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Urine Leakage Incontinence Bladder Surgery India

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Overview

Generally, worldwide it is estimated that one in seven couples have problems conceiving, with the incidence similar in most countries independent of the level of the country's development. Infertility is not always a woman's problem. Both women and men can have problems that cause infertility. About one-third of infertility cases are caused by women's problems. Another one third of fertility problems are due to the man. The other cases are caused by a mixture of male and female problems or by unknown problems.

What is Urine Leakage Incontinent Bladder?

Urine Leakage Incontinent Bladder is a disorder where people have urge to urinate frequently and may leak even after emptying the bladder. Before leaving their homes, most people empty their bladder so that they can concentrate on the task and enjoy an outing. But a good number of people may feel frequent need urinate even when they laugh or cough. In some cases, it’s too late before they can even reach the bathroom. There may also be some leakage soaking the innerwear. It is also referred to as ‘overactive bladder’ or ‘spastic bladder.’

What is Urine Leakage Incontinent Bladder?

Urine Leakage Incontinent Bladder is an involuntary leakage or accidental release of urine. It may happen when you sneeze, laugh, cough, jog, or may have a sudden urge to urinate but can’t make it in time. It is the inability to control the urge because voluntary control over the urinary sphincter is either lost or weakened. It is a very common and doesn’t cause any major problem, but can be extremely embarrassing. It is okay to see a doctor, and the problem can be resolved with certain lifestyle changes or medical treatment. While both men and women suffer from Urinary Incontinence, it is more common among women.

Best Hospitals for Urine Incontinence Surgery in India

The best hospitals for urine incontinence surgery in India offer the world class treatments, care and services with the best outcome at the affordable costs. The best surgeons for urine incontinence surgery are highly skilled and trained at the most prestigious medical schools across the globe. The hospitals are located at Mumbai, Delhi, Gurgaon, Noida, Chennai, Bangalore, Hyderabad, Nagpur, Ahmedabad and Kerala.

What are the causes of Urinary Incontinence?

• Alcohol, over hydration – Alcohol is a bladder stimulant and a diuretic, causing an urgent need to urinate. Drinking a lot of fluids, especially within in a short period of time, increases the amount of urine formed.

• Caffeine - Caffeine is a diuretic and bladder stimulant that may cause pressure on your bladder.

• Bladder irritation - Carbonated drinks, tea and coffee, artificial sweeteners, corn syrup, and foods and beverages high in spice, sugar and acid, such as citrus and tomatoes, can intensify your bladder.

• Medications - Heart medications, blood pressure drugs, sedatives, muscle relaxants and other medications may also contribute to bladder control problems.

• Urinary tract infection - Infections can irritate your bladder, causing urge to urinate.

• Pregnancy & childbirth- Hormonal changes and weight gain during pregnancy, and the stress of a vaginal delivery can weaken muscles needed for bladder control, causing incontinence.

• Aging - Aging of the bladder muscle leads to a decrease in the bladder's capacity to store urine and an increase in overactive bladder symptoms.

• Menopause and Hysterectomy - After menopause, women produce less estrogen, the hormone that helps keep the lining of the bladder and maintain health of urethra. Due to less estrogen, these tissues may deteriorate, causing incontinence. Any surgery that involves a woman's reproductive system may cause damage to the supporting pelvic floor muscles, leading to incontinence.

• Painful bladder syndrome (interstitial cystitis) - This chronic condition causes painful and frequent urination, and rarely, urinary incontinence.

• Enlarged prostate/cancer - In older men, incontinence often occurs from enlargement of the prostate gland, a condition called Benign Prostatic Hyperplasia (BPH). It can also be associated with untreated prostate cancer, but more often is a side effect of cancer treatments.

• Bladder cancer/stones - Incontinence, urinary urgency and burning during urination can be the signs and symptoms of bladder cancer or bladder stones.

