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Stress Incontinence

Urinary Incontinence

Urinary incontinence is the unintentional release of urine. More than 13 million women in the United States alone experience urinary incontinence. It is twice as common in women as in men. If that comes as a surprise, it's probably because urinary incontinence - the sudden, unintentional release of urine - is one of those things that no one finds particularly easy to talk about. It can be a nuisance. It can be embarrassing. It can be uncomfortable. And sometimes, it is much more - urinary incontinence can limit your life so that you end up restricting or avoiding physical activity, travel or social relationships because of it.

What is urinary incontinence?

Incontinence, simply defined, is an uncontrolled release of urine from your bladder. Incontinence in women usually occurs because of problems with the muscles that help hold or release urine. Three sets of muscles are involved:

Bladder muscles. The bladder, a balloon-like organ, is where the body stores urine (water and wastes removed by the kidneys). During urination, muscles in the wall of the bladder contract, forcing urine out of the bladder and into the urethra, the tube through which urine leaves the body.

Sphincter muscles. Sphincter (sfingk-ter) muscles are located at the base of the bladder. They relax to open the urethra (yoo-ree-thrah), the tube that carries urine from the bladder to an opening in front of the vagina, and then they contract to close the urethra and stop urine flow.

Pelvic floor muscles. These muscles support the uterus and organs of the lower urinary tract, including the bladder and rectum.

Incontinence can occur if your bladder muscles suddenly contract, if muscles surrounding the urethra suddenly relax, or if pelvic muscles weaken.

Treatment option:

The majority of women with urinary incontinence have what is known as stress urinary incontinence (SUI), a treatable condition that affects women of all ages. GYNECARE TVT* Tension-free Support for Incontinence is a quick (usually less than 30 minutes), simple and minimally invasive treatment for some women with stress urinary incontinence. GYNECARE TVT is a doctor-applied ribbon-like strip that stops urine leakage the way your body was designed to -- by supporting your urethra

The procedure is performed under local anesthesia and the recovery period following the procedure is short - most women return to their routine in just a day or two, and patients experience few complications and minimal scarring after surgery. With an excellent safety record and high success rate (98% of women who participated in a study begun seven years ago are still dry, or experience significantly less leakage 1, this treatment can stop urinary incontinence so that you can take control of your life.

How it works?

GYNECARE TVT stops urine leakage the way your body was designed to- by supporting your urethra. Normally, the urethra is supported by the pelvic floor muscle to maintain a tight seal and prevent involuntary urine loss. In women with SUI, the weakened pelvic floor muscle and connective tissue can't support the urethra in its normal position.

To correct this using GYNECARE TVT, your doctor will insert a ribbon-like strip of mesh under the urethra to provide support whenever you stress this area (such as during a cough or sneeze). This allows the urethra to remain closed, when appropriate, preventing involuntary urine loss.

The unique elastic properties of the GYNECARE TVT, prevent the mesh from affecting normal voiding and is made from a permanent material that will be incorporated by your body.

The GYNECARE TVT mesh will be placed in one of two different methods based on your doctor's assessment. The mesh is placed under the urethra and exits near the creases of the thighs or is placed under the urethra and exits the abdomen just above the pubic bone.

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