Posts Tagged ‘urinary incontinence’

Study Reports Constipation As Complication Of POP, SUI

Wednesday, February 26th, 2014

Medical experts have long accepted that constipation is among the leading risk factors of pelvic floor such as pelvic organ prolapse (POP) and stress urinary incontinence. This would also apply the other way around, based on the results of a study performed not too long ago which found that women with POP and SUI are also exposed to increased risks of suffering constipation.


With the objective of determining the connection between POP, constipation, and dietary fiber intake in women, a clinical study was conducted by a team of researchers from the Department of Obstetrics and Gynecology, University of Pennsylvania in Philadelphia. This was carried out with the hypothesis that women diagnosed with POP are more likely to develop constipation than those without this condition and that this disorder is related to the intake of dietary fiber.


Involved in this study were 90 women who were asked to join the clinical trial when they reported for their annual gynecological examinations. Sixty women who were diagnosed with stage 2 POP composed the study group while the 30 remaining participants were made the control group. All the subjects were requested to complete questionnaires designed to assess their POP, SUI, and constipation conditions. To determine the level of dietary fiber in their diets, a similar questionnaire, which featured 124 food items, was also given.


Outcome of Study


That women with POP had increased risk of constipation compared to those under the control group was the conclusion made based on the results. This risk became even higher for those who were also diagnosed with SUI, which constituted 38 percent of the study group. The researchers also suggested that the lack of dietary fiber may partly contribute to the increased risk of POP after it was found that those with this condition had lower intake of insoluble fiber. These findings were arrived at after establishing that there were no significant differences in mean age, number of childbirths, and estrogen status.


Significance of Study Results


The outcome of this study is very significant in that it makes women aware of the possible complication of constipation should they develop this common pelvic floor disorder. Women now should be encouraged to include insoluble fiber in their diet for its laxative effect. In addition to this diet change, approaches such as exercises, water intake, and medications may also be observed in the management of constipation.


The prevention of this pelvic floor disorder is perhaps the best thing a woman may do to avoid constipation and other complications resulting from POP. Making changes in her lifestyle and behavioral practices and engaging in pelvic floor muscle training are examples of ways to achieve this goal.


Doing this may prove beneficial to a woman especially considering that this disorder can have a very huge negative impact on a woman’s quality of life. It has been known that this may worsen the problem if surgical options, such as vaginal mesh surgeries, may be required. After being implanted with these mesh devices, thousands of women sustained serious injuries. Due to the numerous injuries suffered by women, a doctor has likened the vaginal mesh to a ticking time bomb.




Study Shows Incontinent Women Unsatisfied With Sex Life

Tuesday, February 25th, 2014

The very common urinary incontinence, which affects over 18 million American women, can have an immense negative impact on a woman’s quality of life, as shown by results of various studies. An area which can have a harmful effect is the woman’s sexual life, although this may not have been given much attention.


It was reported, based on a study conducted in Sweden, that majority of the women diagnosed with urinary incontinence believed that sexuality is a vital part of their lives. Almost all women felt that their urinary problems have been a barrier not only in fully enjoying their sex lives but also in their relationship with their partners.


While there may be instances of actual leakage during the sexual contact, in most cases it is the fear of leaking urine that has prevented them from enjoying the moment with their loved ones. These women may also have the feeling that they are not fresh and that they may have the smell of urine or other offensive odors. Another concern raised by these women is the possibility of having to get up in order to go to the bathroom.


These factors, whether real or imagined, may contribute to the woman’s sexual dysfunction in many ways. The loss of sexual desire has been attributed by many women to this condition. It may also become impossible for some women to achieve sexual arousal due to their fears even if the desire may be present. Even harder still for these women is the ability to reach orgasm.


Instances in which incontinent women experience pain during sexual intercourse are not isolated. Although there is the possibility that the pain may be directly related to her condition, in majority of these cases, this pain may be traced to her emotional condition. Due to her fear of leakage, being embarrassed, and the inability to relax, sufficient vaginal lubrication may not be achieved. This will surely cause pain during penetration and even more during the actual contact.


Even with this difficulty, this does not mean that it is hopeless to have a satisfying and meaningful sexual life for the woman. For the incontinent woman, there may be some things she may do to manage this problem. For one, being understanding and giving the necessary support, the husband can be of tremendous help. The wife may actually have an enjoyable evening with the husband showing patience and helping her relax.