• Neurological disorders - Multiple sclerosis, Parkinson's Disease, stroke, a brain tumor or a spinal injury can interfere with nerve signals involved in bladder control, causing urinary incontinence.

What are the types of Urinary Incontinence?

Stress Incontinence – It is the most common kind of Urinary Incontinence, and especially among women who have given birth or have gone through the menopause. Stress incontinence occurs when the sphincter muscle of the bladder is weakened. Here the stress refers to physical pressure. A sudden cough, sneezing, laughing, heavy lifting, exercise trigger Stress Incontinence. The amount of urine leaked out unwillingly depends on how full the bladder is and how affected the muscles are. In men, removal of the prostate gland can lead to Stress Incontinence.

Urge incontinence (effort incontinence) – It is also known as Reflex Incontinence, and is the second most common type of Urinary Incontinence. Here the bladder is either unstable or overactive. With urge incontinence, you may need to urinate more often, including throughout the night. Urge incontinence may be caused by urinary tract infections, bladder irritants, bowel problems, Alzheimer's disease, Parkinson's disease, stroke, injury or nervous system damage associated with multiple sclerosis. When there's no known cause, urge incontinence is also called overactive bladder. UI can be caused by,

• sudden change in position

• sound of running water (for some people)

• sexual intercourse (especially during orgasm)

Overflow incontinence - It is more common in men having problems related to prostate gland, a damaged bladder, or a blocked urethra. An enlarged prostate gland obstructs the bladder. Due to this, the person often only manages to urinate in small trickles and has to go very frequently. He feels as his bladder is never really completely emptied, even after trying hard.

Mixed incontinence - When you experience symptoms of over one type of Urinary Incontinence, you may have mixed incontinence. It is common among elderly women and can sometimes is complicated by urinary retention making the treatment challenging needing multi-modal treatment.

Functional incontinence – Elderly people, especially those in nursing homes, experience incontinence because some physical/ mental impairment keeps them from making it to the toilet in time. Common causes of Functional Incontinence are confusion, dementia, poor eyesight or mobility, poor dexterity (cannot unbutton pants fast), depression, anxiety.

Gross Total Incontinence – In this type of Urinary Incontinence, a person leaks urine continuously all day and night, or has spans of uncontrollable leaking in large amounts, as the bladder is unable to store urine.

Nocturnal enuresis – It is an episodic Urinary Incontinence that happens while asleep, and is normal in young children.

Transient incontinence – It is a temporary version of incontinence and can be triggered by adrenal insufficiency, medications, restricted mobility, mental impairment, and severe constipation.

Giggle incontinence – It is an involuntary response to laughter and generally affects children.

Double incontinence – It is a condition for defecation known as fecal incontinence. Patients with Urinary Incontinence are likely to have fecal incontinence due to involvement of the same muscle group in bladder and bowel continence.

Post-void Incontinence - After voiding the bladder, the urine remaining in the urethra slowly leaks out

Coital incontinence - This kind of Urinary Incontinence can occur during either penetration or orgasm, with a sexual partner or with masturbation. This kind of Urinary Incontinence occurs in 10% to 24% of sexually active women with pelvic floor disorders .

Urinary Incontinence in Women - Urinary Incontinence is not bound by age but in the population over 60 years of age, nearly 35% suffers from Urinary Incontinence, with women twice vulnerable than men. Alignment of the bladder in female pelvis is a reason that ‘she’ is twice as much vulnerable. Urinary incontinence is treatable and can be cured with proper treatment and medication.

Diagnosis

If your signs match those mentioned above, consult your family doctor urologist, or even better, a Urologist, without delay. Your medical history will be evaluated and your pattern of voiding and urine leakage will be checked to determine type of incontinence. Thus, you may be asked to maintain a diary regarding your bladder voiding, over several days, to reveal factors define the problem. Some tests recommended are:

• Bladder stress test — You will be asked to cough vigorously as the doctor checks for loss of urine from the urinary opening.

