Stress Urinary Incontinence Case Study

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Stress Urinary Incontinence (SUI) is leakage of urine during increased abdominal pressure, such as sneezing, coughing, physical exercise, lifting, bending and even changing positions.1 There are two principal causes of this urine leakage: Stress Urinary Incontinence and more rarely, stress-induced detrusor over activity, which involves involuntary detrusor contractions that are caused by sudden increase in abdominal pressure.2
Stress Urinary Incontinence can have a significant impact on patient’s quality of life, affecting day to day activities, participation in sports, sexual activity and can result in isolation. Consequently, it is important for the healthcare provider to discuss these issues with the patient to determine how bothered she is by the condition and to dispel some common myths associated with SUI.3 There are many treatment options and the healthcare provider should have an in-depth conversation with the patients to counsel them on what the evaluation will entail, various treatment options,
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Electrical stimulation, weighted vaginal cones and drug therapy may reduce stress incontinence. Bulking agents reduce leakage, but effectiveness generally decreases after1–2 years.6 Surgical procedures are more likely to cure stress urinary incontinence than nonsurgical procedures but are associated with more adverse events. Many women with SUI do not seek care for their condition because of embarrassment, lack of knowledge about possible treatments or fear that treatment will require surgery.7 Several studies have shown that if less invasive treatments become more available, more patients may be willing to seek care without the fear of surgery.4 Many researchers are therefore searching for a minimally invasive treatment that offers good efficacy, safety and a short recovery