Both men and women who suffer from stress incontinence, or bladder leaks that occur when performing certain actions like sneezing, coughing, laughing, or lifting, may consider bladder sling surgery. In most cases, those who receive bladder sling surgery experience less severe, or an end to, stress bladder leaks.

This article will discuss what happens during a bladder sling procedure and how patients can prepare. We will also look at recovery and risks associated with the procedure, and when to talk to your doctor about whether this treatment is right for you.

What is Bladder Sling Surgery? 

Bladder sling surgery, or urethral sling surgery, is a procedure where a surgeon uses a mesh or a sling made of human tissue to support the tube that allows urine to pass the urethra. Bladder sling surgery is used to treat stress incontinence. 

Procedural Overview

• Your doctor will be able to assess your situation to determine what type of urethral sling surgery will work best for you. A sling made of either mesh or human tissue will be fitted to your abdominal wall to lift the urethra. Pressure will then be placed on the urethra to allow the bladder to retain urine more easily.

Why Might a Patient Consider Bladder Sling Surgery?

• A patient may consider urethral sling surgery if other measures to treat urinary incontinence have failed to provide complete relief. 

Types of Bladder Slings 

• A bladder sling can be made from ligaments, muscle tissue, or synthetic mesh.

Expected Outcomes

• A patient is expected to make a full recovery within 4-6 weeks and to have significant relief from the symptoms of stress urinary incontinence.

Preparing for Bladder Sling Surgery 

If you feel urethral sling surgery could help improve your quality of life, your physician will perform a consultation and determine if this procedure is right for you. Before your surgery, you will have a preoperative evaluation which will help the surgeon decide on the best means of creating and attaching your urethral sling. At this point, the physician will also offer specific instructions about how to prepare for your procedure.

Before the Surgery 

Always follow your doctor’s specific directions before surgery. In general, you may be asked to:

• Shower before arriving at the hospital
• Avoid eating for at least 12 hours before the procedure
• Empty your bowels
• Make arrangements for after the surgery

After the Surgery

Make your arrangements for after your surgery. These may include:

• Arranging transportation to return home
• Preparing your home and meals so you do not need to exert yourself for 2-4 weeks following the surgery.

The Bladder Sling Surgery Procedure 

Bladder sling surgery is normally an outpatient procedure. After arriving and checking in, expect:

Anesthesia and Incision 

• Your doctor will administer either general or spinal anesthesia, then the doctor will make either one or two small cuts near the location in your abdomen where the sling will be attached.

Bladder Sling Placement

• The surgeon will then carefully place the sling in the correct location and tighten it to create pressure that will keep the urethra in a more functional place inside your body.

Suture and Closure 

• The surgeon will use sutures or skin glue to keep the sling in place and will close up after surgery.

Duration of the Procedure

• Bladder sling surgery is generally expected to take around 30 minutes.

Bladder Sling Surgery Recovery

Postoperative Care 

Postoperative care usually includes a brief stay in the facility recovery room and management of a catheter. Patients are then typically advised on the following:

• Pain management
• Restrictions on activity 
• Follow-up care and appointments

Bladder Sling Surgery Risks & Complications

Potential Complications Include:

• Discomfort or inability to urinate after surgery
• New urgency or urge incontinence
• Painful sex
• Urinary tract infections
• Pelvic organ prolapse

Minimize Risks of Complications By:

• Following the doctor’s directions about weight and activity restrictions
• Keeping all of your follow-up appointments
• Discussing any discomfort or concerns you have right away with your provider

When to Contact a Healthcare Provider

If you have any concerns, unusual or persisting pain after your urethral sling surgery, contact your healthcare provider. If you are unable to urinate comfortably, contact your doctor right away to correct the situation as quickly as possible.

Improve Your Quality of Life

Bladder sling surgery is a useful procedure that can help bring relief to those suffering from stress urinary incontinence. Discuss your condition with your healthcare provider. If you have any questions specific to treatment for stress incontinence, or other treatment options,  please contact us today to schedule an appointment in Middle Tennessee and learn more about our services. We can help you get in touch with a medical professional skilled at answering questions and treating patients with dignity and compassion.

Pelvic floor disorders (PFD) refer to a broad range of conditions related to the functions of the pelvic organs. One of these conditions is pelvic organ prolapse (POP), in which one or more pelvic organs sag due to weak pelvic muscles. While these disorders may appear identical, it’s important to remember that they have subtle differences that matter greatly when your physician offers treatment options. This article will cover the main differences between pelvic organ prolapse and pelvic floor disorders.

