Dr. Aaron Campbell is a board certified physician who specializes in the diagnosis and treatment of many women’s health issues, including incontinence and vaginal prolapse. This may include prolapse of the bladder or uterus as well. He is able to offer a full range of surgical treatments for these conditions right here in Brenham. Dr. Campbell and the staff of Brenham Women’s Health are eager to serve residents who live in the Brenham, Texas are
Incontinence Q & A
by Aaron Campbell, MD, FACOG
What causes incontinence?
Urinary incontinence is caused when the bladder shifts to the side or is no longer sufficiently supported by the abdominal walls that once worked to help hold it in place. The loss of muscle strength and bladder support can be caused by chronic health concerns like degenerative bone disease in the back, fibromyalgia, and chronic fatigue syndrome. Surgical procedures that involve cutting the abdominal muscles in any way can weaken the muscles that support the abdominal wall and hold the bladder in place. Hernias that lie close to the area of the bladder may also be a culprit. When women enter menopause, the condition may begin to affect more than just her menstrual period. With time, the walls of the vagina will begin to become lax and lose their elasticity, the same is true for the structures that support the bladder.
What types of treatments are most effective?
Urinary continence responds well to strengthening the muscles and other structures in the pelvic area. Kegel exercises and other types of movement that increase the strength of the pelvic floor are also beneficial in this area. Laser procedures are available that work by rejuvenating tissues in the vagina. The laser therapy, however, is far reaching and can actually help the structures that support the bladder and kidneys as well. If the damage to the pelvic wall is extensive, the doctor may need to perform surgery. Using a sling to properly support the bladder and maintain the integrity of the pelvic wall is extremely important for good sexual health.
When does incontinence begin to pose a problem?
Urinary incontinence can begin to pose a problem when the person must repeatedly excuse themselves and go to the bathroom. While almost two-thirds of all women will experience certain issues when it comes to incontinence, the majority of them will have very few symptoms and the condition will remain as a nuisance until it’s treated. When a person begins to have difficulties controlling their bladder, it may be time to visit a urologist who will provide positive solutions to the problem before the incontinence worsens. If the amount of urine released with each sneeze or cough worsens, a visit to the doctor may make it possible for the doctor to create a treatment plan that will prevent the patients from feeling self-conscious about their problem.