There are also a number of conservative methods of treating this condition, such as behavioral changes and pelvic floor muscle training, which may directly benefit a woman’s sexual life. When regularly observed and practiced, these approaches may prove very valuable in the prevention of this pelvic floor condition. Knowing the risks involved in the development of urinary incontinence will definitely be of tremendous help also.



SUI Reduced Significantly With Pressure-Attenuation Device, Study Shows

Monday, February 10th, 2014

Stress urinary incontinence (SUI), with over 18 million women reported to be affected, is without question a medical condition in which much attention is warranted. As the controversy of the vaginal mesh surgery persists, efforts in finding alternative methods of treating this very common pelvic floor disorder have been exerted by several concerned sectors.


The intravesical pressure-attenuation device is one such innovation, which has been described by researchers as very promising. This novel balloon-like device is intended to reduce or eliminate episodes of SUI among patients.


Made of polyurethane materials, this balloon is inserted into the urethra through a tube and which is then inflated with the proper volume of air. Once inflated, the balloon may act as a cushion in the bladder when abdominal pressure is exerted through activities like laughing, sneezing, coughing, and other physical movements. By absorbing the sudden changes in pressure in the bladder, urine leakage may be reduced or entirely eliminated.


Clinical Trial Results


A clinical trial involving 166 women with SUI was conducted by a group of medical researchers aimed at testing the device’s efficacy and safety. Formed during the study was the pressure-attenuation device group with 112 women and the control group comprising of the remaining 54 subjects. Placement of the devices was done by the doctors at the start of the study and replaced after 90 days.


Recorded and evaluated by the researchers were the outcomes for every month up to the sixth month. At the end of six months, it was determined, based on subjects’ three-day voiding diaries, that urine leakage dropped from 4.4 per day to 2.5 or a reduction of 43.2 percent. This was a considerable improvement especially when compared to the control group which only registered a 24.1 percent reduction.


While the initial results may be impressive, product developers may still have to hurdle a few challenges before this device may be embraced by the patients and healthcare providers. A number of non-serious adverse effects were reported and the 41 percent drop-out rate among participants may be far from satisfactory.


Advantages of Device


As a first-generation device, medical experts have acknowledged that the emergence of problems may be understandable. Necessary improvements or modifications to address all the issues encountered may still be undertaken.


Notwithstanding these challenges, researchers have expressed optimism on this device as a new method in addressing SUI. This type of approach has been shown to be effective, generally safe, simple to apply, completely reversible, and minimally invasive.


Any developments in the treatment of SUI, particularly those that show great promise, should be regarded as good news to all the women affected with this disorder. Surgical procedures, such as vaginal mesh surgeries, which have caused severe complications, have caused apprehensions to thousands of women.


Women who experienced these complications have sustained serious injuries, compelling them to file vaginal mesh lawsuits against mesh manufacturers. Included in these lawsuits were those of women who were exposed to increased risks of POP and SUI surgery after a hysterectomy.



Learn The Complications Associated With Midurethral Sling Procedures

Wednesday, January 29th, 2014

The vaginal mesh controversy has become more heated with the issuance by two medical groups associated with female pelvic medicine of a position statement. Aside from giving their support for midurethral mesh implants for the repair of stress urinary incontinence (SUI), they have also put the blame on lawyers and media for the vaginal mesh controversy. While this may be the position of these organizations, it cannot be ignored that complications associated with this specific sling device abound, based on results of various studies and statements from numerous pelvic surgeons.

Considered as among the more common and severe complications linked to midurethral sling procedures are the following:


De Novo Incontinence


Incidence of de novo incontinence after a midurethral procedure has been reported to have reached a high of 26 percent. When urge urinary incontinence appears after a sling procedure, the complication of de novo urgency is said to have occurred. This condition must persist six months after the surgery and must not have been present before the surgery in order to be considered a complication. Experiencing this adverse effect can be very tough for any woman who may have just wanted to rid of herself of SUI but instead ended up with another form of urinary incontinence.


Perforation of Pelvic Organs


Organ perforation occurs when parts of the mesh, particularly the rough edges, puncture the organs that it gets into contact with. While almost all pelvic organs may be exposed to this complicaton, the most common perforation is that of the bladder which has been recorded to happen in seven to ten percent of all cases. The urethra may also be commonly affected and in a limited number, the bowels or the rectum. The complication, which may cause great pain and discomfort, has also been regarded as one of the most lethal especially when urine or feces gets into the bloodstream that may trigger life-threatening infections.


