Urinary Incontinence is divided into two categories:
Stress Incontinence is caused by a drop in pelvic support of the urethra and the bladder from: childbirth, lifting and then menopausal weakening of tissues. Treatment is usually surgical.
Urge Incontinence, or “Overactive Bladder”
Bladder “spasms” or “contractions”
Treatment is with medications (which can have side effects)
Dr. Karon was the first gynecologist in Kentucky to perform Botox injections into the bladder, which is now well covered by insurance companies and is a quick outpatient cystoscopy procedure. Patients have great results that last for more than 6 months.
“DROPPED BLADDER” OR A CYSTOCELE combined with urinary incontinence is a common problem in women. Urologists will do a “sling” procedure or a TVT (Transvaginal Tape) which are only made from synthetic mesh.
An older classic “bladder lift” procedure is a BURCH which used to be done open, but now is performed as outpatient laparoscopy. NO mesh is required for this only permanent usually Gortex sutures.