• Urinalysis and urine culture — Here your urine is tested in a laboratory for evidence of infection, urinary stones, or any other causes.

• Ultrasound — It makes use of sound waves to create an image of the kidneys, ureters, bladder, and urethra.

• Cystoscopy — Here, a thin tube with a tiny camera is inserted in the urethra to see inside.

• Urodynamics — Different techniques measure pressure in the bladder and the flow of urine.

Treatment

Behavior Management

Looking in to your bladder diary, doctor may see a pattern and suggest a habit called voiding, wherein you use the bathroom at regular timed intervals and as you gain control, you can hold in the urine for longer time.

Kegel Exercise

First and foremost, find the right muscles. Imagine yourself sitting on a marble and want to pick it up with your vagina. Imagine grabbing or drawing the marble into your vagina. Try not to squeeze other muscles and not to tighten stomach, legs, or buttocks as it can put more pressure on the bladder control muscles. Squeeze the pelvic muscles, don't hold your breath, and do not practice while urinating. Repeat but don't overdo it. This is how you do it, pull in the pelvic muscles and hold them to a count of three, then relax them. Do this in three sets of 10 repeats. Do your pelvic muscle exercises lying down, as it is the easiest position to do them in because the muscles do not have to work against gravity. As your muscles get stronger, do this while sitting or standing. Dedicate 5 minutes to this exercise. The results may take time, say 3 to 6 weeks, but most people notice an improvement after a few weeks. If you are not sure, ask your doctor or nurse to examine you while you try the exercise to get it right.

Medication

For an overactive bladder, the doctor may prescribe a medicine to block the nerve signals causing frequent urination and urgency. Several medicines relax bladder muscles and prevent bladder spasms. They may cause side effect like dry mouth, and larger doses result in blurred vision, constipation, flushing, drowsiness, confusion, faster heartbeat, or memory loss. If you are suffering from glaucoma, ask your ophthalmologist whether these drugs are safe for you.

Biofeedback

It uses measuring devices to make you aware of body's functioning. By using electronic devices or diaries, you can gain control over these muscles.

Neuro-modulation

Neuromodulation is a therapy in which the doctor applies an external stimulator to determine if it works for you. If you have a 50% reduction in symptoms, the device will be implanted.

Vaginal Devices

A reason of stress incontinence is weak pelvic muscles, the muscles that hold the bladder in place and urine inside. A pessary is a ring that is inserted into the vagina, where it presses against the wall of the vagina and urethra. This helps to reposition the urethra, leading to less stress leakage.

Injections

A variety of agents such as collagen and carbon spheres are available for injection near the urinary sphincter. The bulking agent is injected into tissues around the bladder neck and urethra to make them thicker and close the bladder opening to reduce stress incontinence.

Surgery

In many women, the bladder moves out of its normal position, especially after childbirth. The three main surgeries are retropubic suspension and two types of sling procedures. Retropubic Suspension, also known as the Marshall-Marchetti-Krantz (MMK) procedure, uses surgical threads called sutures to support the bladder neck, most common being the Burch procedure. Here the surgeon makes an incision a few inches below the navel and secures the threads to strong ligaments within the pelvis, to support the urethral sphincter. Nearly 85% of women who undergo the Marshall-Marchetti-Krantz procedure are said to be cured of Stress Incontinence.

Sling procedures are performed through a vaginal incision in which a strip of your own tissue called fascia cradle the bladder neck. Some slings consist of natural tissue or manmade material. The surgeon attaches both ends of the sling to the pubic bone or ties them in front of the abdomen just above the pubic bone.

Mid-urethral slings are newer procedures that done on an outpatient basis. They use synthetic mesh materials that the surgeon places midway along the urethra. The two types of midurethral slings are transvaginal tapes (TVT), and transobturator slings (TOT). The surgeon makes small incisions behind the pubic bone or by the sides of the vaginal opening and in the vagina. Ends of the tape are pulled through the incisions to adjust them to provide the right amount of support to the urethra.
Catheterization

If the cause of your incontinent is that your bladder never empties completely, it is because of poor muscle tone, past surgery, or spinal cord injury, and you can use a catheter to empty your bladder. A catheter is a tube that you can insert through the urethra into the bladder to drain urine. You may use a catheter once in a while or on a constant basis where the tube connects to a bag that can be attached to your leg.

