House Call: Treatment for women and incontinence

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Urinary incontinence affects millions and can have a significant effect on quality of life.  The two most common forms of urinary incontinence are urge incontinence and stress urinary incontinence. 

Urge incontinence, also known as overactive bladder, is characterized by the strong, sudden need to urinate due to bladder spasms or contractions and is often treated through the use of medications and neuromodulation therapies, such as percutaneous tibial nerve stimulation (PTNS). 

Stress urinary incontinence occurs when the pelvic floor muscles are weakened and unable to prevent urine from flowing when pressure is placed on the abdomen, such as when coughing or sneezing. While physical therapy and/or therapeutic pessaries (device used to support the uterus) help many patients suffering from stress urinary incontinence, many still need surgery to solve the issue and return to their normal lives. 

Surgery for stress urinary incontinence most often involves the placement of a tension-free vaginal tape (TVT) sling under the urethra.  Once the sling is in place, when pressure is applied to the abdomen, it “kinks” the urethra preventing leakage. 

Surgery for stress urinary incontinence is a minimally-invasive procedure, often allowing for patients to return home from the hospital within the same day of surgery. The recovery period is also short, with most patients back on their feet and returning to normal routines within a few days. 

Fortunately, the Cone Health network has an exceptional team of OB/GYN specialists, urologists and other-related medical professionals trained in surgery for incontinence and dedicated to helping patients in the community regain their quality of life and control of their bladder.

Spokesperson Background:

Dr. Kelly Fogleman is an obstetrics and gynecology specialist at Wendover OB/GYN and Infertility and a member of the Cone Health Medical Staff. Dr. Fogleman is a 2004 graduate of University of North Carolina at Chapel Hill School of Medicine.  She completed her residency in Obstetrics and Gynecology at Women and Infants Hospital/Brown of Rhode Island.

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