Elk Grove Chiropractor Dr. Doug Ferguson DC 95758, Rhino Chiropractic

Simple, Safe Conservative Options In Managing Stress Urinary Incontinence

The need to find other methods in treating stress urinary incontinence (SUI) has become very crucial with the unabated increase in the number of women seriously injured after undergoing vaginal mesh surgeries for the repair of this condition. This has led to the development of new alternatives and a resurgence of treatment methods that have lost favor from doctors, due to the emergence of surgical mesh devices.

 

Prevention of SUI and maximizing of conservative and non-invasive approaches are the emphases right now. The following are options available to a patient:

 

Pelvic Floor Muscle Training

 

Considered by experts as a first-line option for addressing SUI along with lifestyle changes, regular pelvic floor muscle training (PFMT) has been recognized as an effective method in managing stress urinary incontinence (SUI). Involved in PFMT, which is also called Kegel exercises, is the strengthening of components that control the flow of urine such as the urinary sphincter and pelvic floor muscles.

 

Numerous studies have reported that patients experienced significant improvements in their conditions, which may be as high as 70 percent. This form of treatment has become favored by both doctors and patients, since this approach has no side effects, non-invasive, and no costs involved.

 

Weighted Vaginal Cones

 

For some women who may find it difficult to perform pelvic floor muscle training, weighted vaginal cones may be used instead. It has been shown by several studies involving a total of 1484 women that the use of vaginal weights may have the same effectiveness as pelvic floor muscle training.

 

Shaped like cones and available in different sizes, these weighted devices function by creating involuntary contractions to the pelvic floor muscles, resulting to the strengthening of these muscles. Even without the assistance of a doctor, a patient may easily insert this device into the vagina, making it very advantageous to users.

 

Electrical Stimulation

 

Another method of treatment for urinary incontinence which also involves the strengthening of the pelvic floor muscles is electrical stimulation. Medical practitioners have not embraced this method of treatment in spite of being in existence for over three decades in Europe and North America. It has been suggested that this may be due to the longer period of time needed to see progress, which may also require multiple treatments.

 

Electrical stimulation works by sending mild electrical current to the nerves in the back or pelvic floor muscles, through the electrodes inserted into the vagina or rectum. When the pelvic muscles contract upon stimulation, an effect similar to PFMT may be created.

 

Vaginal Pessary

 

One treatment option for SUI, which pelvic health specialists consider as effective but is not widely used, is the vaginal pessary. A recent study reported that satisfaction rate after one year of pessary use was a high 76 percent. The lack of knowledge and perhaps the discomfort perceived by patients may be the reasons behind the low acceptance of these devices.

 

This device, which is usually made of silicone, works by pressing against the vaginal wall and the urethra once it is inserted into the vagina. Urinary incontinence may be eliminated or at least reduced when the pressure exerted by the pessary results in the repositioning of the urethra.

 

Having found to be effective, inexpensive, with negligible side effects, and very simple to apply, patients with SUI have been encouraged to make the most of these conservative treatments. By being spared the need for surgical interventions such as vaginal mesh surgeries, which have been alleged to cause severe complications, women suffering from this very common disorder may also greatly benefit.

 

Vaginal mesh lawsuits have been filed by thousands of women who sustained serious injuries as a result of these complications. In a West Virginia court, claims against mesh manufacturers have exceeded the 40,000 mark, with AMS vaginal mesh lawsuits accounting for 12,253 as of the first week of December 2013.

 

References:


netdoctor.co.uk

ncbi.nlm.nih.gov

webmd.com

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