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Incontinence Treatments in Las Vegas

What is Incontinence?

Elderly patients often accept loss of urinary control as part of the aging process.  This view prevents them from seeking treatment.  Urinary incontinence is often a chronic condidtion which worsens with time.  The prevelance of incontinence may be as high as 30% in women over 65.  Often women resort to wearing sanitary pads or diapers to prevent ebarassment in social situations.  This results in feeling of shame and may lead to social isolation.  Incontinence Treatments

The two dominant types of incontinence are Stress and Urge.  Leakage of urine after a cough, sneeze, laugh, or with physical exercise is called Stress Incontinence.  Urge incontinence is the involuntary loss of urine associated with a sudden urge to urinate.  Stress incontinence is often corrected with surgery while urge incontinence is treated with medication.   

Stress Incontinence  

Stress incontinece occurs in women after middle age with history of multiple preganacies and vaginal deliveries.  A woman does not have to accept this condition as a "normal" part of aging.  A sling placed under the urethral lies like a hammock.  This hammock supports the urethra and prevents the involuntary loss of urine after a cough or a sneeze.  

Urge Incontinence

Urge incontinence is associated with an overactive bladder.  Medications are available which relax the bladder muscle making it less reactive to urges.  These medication come in 2 classes: anticholinergics and beta-3 agonists.  A urologist can determine which medical therapy is right for you among the myriad of available options.  For those which medication are no longer effective, hope remains.  Novel techniques such as Botox injection in the bladder or implantation of a nerve stimulator are viable options.