Hemorrhage and Vascular Injury


While incidence may not be as high as the other complications, injury to the blood vessels has been recognized as the most feared complications since this may result to death. Those that used the midurethral method reported the most number of complications among the different types of sling procedures. In one study, it was reported that blood loss of over 250 ml was experienced by five percent of patients who underwent this type of sling procedure.


Mesh Erosion


Just like the repairs for pelvic organ prolapse (POP) and the other types of sling procedures, mesh erosion has been found to be a very common complication after an SUI repair using the midurethral method. Symptoms such as pain during urination, dyspareunia or painful sexual intercourse, a feeling of burning sensation, and a host of urinary problems may be experienced by a patient when mesh erodes into the bladder and urethra.


Severe symptoms such as intense pain, fever, infections, abscess, and even the deadly sepsis may be encountered when mesh erosion occurs in the bowel and colon. Experts have noted that this complication may appear months or even years after the procedure and cause symptoms such as abdominal bloating, constipation, and painful bowel movements.



Doctors Recommend Kegel Exercises For SUI Management

Tuesday, January 7th, 2014

Medical experts say, citing results of different clinical trials, that pelvic floor muscle training (PFMT) or known also as Kegel exercise has been acknowledged as one of the most effective and safest methods in managing stress urinary incontinence (SUI). For this very common pelvic floor disorder, this approach has been viewed the first-line therapy, along with lifestyle and behavioral modifications.


An American gynecologist by the name of Dr. Arnold Kegel developed these exercises in 1948 after searching for a solution in treating urinary incontinence in women. He came up with this method of treatment after observing that urinary incontinence in women happens after the pelvic floor muscles were stressed during pregnancy and child birth.


Located between the legs that run from the pubic bone at the front to the base of the spine at the back, the pelvic floor muscles are responsible for holding up the bladder and the urethra. By supporting these organs, these muscles allow the woman to control the release of urine. When these muscles are weakened or damaged due to various causes, support of the different organs may be affected resulting to pelvic floor disorders such as SUI and pelvic organ prolapse (POP).


Restoring the strength of the pelvic floor muscles in order to provide the necessary support to the pelvic floor organs particularly the bladder and the urethra is the objective of Kegel exercises. A woman who has been practicing these exercises may also be able to tighten properly the pelvic floor muscles before the abdomen is exposed to pressure when coughing, laughing, jumping, and other activities that may trigger the leakage of urine.


It simplicity and the fact that it may be done at any time of the day without the need for special equipment make pelvic floor muscle training very advantageous. All that is required is just a few minutes every day which may be broken down to two or three sessions. Even when sitting down while watching television, lying in bed, or in a standing position, these exercises may effectively be practiced. One can even perform these exercises while working in the office or when stuck in traffic during the rush hours.


When doing the Kegel exercises, it important to identify the right muscles, do the proper way of contracting these muscles, and to alternate between slow and fast contractions. While this may be learned on your own, it would be best to have the guidance of a therapist or from your healthcare provider. There are a number of online sources that you may choose form should you decide to learn on your own.


It has been proven that learning these exercises has helped countless women who have been suffering from SUI. Drastic measures such as vaginal mesh surgeries have been avoided with this method of treatment. Severe complications as a result of using these mesh implants have been experienced by thousands of women.


These have resulted to serious injuries prompting these women to file vaginal mesh lawsuits against various mesh manufacturers. Defendants in these lawsuits have been placed at over 30 companies, including Neomedic which has vaginal mesh lawsuits pending before eight federal courts.



Managing SUI With Conservative Treatment Methods

Thursday, December 19th, 2013

The need to find other methods in treating stress urinary incontinence (SUI) has become very critical with the unabated increase in the number of women gravely injured after undergoing vaginal mesh surgeries for the repair of this condition. As a result of this need, new alternatives have been developed and there is a resurgence of treatment methods that have lost favor from healthcare providers, caused by the wide acceptance of vaginal mesh devices.


Taking full advantage of conservative and non-invasive approaches, aside from encouraging preventive measures, is the main emphasis right now. The following are options available to a patient:


Pelvic Floor Muscle Training


Regular pelvic floor muscle training (PFMT) has been recognized as an effective method in managing stress urinary incontinence (SUI) and is in fact strongly considered, along with lifestyle changes, as a first-line option for addressing this condition. Also called Kegel exercises, PFMT involves the strengthening of the urinary sphincter and the pelvic floor muscles, which controls the flow of urine.


