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Female Urology and Incontinence

Millions of women experience involuntary loss of urine called urinary incontinence (UI). Some women may
lose a few drops of urine while running or coughing – stress urinary incontinence. Others may feel a strong,
sudden urge to urinate just before losing a large amount of urine – urge urinary incontinence. Many women
experience both symptoms. UI can be slightly bothersome or totally debilitating. For some women, the risk
of public embarrassment keeps them from enjoying many activities with their family and friends. Urine loss
can also occur during sexual activity and cause tremendous emotional distress.

Signs and Symptoms
•Stress urinary incontinence: is the complaint of involuntary leakage on exertion or with sneezing or coughing.
•Urge urinary incontinence: is the complaint of involuntary leakage accompanied by or immediately preceded by a sudden compelling desire to urinate which is difficult to defer. Typically, this is described by patients as having a strong, sudden urge to urinate followed by running to get to the nearest bathroom, but often not making it in time, which may result in leakage of urine or complete bladder emptying.
•Mixed urinary incontinence: is a combination of stress and urge incontinence.

Treatments
Synthetic midurethral slings
Injection of a periurethral bulking agent
Autologous fascial slings and retropubic suspensions
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