Continence and Female Urology
Female Urology includes:
Female Continence Services
Incontinence is an embarrassing problem affecting a large number of women. The common causes are stress incontinencewhich mostly occurs after childbirth and an overactive bladderwhich affects women at any age.
Stress incontinence– leaking urine on coughing commonly affects women after childbirth. It may be associated with other urinary symptoms. Women require assessment and initial advice on lifestyle. Treatment starts with pelvic floor exercises and if this is not adequate to resolve the problem surgery, currently with a mid-urethral tension free synthetic sling.
Bladder Dysfunction– urinary frequency, leakage of urine with urge and bladder pain are common symptoms that affect women and need assessment, advice and treatment. This includes:
- lifestyle advice
- drug treatments
- Botulinum injections into the bladder muscle
- Bladder instillations eg Cystostat
- Tibial nerve stimulation
‘Cystitis’ – Urinary Tract Infections – women have a lifetime risk of 40% of cystitis, but troublesome in 20% at some time in their life. When this occurs they need assessment and investigation to exclude a cause and advice and treatment to help manage the infections.
This is less common than in women, and generally following prostate surgery or treatment for prostate cancer. After assessment treatment options include:
- bulking agents
- male sling
- Artificial Urinary Sphincter
*Now available Uromune Vaccination for recurrent UTIs*
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