What is a Pelvic Floor Disorder?

Pelvic floor disorders can develop when the pelvic area muscles or connective tissues are injured or weakened. Some common PFD types are pelvic organ prolapse, urinary incontinence, and fecal incontinence. These disorders are widespread in older women, and if you have PFD, you will exhibit symptoms like:

• Constipation
• Pain in your lower back
• Pelvis muscle spasms
• Pain during sexual intercourse
• Painful urination due to urinary issues
• Rectum or pelvic pain
• Discomfort in the rectum or pelvic area

What is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when your pelvic floors, such as the ligaments and muscles, become too fragile to support your pelvic organs. Pelvic floor muscles are vital slings that support the rectum, vagina, bladder, and uterus. Any damage or injury to pelvic muscles moves these organs out of position.

Depending on the affected organ and the weak spot in your pelvic floor, you can experience anterior vaginal wall prolapse or posterior vaginal wall prolapse. You may or may not notice symptoms of pelvic organ prolapse, but if you do, they can be in the form of:

• Discomfort during intercourse
• Spotting from the vagina
• Urinary issues like a persistent urge to urinate
• Pain in the lower back
• Abnormal bowel movements

Differences between Pelvic Floor Disorders and Pelvic Organ Prolapse

Pelvic floor disorders occur when pelvic muscles, tissues, or ligaments are weakened or injured. Pelvic organ prolapse is a type of PFD that mainly affects organs such as the vagina, uterus, and rectum.

The two conditions also have different causes. PFD is linked to trauma, childbirth, obesity, nerve damage, and pelvic surgery, whereas POP is related to aging, vaginal childbirth, long-term abdominal cavity pressure, and family background.

Several approaches to treating pelvic floor disorders exist, depending on the individual symptoms. For instance, your doctor may suggest a lifestyle change, physical therapy, medication, or surgery. When it comes to pelvic organ prolapse, you may need surgical or behavioral treatment based on the severity of your symptoms.

Similarities between Pelvic Floor Disorders and Pelvic Organ Prolapse

Pelvic floor disorders and pelvic organs do share similarities. For instance, risk factors such as difficulties during childbirth, obesity or overweight, irregular bowel movements, aging, family history, and surgical treatment increase your chances of developing these conditions. Moreover, pelvic organ prolapse is a type of pelvic floor dysfunction that develops when the pelvic muscles or ligaments are weak or injured and cannot hold the rectum or bladder.

Pelvic floor muscles are, therefore, essential since they support the bowel and the uterus. Besides that, they guard against bowel and bladder prolapse and are crucial for sexual function.

Prevention and Management

 Even though many PFD and POP causes are beyond your control, there are preventative measures you may take to reduce your likelihood of developing these conditions. Yoga or other pelvic floor exercises might help you relax and manage your pelvic muscles.

Always strive to keep a healthy body weight because it can strain your pelvic floor muscles. You can prevent PFD and POD by avoiding smoking, which often leads to prolonged coughing, straining your pelvic floor muscles, and putting unnecessary pressure on your abdomen. If you suspect that you may be experiencing symptoms of pelvic floor disorder or pelvic organ prolapse, don’t wait any longer to seek treatment. Our team of medical professionals at the Incontinence Institute in Middle Tennessee is ready to help. Contact us today to schedule an appointment and learn more about our services. Together, we can help you regain control of your pelvic health and improve your quality of life.

Axonics Therapy is a novel and innovative treatment option for patients with urinary and fecal incontinence, as well as urinary retention. It is a minimally invasive, long-term solution that involves the implantation of a small device that stimulates the nerves responsible for controlling the bladder and bowel. 

While Axonics Therapy is a relatively new treatment, it has already helped numerous patients regain control of their bladder and bowel function and improve their quality of life. However, many people may still have questions or concerns about the treatment. In this article, we will answer some frequently asked questions about Axonics Therapy to provide a better understanding of this promising treatment option.

What is Axonics Therapy?

Axonics treatment, or sacral neuromodulation, is a cutting-edge bladder and bowel control procedure intended to lessen the signs and symptoms of overactive bladder and bowel incontinence. It is also used to treat patients suffering from urinary retention. The Therapy provides a long-term solution by reestablishing regular contact between your brain, bladder, and bowel.

How does Axonics Therapy work?

