Urinary Incontinence Initial Eval & Treatments

In today's episode, we talk about urinary incontinence. Following the initial diagnosis and treatments, then taking the mystery out of some complex medical procedures. Beginning with a thorough understanding of the body's signals, we break down the initial steps in diagnosis—discussing the importance of identifying triggers, symptom assessment, and the overall health context. Then, transition into stress incontinence. 

We dive into personalized care and programs, coaching benefits, as well as virtual group sessions as alternatives.

Beyond the basics, we explore various solutions, from user-friendly devices to non-invasive procedures. Then, it extends to advanced treatments, like surgery, and the developments in stem cell therapies. 

We'll address urgency incontinence through behavioral adjustments, dietary considerations, and medication.

Tune in for a comprehensive exploration of urinary incontinence, offering insights, hope, and a roadmap to empower those navigating this journey.

Podcast Show Notes Timeline:

Introduction:

• Overview of the episode's focus on the initial workup and treatment of urinary incontinence.
• Mention of guidelines from the American Urogynecology Society and the International Continence Society.

Patient Consultation:

• Importance of patient history in understanding leakage triggers and overall health.
• Screening for factors like previous treatments, pain association, voiding symptoms, and pelvic conditions.

Symptom Assessment:

• Detailed exploration of bladder diaries, questionnaires, and quality-of-life evaluations.
• Utilization of urinalysis and ultrasound to assess bladder function.
• Examination for estrogen status, muscle strength, and potential pelvic floor issues.

Stress Incontinence Treatment:

• Focus on pelvic floor muscle training as the gold standard.
• Individualized programs, coaching, and reinforcement in physical therapy.
• Exploration of virtual group options and recommended online resources.

Alternative Treatments:

• Introduction to peritrainers and devices like the Leva for pelvic floor strengthening.
• Insights into bulking procedures as non-invasive options.

Advanced Treatments:

• Overview of surgeries, including mesh slings and emerging stem cell therapies.
• Discussion on ongoing research, including a phase three clinical trial on stem cell therapy.

Urgency Incontinence:

• Emphasis on pelvic floor muscle training, behavioral modifications, and dietary considerations.
• Exploration of medications and their potential side effects.
• Insights into third-line therapies, including Botox injections and nerve stimulations.

Note: The information provided is educational and does not substitute personalized medical advice. Consult with healthcare professionals for tailored recommendations.