You Are Not Alone - Stress Urinary Incontinence

Stress Urinary Incontinence (SUI)

RESTORE YOUR CONFIDENCE

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Discussion Points

You Are Not Alone What is SUI? Causes of SUI Incontinence Impacts Types of Incontinence What to Expect at your Doctor Visit What Are My Treatment Options Summary Q & A

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Top Chronic Conditions in the US (in millions)


1. Adapted from: National Center for Health Statistics. Vital Health Stat.10;1994. 2. Adapted from: Fantl JA et al. Managing Acute and Chronic Urinary Incontinence. Clinical Practice Guideline. No. 2, 1996 Update. Rockville, MD: Agency

for Health Care Policy and Related Research; January 1996. AHCPR publication 96-0686.

You Are Not Alone


You Are Not Alone

Stress Urinary Incontinence (SUI) The involuntary leakage of urine with physical stress, such as coughing,

sneezing, laughing, bending and exercise.

Prevalence Over 15 million Americans experience SUI, mostly women. SUI can occur at any age – it is the most

common type of urinary incontinence in women.

While more common in older women, SUI is NOT inevitable with age and SUI is NOT a normal part of aging.

With new and minimally invasive techniques available, you no longerneed to live with SUI.

US Female Population

0 2,000 4,000 6,000 8,000 10,000 12,000

30-34

40-44

50-54

60-64

70-74

80+

# o

f Y

ears

Population (in millions)

Est. 15 million adult women suffer SUI


What is Stress Urinary Incontinence?

SUI in women usually occurs because the pelvic muscles that help to hold or release urine have been weakened.

If coughing, sneezing, exercising, laughing or doing other activities that put pressure on your bladder causes urine to leak, you may have Stress Urinary Incontinence.

Image source: NIDDK Image Library


Basic Anatomy

In the diagram above the urethra is no longer

supported in the correct position.

Normal Pelvic Anatomy Female with SUI


What Causes SUI?

Stress Urinary Incontinence is the most frequently diagnosed form of incontinence and can be caused by many different medical problems, including diabetes and weak pelvic muscles.

Pelvic muscles and connective tissue are often weakened by:

Pregnancy Child Birth Menopaus

e

Previous Pelvic Surgery

Obesity Smoking


Mild to Severe SUI

Many women leak small amounts of urine during physical activity such as coughing or laughing. Mild leakage effects most women at some time in

their lives. Severe SUI occurs most frequently in

women between the ages of 30-60 years and in women who have had previous pelvic surgery. Women with severe SUI may require 6-8 pads per

day or more and may avoid activities outside of the home.

Incontinence Impacts

Embarrassment / lack of awareness of treatment keep women from seeking SUI treatment 62% wait a year or longer before discussing with physician1

17% wait 5 or more years1


1. The 2001 Gallup Study of Incontinent Women2.Waetjen, L. Elaine, et al. “Stress Urinary Incontinence Surgery in the United States,”Obstetrics & Gynecology. Vol. 101, N0. 4, April 2003, p671-676. Stefanakos, Victoria Scanlan. “Hold It! (If You Can),”Working Mother, p25-26.3.Wilson, Leslie, et al. “Annual Direct Cost of Urinary Incontinence,”Obstetrics & Gynecology. Vol. 98, No. 3, September 2001, p400.

3 Types of Urinary Incontinence



What to Expect

Your doctor will ask about your symptoms and medical history

A physical examination will be performed

Bladder Diary To record when you void and what liquids you consume

Bladder Diary


Fluid intake

Leakage episodes

Pad count/day

Night time voids

Daytime voids

Voided amounts

Bladder Irritants

Caffeinated beverages Coffee, tea, soda Alcohol Tobacco Citric fruits & drinks Chocolate Spicy, tomato foods



Non-Surgical Treatment Options

Depending on the severity of your SUI you and your doctor may

first consider non-surgical options: Kegel Exercises

Consists of a series of pelvic exercises to help increase the strength of the pelvic floor.

Kegel exercises may reduce or cure mild cases of stress leakage.

Bulking Agents Consist of a collagen or a biocompatible substance injected around the

urethra to reinforce the surrounding tissues. The effects of bulking agents are usually temporary and the cure rates

are lower compared to surgery.

A Pessary A stiff ring that is inserted into the vagina. The pessary presses against

the wall of the vagina and the nearby urethra, which helps reposition the urethra leading to less stress leakage.


Surgical Treatment Options

For patients whose lives are adversely effected by SUI, surgery may be suggested.

A sling procedure is used to help rebuild and restore support under the urethra.

Slings have the highest rate of success of all treatment options. A sling is a synthetic, knitted polypropylene mesh which has

been proven to effectively treat SUI. The procedure is usually performed as an outpatient and takes

about 30 minutes. Caldera Desara® Sling


Supported urethra using sling

Sling Placement

Placement depends on your condition and doctor preference. Typically the sling is placed through two small incisions.

The sling is placed under the skin, resting just below the urethra creating a hammock to support the urethra so you can maintain bladder control.

The sling is not visible and your own tissue will quickly grow into the sling material. This tissue ingrowth will help you regain continence.


Your Recovery

Generally patients are able to go home the same day of surgery.

Resuming Activities Many women are able to return to their daily activities within

several days. You will want to avoid sexual intercourse, heavy straining and

lifting for about six weeks. Pain Management

Pain from the procedure is usually mild and well managed with medication.

Catheter A catheter may be inserted to drain urine from your bladder.

Depending on the progress of your recovery your doctor will decide on the length of time it will be needed.

Results In most cases women see results immediately after the

procedure with little pain or discomfort. Risks

Serious complications are rare.


Summary

Urinary incontinence is common in women

Incontinence can be treated at any age

Thousands of women have been successfully treated with the Desara® Sling System

Get Your Life Back; there is no reason to live with incontinence


Q & A

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You Are Not Alone - Stress Urinary Incontinence

Health & Medicine

sui treatment

severe sui

urinary incontinence

chronic urinary incontinence

adult sui

diagnosedform of incontinence

physical stress

mild cases of stress