Numerous studies have reported that patients experienced significant improvements in their conditions, which may be as high as 70 percent. This form of treatment has become favored by both doctors and patients, since this approach has no side effects, non-invasive, and no costs involved.


Vaginal Weights


If performing pelvic floor muscle training may prove difficult for some women, weighted vaginal cones may be used instead. Studies involving 1484 women have shown that the use of weighted vaginal cones may have the same effectiveness as pelvic floor muscle training.


The pelvic floor muscles are strengthened when involuntary contractions are caused by these weighted devices, which are shaped like cones and come in different sizes. An advantage of this method of treatment is the ease in inserting the device, which may be done without assistance from a doctor.


Electrical Stimulation


Another method of treatment for urinary incontinence which also involves the strengthening of the pelvic floor muscles is electrical stimulation. Already in existence in Europe and North America for the past three decades, this option has not gained much acceptance from medical practitioners. It has been suggested that this may be due to the longer period of time needed to see progress, which may also require multiple treatments.


Electrical stimulation is performed by inserting electrodes into the vagina or rectum, which may then stimulate the nerves in the back or pelvic floor muscles after sending a mild electric current. Through the stimulation, an effect similar to PFMT may result when the pelvic muscles contract.


Vaginal Pessary


Pelvic health specialists consider the vaginal pessary as an effective treatment option for SUI but are not widely used. According to the results of a recent study, satisfaction rate after one year of use was a high 76 percent. Reasons behind the low acceptance of these devices may include lack of knowledge and the discomfort perceived by the patients.


A vaginal pessary is a device usually made of silicone that is inserted into the vagina, where it presses against the vaginal wall and the urethra. The urethra is repositioned once pressure is exerted by the pessary resulting to reduced urine leakage or even the elimination of urinary incontinence.


SUI patients have been encouraged to maximize these conservative treatments, which have been found to be effective, inexpensive, with limited side effects, and usually very simple to apply. Women suffering from this common disorder may also greatly benefit by being spared the need for surgical interventions such as vaginal mesh surgeries, which have been alleged to cause severe complications.


These adverse effects have resulted to serious injuries to thousands of women, compelling them to file vaginal mesh lawsuits. Claims against various mesh manufacturers continue to pile up in different courts, with vaginal mesh lawsuits against AMS reaching 12,253 in West Virginia alone.



Doctors Recommend Medical Program For Weight Loss Before Considering Surgery

Sunday, December 15th, 2013

Weight loss has long been accepted as one of the most effective methods in managing stress urinary incontinence (SUI), medical experts say, referring to results of various clinical studies. Being aware of this, women have made it their objectives to get rid of those unwanted pounds. Choosing the best method in achieving this goal- whether it be through weight loss surgery or lifestyle changes – has posed a problem to a number of women.



While a bigger improvement was noted with bariatric surgery, both pathways were found to be effective, according to the results of a very recent study which was presented during the 2013 annual scientific meeting of the Obesity Society. Notwithstanding the difference in improvements, a medical specialist stated that if a patient is doing quite well with conservative means, then there is no need for a surgical intervention.



Led by Ms. Bobbi Paull-Fourney of the University of Kansas School of Medicine in Wichita, Kansas, a team of researchers carried out a study using 2,611 participants to determine the best weight loss strategy by comparing a medical program consisting of diet, exercise, and lifestyle modifications with that of weight loss surgery. Of this number, 557 underwent gastric bypass surgery while the remaining subjects were asked to follow a low-calorie diet and an intensive behavior-modification program.



It was found, after six months, that those in the medical treatment program realized a weight drop of 36.5 pounds while those who had weigh loss surgeries registered a drop in weight by 49.7 pounds. Follow-up after one year showed that the mean weight of those who had bariatric surgery continued to drop by as much as 40 pounds while those in the medical program maintained the mean weight.



With an overall decrease of over 35 percent after one year, there may be no doubt that weight loss surgery may come out as the more effective method in losing those unwanted pounds. While lower in comparison, still, the weight loss of 20 percent experienced by those in the medical management group cannot be taken lightly. Medical experts agree that this is a substantial decrease which may translate to significant improvements in medical conditions including pelvic floor disorders.



