you are not alone - stress urinary incontinence
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Stress Urinary Incontinence (SUI)
RESTORE YOUR CONFIDENCE
Presented By:
Stress Urinary Incontinence (SUI)
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
0510152025303540
Top Chronic Conditions in the US (in millions)
Stress Urinary Incontinence (SUI)
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
Stress Urinary Incontinence (SUI)
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
Stress Urinary Incontinence (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
Stress Urinary Incontinence (SUI)
Basic Anatomy
In the diagram above the urethra is no longer
supported in the correct position.
Normal Pelvic Anatomy Female with SUI
Stress Urinary Incontinence (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
Stress Urinary Incontinence (SUI)
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
Stress Urinary Incontinence (SUI)
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
Stress Urinary Incontinence (SUI)
Stress Urinary Incontinence (SUI)
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
Stress Urinary Incontinence (SUI)
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
Stress Urinary Incontinence (SUI)
Stress Urinary Incontinence (SUI)
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.
Stress Urinary Incontinence (SUI)
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
Stress Urinary Incontinence (SUI)
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.
Stress Urinary Incontinence (SUI)
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.
Stress Urinary Incontinence (SUI)
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
Stress Urinary Incontinence (SUI)
Q & A
LT037 Rev. A 7-10 CM
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