladder anatomy, and bladder pressures may prove helpful in directing therapy.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. We of the Department of Urology at the Henry Ford Hospital have experience with difficult and involved urological problems such as you describe. If you would like to make an appointment [for a second opinion], please call us at (1-800-653-6568). We can also arrange local accommodations through this number if this is your need. Please bring any x-rays [and pathology slides] (not just the reports) as well as any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.
Sincerely, HFHS M.D.-CK
*Keyword: incontinence
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