With these favorable outcomes, experts insist that conservative methods must first be maximized before even considering weight loss surgery. As a matter of fact, this is one condition set by health authorities before one can be considered for this surgical option. In all probability, this loss of weight may bring down a woman’s BMI to below 30 kg/m2, making her ineligible for a weight loss surgery.



Women who may be suffering medical conditions including the very common SUI and pelvic organ prolapse may find great encouragement with these findings. Risks associated with surgical options to repair these conditions, particularly vaginal mesh surgeries which have caused serious injuries to thousands of women, may be eliminated to a great extent. Vaginal mesh lawsuits have been filed against various mesh manufacturers as a result of these injuries. A number of these lawsuits have been brought to trial this year with more coming up, starting with the vaginal mesh lawsuit of Carolyn Jones set for January 10, 2014.




Implications Of Increase In Incidence Of PFD

Wednesday, December 4th, 2013

It is forecasted that one in three women will be diagnosed with one or more types of pelvic floor disorder (PFD) by the year 2050, based on the results of a study presented at the Urogynecologic Society on its 30th Annual Scientific Meeting. Representing an increase of 56 percent, this means 50.1 million women will suffer PFD from the existing 32.2 million reported cases.


In 2050, urinary incontinence which may continue to be the most common PFD will increase to 28.4 million from the present 18.3 million. For the same period, the number of women expected to suffer fecal incontinence is seen to reach 16.8 million from the present 10.6 million. Pelvic organ prolapse (POP), which is being experienced by an estimated 3.3 million women today may increase by 46 percent bringing the number of POP patients to 4.9 million.


Healthcare providers have expressed grave concern over these alarming projections. They foresee several implications that may have a great impact on the women and they realize the need to take necessary actions to address these issues.


An increase in the demand for the care of these women may become necessary due to the enormous increase in the prevalence of these disorders. Many fear that in dealing with these disorders, there might not be enough fully-trained doctors. These women may not be adequately attended by capable medical experts unless more physicians are encouraged to specialize in this field.


Other measures which can be taken up to address this potentially disastrous situation include a more comprehensive research on this subject and a massive education program directed at women who may be at risk of developing these disorders. Discovering remedies for these conditions should not be the sole objective but should also focus in dealing with obesity which has been acknowledged as a prime risk factor which has seen an increase in the country in epidemic proportions.


The classification of obesity as a disease may go a long way in helping women in their struggle to maintain ideal weights. While this may be a positive initial step, much has still to be done before these women can triumph in their fight against excess weight.


Experts also see the need to educate women on these disorders by convincing them that they do not have to suffer in silence. They should come forward and report their symptoms in order to have the appropriate treatment for their conditions and should not take these disorders as a cause for embarrassment.


It should be noted that in treating these disorders, the need for innovative and better options may trigger competition among different companies. Concerned sectors are hoping that companies such as Ethicon will put the welfare of the patients before any other considerations, financial or otherwise, and that they have learned something from the vaginal mesh tragedy. This controversy has resulted to the filing of legal actions against mesh manufacturers with Ethicon expected to have the most number of vaginal mesh lawsuits.



Learning The Main Causes Of PFD In Menopausal Women

Saturday, November 30th, 2013

Medical experts have long accepted menopause, along with pregnancy and childbirth, as one of the primary reasons for the occurrence of pelvic floor disorders (PFD), particularly stress urinary incontinence (SUI), the most common form of PFD. SUI is foreseen to be experienced by more than 40 percent of women in the menopausal stage and by the time they reach 80 years of age, the risk of surgery will be 20 percent.


Reasons for this occurrence are presented below to allow women to gain an understanding and hopefully help them in addressing these life-altering conditions:


Weak Pelvic Floor Muscles

Just like the rest of the muscles in the body, the pelvic floor muscles also start to weaken and lose mass as one gets older. Studies have shown that muscle strength deteriorates by five percent every decade after the age of 30. This ageing process is also closely tied with menopause with women experiencing this stage between the ages of 45 and 55 years.


Pelvic organ prolapse (POP) and stress urinary incontinence (SUI) may result when the pelvic floor muscles lose strength since it may not be able to support pelvic organs such as the bladder and bowel causing these to descend or drop from their normal positions towards the vaginal wall.