Urinary Incontinence in Men

Urinary Incontinence in men is less common as compared to men. A major reason is the anatomical difference in the pelvic region. Many men do suffer from incontinence and its prevalence increases with age. Urinary incontinence affects older men more often, however onset of incontinence happens at any age. 17 percent of men over the age of 60 experience urinary incontinence. Urinary Incontinence is treatable and curable at all ages. Incontinence in men usually develops due to problems in muscles that help to hold or release urine.

Diagnosis

Medical History
Once you consult your family doctor or a urologist, your general medical history including any illnesses or prior surgeries, and details about your continence problem will be evaluated. You may be asked to keep a voiding diary, to record your fluid intakes and trips to the bathroom, and episodes of leakage. Some tests are also recommended to diagnose the problem.

EEG and EMG
An Electro-encephalo-gram (EEG), a test where wires are taped to the forehead to sense dysfunction in the brain, and an electro-myo-gram (EMG), where wires are taped to your lower abdomen to measure nerve activity in muscles and muscular activity, are performed.

Ultrasound
In an ultrasound, a transducer device sends harmless sound waves into the body and catches them as they bounce back off the organs inside to create a picture on a monitor. In transrectal ultrasound, the a wand is inserted in the rectum for images of the prostate.

Urodynamic Testing
This testing focuses on the bladder's ability to store urine and empty steadily and completely. It also shows whether or not the bladder has abnormal contractions causing leakage. The pressure is measured as it is filled with fluid through a small catheter. It helps identify bladder’s capacity, overactivity or underactivity, urinary obstruction, or weak sphincter muscles.

What are the treatment options for Urinary Incontinence?

Surgical Treatments

• Artificial sphincter: Some men eliminate urine leakage with an artificial sphincter, a device implanted to keep urethra closed until one is ready to urinate. However, it does not solve incontinence caused by uncontrolled bladder contractions. This surgery to place artificial sphincter is done under general or spinal anesthesia.

• Male sling: Some types of urinary incontinence in men can be removed surgically. In a sling procedure, a support for the urethra is created by wrapping a strip of material around the urethra and attaching the ends of the strip to the pelvic bone. The sling maintains constant pressure on the urethra so that it does not open until the patient consciously releases the urine.

• Urinary diversion: If the bladder must be removed or all bladder function is lost because of nerve damage, this surgery creates a urinary diversion. A reservoir is created by removing a piece of the small intestine and directing the ureters to the reservoir. A stoma, an opening on the lower abdomen where the urine can be drained through a catheter or into a bag, is also created. Other treatments include behavioral treatment, medications, Kegel exercise.

Mr.Lucas González, Australia
Urine Leakage Incontinence Bladder Surgery

Indian Med Guru has been a blessing during my bladder surgery. The information, travel arrangements, accommodation facilities, and the complete course of treatment were just commendable. I was impressed by their promptness, precision, excellence, nursing care, and kind approach they showed while handling and nurturing my case. From my first enquiry to my return from India after the surgery, I am completely satisfied, medically and personally. Everything was transparent and up to the mark with all questions answered and all requirements fulfilled. Thank you team!

What are the complications of Urinary Incontinence?

• Skin problems - Urinary incontinence can lead to rashes, skin infections and sores due to constantly wet skin.

• Urinary tract infections – Urinary Incontinence also increases risk of urinary tract infections.

• Changes in daily activities - Urinary incontinence may keep you from participating in normal activities. Embarrassed by constant dribbling, you may stop exercising, quit attending social gatherings or even stop venturing away from familiar areas where you know the locations of toilets.

