Advanced Urinary Incontinence Clinic
Urinary incontinence, which is the loss of bladder control, can affect both men and women. For individuals who suffer from the condition, it can feel embarrassing. However, regardless how mild or severe your loss of bladder control is, it can be managed and/or cured.
At King’s Advanced Urinary Incontinence Clinic in Dubai, our UK board certified Functional Urologists offer comprehensive assessment, treatment and management of urinary incontinence. They follow evidence-based treatment methods and use the latest diagnostic tools and devices to help anyone suffering from what is still seen as a ‘taboo’ condition and one that they think cannot be medically managed.
Types of Urinary Incontinence
Stress Incontinence: This type of urinary incontinence is related to physical stress whereby urine leaks during physical movement activities.
Urge Incontinence: This causes an individual to have the urge to urinate suddenly and the leakage of urine at unexpected times.
Overflow Incontinence: In this type of incontinence, the bladder does not empty completely, which leads to small amounts of urine to keep leaking unexpectedly.
Functional Incontinence: This occurs when physical or psychological impairment doesn’t allow and individual to reach the toilet in time, and he/she ends up urinating untimely.
Mixed Incontinence: This is when one experiences at least two types of urinary incontinence at the same time. Most common ones are stress and urge incontinence.
Urinary Incontinence Treatment at King’s
Urinary incontinence treatment at King’s is highly dependent on the underlying cause of the condition. The treatment options available include:
Emsella chair: The Emsella chair is a non-surgical and non-invasive stress urinary incontinence treatment that uses High-Intensity Focused Electromagnetic (HIFEM) technology to target weak pelvic floor muscles. This leads to deep pelvic floor stimulation non-surgically. For a single session, which is only 28 minutes, the chair produces 11,200 supramaximal Kegel exercises, which is essential for a strengthening the pelvic floor muscles and as a result treating Stress Urinary Incontinence.
Urodynamics Testing: Urodynamics are continuous sets of diagnostic procedures that test how well the bladder, sphincters, and urethra hold and release urine (lower urinary tract function). These tests are especially recommended for patients who have symptoms related to the lower urinary tract including urine leaking and/or blockages.
Transvaginal Tape (TVT): Transvaginal Tape is a minimally invasive procedure that is used in treating urodynamically proven stress incontinence in women. The procedure involves the placement of a small piece of polypropylene mesh (tape) around the pubic bones underneath the urethra.
Rezum Procedure: The Rezum procedure, also known as Rezum Water Vapor Therapy, is a minimally invasive non-surgical technique that uses the natural energy stored in water vapor to minimize excess prostate tissue that may be pressing on the urethra as a result of Benign prostatic hyperplasia (BPH), hence leading to urinary leakage.
Sacral Neuromodulation: Sacral neuromodulation (SNM) is a minimally invasive electrical stimulation procedure that is used to treat urinary incontinence. The procedure involves the implantation of a programmable stimulator subcutaneously, which delivers low amp electrical stimulation to the sacral nerve (plexus nerve that provides sensory to the posterior thigh).
Behaviour therapies: These help in lessening episodes of Urinary Incontinence and they include:
- Pelvic floor muscle exercises or Kegel exercises with the help of a physiotherapist
- Bladder training
- Healthy weight maintenance with the help of a medical dietician
Next Step of Your Incontinence Treatment at King’s
It is understandable that most men and women are embarrassed to admit that they suffer from urinary incontinence. If left untreated, the condition can severely affect your quality of life emotionally, physically as well as your intimacy. Take the next step and book your consultation today.
Stress urinary incontinence is the involuntary loss of urine during physical activities such as laughing, sneezing, coughing, jumping or lifting heavy objects. It is also the most common type of urinary incontinence.
Incontinence occurs when the muscles that support the urethra which is the tube that is responsible for carrying urine out of the body, is damaged or weakened. This can happen as a result of trauma, childbirth, obesity, hormone changes, family history and many other reasons.
One type is known as hypermobility, in which hyper means too much and mobility refers to movement, which can result from hormonal changes, childbirth or previous pelvic surgery. Hypermobility occurs when the normal pelvic floor muscles cannot provide the required support to the urethra. This can lead to the urethra dropping when any downward pressure is applied, hence resulting in involuntary leakage.
Another type is called the intrinsic sphincter deficiency, which is also referred to as ISD. This refers to the closing mechanism or weakening of the urethral sphincter muscles. This results in the malfunction of the sphincter regardless of the position of the bladder neck or urethra.
Often, conservative treatment options for stress urinary incontinence are used at first. Some of these treatment options include behavioral modification – such as timed, voiding, and eliminating caffeine, pelvic muscle training such as kegel exercises to strengthen the sphincter and pelvic floor muscles or decreasing fluid intake. These types of treatments may or may not improve the symptoms. When the symptoms seem to be more severe, or the conservative options aren’t working, surgery or bulking agent injections may be an option.
Treatment of stress urinary incontinence mainly depends on the exact nature of the incontinence and its severity. This is because the disease state and anatomy differ for each patient and outcomes may vary hence the different treatment options.
A mid-urethral sling system is designed to provide a hammock of support under the urethra so as to prevent it from dropping during physical activity.
There are many surgical sling options with the difference being how the mesh material is placed under the urethra. Since the state of the condition and anatomy differs for each patient, as well as the type of urinary stress incontinence, you should consult your physician for the available treatment options.
A minimally invasive sling procedure usually takes between 30-45 minutes and is an outpatient procedure, meaning you will go home the same day. Your doctor will discuss with you the type of anesthesia you will use, the specific procedure steps and answer all your questions.
No surgery for urinary incontinence has a 100% cure rate, but the success rates are as high as 80-95%.
Most patients see the results right after the mid-urethral sling procedure.