Bladder Becomes Less Elastic

As a woman ages, the bladder may also become less elastic, just like the weakening of the muscles. This loss of elasticity may irritate the bladder making it difficult to stretch causing the muscles of the bladder to be overactive. Stress incontinence or frequent urination may result which is made worse by the weakening of the pelvic floor muscles.


Vaginal Dryness

Menopause has been associated with the loss of the hormone estrogen. Once the level of estrogen drops, vaginal dryness in the vaginal lining and urethra may be experienced by the woman. The onset of incontinence and other pelvic disorders such as urinary tract infections may be hastened with this dryness.


Gain in Weight

Women start gaining weight as they grow older, even before the onset of menopause. Due to several other factors, this weight gain becomes more pronounced as women enter the menopausal stage.


Any additional weight may tend to put a strain on the pelvic floor muscles which may result to the weakening of these muscles. The muscles may not be able to support the bladder and bowel leading to incontinence once this happens.


While the menopausal stage in a woman’s life may be considered an inevitable, this does not mean that one has to live with these disorders. There are many things a woman may do to prevent or manage these conditions without undergoing invasive treatments, as proven by clinical trials. In addressing these problems, behavioral and lifestyle changes have been shown to be very effective, even allowing women to maintain a positive quality of life.


With these conservative measures, it is hoped that a woman suffering from POP or SUI may not have to undergo a surgical procedure for treatment. In light of the controversy surrounding vaginal mesh surgeries, this surgical option may only put unnecessary risks to women. These procedures, which have become very common recommendations among doctors, have caused severe complications resulting to serious injuries.


This pain and suffering experienced by these victims have compelled them to take legal remedies such as filing of vaginal mesh lawsuits. Lawsuits have already been scheduled with some already decided by juries, with one case in the news lately with the upholding of the $2 million verdict given by the jury.



Reduce Your Risk Of SUI With These Suggestions

Wednesday, November 6th, 2013

Stress urinary incontinence (SUI), the most common urinary disorder, may affect 50 percent of women over the age of 48 years, according to official records from health authorities. Around 10 percent of this number is expected to undergo operations to repair this pelvic disorder. These surgeries include the use of vaginal mesh implants which have caused serious injuries prompting patients to file vaginal mesh lawsuits. Recent reports suggest that there might be out-of-court discussions prompting one legal observer to say that vaginal mesh settlement makes sense.



This medical condition has definitely become a burden to women especially those in their middle ages who should be enjoying their twilight years. While there might be factors, such as childbirth and menopause, which may be beyond your control, there are some things a woman may do to reduce the risks of developing SUI.


Pelvic Floor Muscle Training

Due to different causes such pregnancy, childbirth, injuries, and menopause, the pelvic muscles may be weakened or damaged resulting to stress urinary incontinence. Urine leakage may result when these muscles are weakened since the bladder may drop down preventing the urethra from closing.


Strengthening of the pelvic floor muscles has been shown through different studies to be very effective not just in the treatment of SUI but also in preventing the occurrence of this common urinary problem. Kegel exercises appears to be the best method to achieve this since it focuses in the strengthening of the urinary sphincter and the muscles that support the bladder and other  pelvic organs. You may ask the assistance of your doctor or physical therapist on how to perform these exercises correctly.


Weight Maintenance

Countless studies have shown that overweight and obesity are prime risk factors in the development of SUI. A three percent increase in the risk of incontinence was reported for every unit increase in body mass index (BMI). Significant improvements in incontinence conditions, according to other clinical trials, were experienced when weight was reduced by even as low as five percent.


It may be best to seek the assistance of an expert who might provide the proper guidance for those who may find the task of losing excess weight very difficult. The possibility of undergoing weight loss surgery may be explored by those regarded as severely obese.


Lifestyle Modifications

It has been proven that making necessary lifestyle and behavioral changes have drastically reduced the risks in developing pelvic floor disorders. Included in these changes are following the proper diet, quitting smoking, limiting the intake of alcohol, and engaging in physical activities.


Irritation of the bladder and worsening of urinary problems have been triggered by certain foods and drinks such as spicy and acidic foods, chocolate, caffeine, and carbonated drinks. The bladder and pelvic muscles may also be affected by smoking aside from causing chronic coughing which may trigger urine leakage.


These suggestions may greatly benefit women who may be at risk of stress urinary incontinence, as attested by medical specialists. By reducing the risks, the possibility of undergoing measures such as vaginal mesh surgeries may be eliminated.