• Changes in work life - Urinary incontinence may negatively affect your professional life. Your urge to urinate may cause you to have to get up often during meetings or important phone conversations.

• Impact on personal life – Not all families may understand your behavior or may grow frustrated at your many trips to the bathroom. You avoid sexual intimacy because of embarrassment caused by urine leakage.

What are the advantages of Urinary Incontinence Treatment/Surgery?

• You can regain your confidence and need not worry about finding a toilet closest to your destination.

• Treatment for Urinary Incontinence can solve other problems like misaligned pelvis.

• Keeps your skin dry and infection-free.

• You can enjoy your intimate life without any inhibitions or embarrassment.

• Better social, professional life as you need not run to the bathroom every now and then.

Why consider India for Urinary Incontinence treatment?

Urinary Incontinence treatment in India is a promising treatment destination for tourists coming from around of the world. Getting treated in India is not only within their budget, but is also available with high international class surgical facilities. Indian healthcare centers have performed successful Urinary Incontinence surgeries at low costs, making them able to enjoy life freely . The quality of medical treatment and healthcare amenities in India is absolutely fine plus Indian doctors and medical staff set the fulfillment of patient’s expectations as their primary target. India has one of the most advanced centers for Urinary Incontinence treatment. In a relaxed, caring and supportive environment the patients get customized solutions. Our team of internationally trained and experienced urology specialists, gynecologists, obstetricians, holistic medicine experts, and other skilled clinical staffs guide the patients and provide comprehensive solutions to help them achieve good health. The following are the Indian cities which render high end infertility treatments:

What is Cost of Urine Incontinent Leakage Bladder Surgery in India?

India is widely popular for the low cost treatment it offers for various medical and health related problems. The cost of Urine Leakage Incontinence Bladder Surgery India in some of the best hospitals in India is barely half the amount charged by hospitals of US, UK, and other developed countries. People usually travel from developed countries to India to avail such affordable treatment options, which is an impossible dream in their own country. Even travel and accommodation is very reasonable with world-class hotels and travel services. Low-cost does not affect the quality of service offered by hospitals and medical professionals. There is no compromise on quality care. This has satisfied many medical care- seekers from all around the globe.

Why choose Indian Medguru Consultants in India for Urine Incontinent Leakage Bladder Surgery?

ndian Medguru Group provides comprehensive medical services to international patients for Urine Incontinent Leakage Bladder Surgery in India at low cost. The patient just has to send a detailed query about the Urine Incontinence treatment and his/her conditions and soon he/she will be contacted by and Indian Medguru Group assistant. That assistant will answer to his query in detail and guide him about the rest of the procedures to get the treatment done in India.

Some of the common countries from which patients travel to India for surgery are:

Below are the downloadable links that will help you to plan your medical trip to India in a more organized and better way. Attached word and pdf files gives information that will help you to know India more and make your trip to India easy and memorable one.

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About India				Destinations in India
Indian Embassy List				Medical Tourism FAQ
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How to find best Urine Leakage Incontinence Bladder Surgery India?

India is home to a good number of urology experts, but finding one most suitable for your health condition can be difficult. Send us your medical report and we will find a fitting medical centre for your Urine Leakage Incontinence Bladder Surgery.

What urinary incontinence treatments are available for men?

For men, there are a number of Urine Leakage Incontinence Bladder Surgery options namely, Artificial sphincter, Male sling, Urinary diversion, to name a few.

What is a urinary catheter and urine collection bag?

It is a latex, polyurethane, or silicone tube inserted into a patient's bladder via the urethra, allowing the patient's urine to drain freely from the bladder for collection. The bag in which the urine is collected is the urine collection bag.

Why is the India good place for affordable Urine Leakage Incontinence Bladder Surgery?

Medical treatments in India are extremely affordable due to low costs of living, and ample of world-class healthcare facilities in the country.

How will I get Indian Medical Visa?

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