Urinary Stress Surgery

About Urinary Stress

Liposuction and Abdominoplasty together called ‘lipotuck’ can be performed as one surgical procedure to obtain better results in lesser time.

  • Cough
  • Sneeze
  • Laugh
  • Stand up
  • Get out of a car
  • Lift something heavy
  • Exercise
  • Have sex

Weak Female pelvic floor muscles

  • Childbirth. In women, poor function of pelvic floor muscles or the sphincter may occur because of tissue or nerve damage during delivery of a child.
  • Stress incontinence from this damage may begin soon after delivery or occur years later.
  • Illnesses that cause chronic coughing or sneezing
  • Obesity
  • Smoking, which can cause frequent coughing
  • High-impact activities, such as running and jumping, over many years

Risk factors – Factors that increase the risk of developing stress incontinence include:

    • Age stress incontinence can occur at any age.
    • Vaginal delivery.
    • Overweight or obese women.
    • Previous pelvic surgery.

Complications of stress incontinence may include:

    • Personal distress.
    • Mixed urinary incontinence.
    • Skin rash or irritation.
    • Bladder stress test.
    • Urinalysis and urine culture.
    • Pelvic Ultrasound.
    • Cystoscopy Exam.
    • Urodynamic Studies.

A combination of treatment modalities yield the best results with the least side effects for effective management of UI. For treatment of patients with urinary incontinence we recommend combining PRP injection therapy and pelvic muscle streng thening with behavioral therapy for best results.

The traditional treatments available for treatment of Urinary Incontinence in women are:

Behavioral Remedies: Bladder Retraining
Strengthening The Pelvic Muscles: Kegel Exercises and TENS unit
Medicines for Overactive Bladder: A class of medications called anticholinergics are frequently prescribed for overactive bladder. They work by causing relaxation of bladder muscles and thereby preventing bladder muscle spasms and spontaneous urine leakage. These medications have several side effects, most common side effects are: dry mouth, constipation and drowsiness but at larger doses they may cause blurred vision, a faster heartbeat, and flushing and confusion Prolonged uses has been associated with memory loss and dementia.

Vaginal Devices for Stress Incontinence: Like a pessary can lead to increased incidence of recurrent vaginal infections
Injections for Stress Incontinence: A variety of bulking agents, such as collagen and carbon spheres, have been used for injection near the urinary sphincter to increase tissue thickness and to close the bladder opening which reduces stress incontinence. This treatment is less invasive than surgery but more invasive than the aforementioned treatments.The bulking agents dissolve over time and have to be repeated.
Surgery for Stress Incontinence: There are three types of Surgery for supporting the bladder back to its normal position; retropubic suspension and two types of sling procedures. Each surgery has its own pros and cons.
In our practice we help patients with stress, urge and mixed incontinence get better bladder control and reduce the symptoms for optimum bladder function with no medication. We use a combination of behavioral remedies, pelvic muscle strengthening and PRP (Platelet Rich Plasma) injection treatment.



Platelet Rich Plasma (PRP) can be very effective in improving Urinary Incontinence and for vaginal rejuvenation. PRP treatment is a simple, relatively painless procedure. The entire treatment takes less than an hour.

Your PRP therapy for urinary Incontinence starts with a small amount of blood drawn from your vein just like blood draw for routine labs at your PCP. The blood is collected in a specialized FDA approved PRP kit. We apply a potent numbing cream to blood draw area on your arm and to the area of PRP injections for your maximum comfort. Platelets are small cells in your blood responsible for your body’s healing response. When you incur an injury, your platelets are activated and they release eight growth factors. The platelet growth factors initiate healthy tissue regeneration to repair the injury. It takes about 90 minutes for the PRP to be ready, which gives you time to relax and let the numbing creme work to get you very numb before the injections. Once the PRP is ready, it is injected into the the genitourinary tract -clitoral- urethral- bladder-vaginal interface where it leads to regeneration of your own normal healthy tissue to rejuvenate the muscles, nerves, blood vessels, mucous membrane in urethra and vagina; resulting in improvement of tone, elasticity, firmness, lubrication, sensitivity of the area. A single treatment improves urinary control, clitoral sensation, libido, orgasm and sexual function and provides vaginal rejuvenation.

We prescribe pelvic muscle strengthening exercises and include a small portable vaginal TENS unit for at home use to improve your vaginal and urethral muscle tone. Our patients treated with PRP and vaginal muscle training exercises experience reduction in Urinary Incontinence, improvement and strengthening of orgasmic activity, improvement in sensation of clitoris and reduction of pain during intercourse and overall vaginal rejuvenation within days after a single treatment.

For UI and vaginal rejuvenation with PRP therapy, we start with two treatments 10-12 weeks apart, followed by a single PRP therapy every 12-18 months to continue healthy tissue regeneration for maintenance of your UI management and vaginal rejuvenation

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