Generally, Axonics Therapy works by stimulating the sacral nerves with tiny electrical pulses. The treatment works to better regulate the sacral nerve’s activity by restoring everyday communication in patients with fecal or urinary incontinence.

What conditions does the Axonics treat?

Axonics Therapy is a proven treatment to help patients who have lost control of their bowels and bladder. As a result, it is effective for treating bowel incontinence, urine retention, and overactive bladder symptoms such as urinary urgency incontinence.

How does the implant procedure work?

Minimally invasive surgery can be used to swiftly and safely implant Axonics. Although some physicians favor using general anesthesia, a local anesthetic is typically administered. The device is then positioned above the buttocks in the lower back. The surgical procedure typically takes around 20 to 30 minutes.

What are the benefits of Axonics Therapy?

Axonics Therapy offers many benefits, such as a longer-lasting solution than other treatment options. It’s also among the safest and most effective treatments for people with chronic illnesses. Axonics Therapy is also minimally invasive, offers lowered infection risk, and other unfavorable side effects.

What are the side effects of Axonics treatment?

Axonic Therapy is an FDA-approved surgical procedure. Aside from minor stimulation-related discomfort, it has few significant side effects. Patients may also suffer some temporary, localized swelling, which may be cause for concern. Some patients also report changes in their sense of touch, mainly in their feet and buttocks, due to the Axonics implants’ stimulation.

Can the device be removed?

Yes, an Axonics device can be removed. This is a procedure that can be performed in the unlikely case that the treatment is ineffective.

What is the cost of Axonics Therapy?

Cost may vary, but the majority of insurance plans cover Axonics Therapy. Patients are encouraged to consult their doctor to learn more about insurance coverage.

How long does the device last?

An Axonics device can last for approximately 15 years. Unlike other devices that may require biweekly charging, patients only need to charge the device once per month.

Is Axonics treatment an inpatient procedure?

Axonics treatment is typically an outpatient procedure. Patients can expect to go home the same day as their procedure.

How long does the recovery period last?

After receiving Axonics treatment, returning to your regular routine can take up to three weeks. But light activity may be possible a few days after the procedure.

Interested in Learning More About Axonics Therapy?

Our personalized approach ensures that you receive the guidance and support you need to make informed decisions about your health. Whether you prefer to speak with a medical concierge or fill out a self-assessment, our team in Middle Tennessee is here to help. Don’t let urinary or fecal incontinence hold you back from living a confident, healthy life. Contact us today to learn more about Axonics Therapy and take the first step toward a better quality of life.

The male prostate is a gland found under the bladder and in front of the rectum. It has a significant role in the male reproductive system that creates fluids that carry your sperm. You might need surgery to partially or fully remove your prostate if you have prostate cancer, an enlarged prostate, or benign prostatic hyperplasia (BPH). Removing part or all of your prostate is called a prostatectomy. There are potential side effects to prostate surgery, such as prostate surgery incontinence.

What Is Prostate Surgery Incontinence?

Prostate surgery incontinence is when you involuntarily release urine from your bladder. It can affect men of any age, but it is not a normal part of aging. It commonly occurs after having prostate surgery and is generally temporary.

What Are the Causes of Incontinence after Prostate Surgery?

You will typically have leaks when you sneeze, cough, or lift something heavy. These actions cause stress on the bladder, which can then allow leaks. You might also have urge incontinence, which is when you have a sudden urge to use the bathroom but leak before getting there.

Potential Side Effects of Prostate Surgery

Incontinence is just one potential side effect of prostate surgery. Some other side effects you might have to deal with include:

• Erectile dysfunction
• Changes in orgasm
• Loss of fertility/decreased fertility
• Lymphedema (This is rare)
• Change in penis length
• More likely to develop an inguinal/groin hernia

Types of Incontinence After Prostate Surgery

There are two main types of incontinence following prostate surgery.

Stress Incontinence

Stress incontinence occurs when stress is placed on your bladder. This can happen as you move around or sneeze, cough, or laugh. You might find that you just dribble a little urine, or you might fully leak urine.

Urge Incontinence

Urge incontinence, on the other hand, is not caused by any actions you do. Your bladder may randomly contract, causing you to suddenly feel like you need to use the bathroom. However, you will begin to leak before you can make it to the bathroom. Again, the amount you leak will vary from person to person.

How Long Does Post-Surgery Incontinence Last?

The amount of time you might have to deal with incontinence varies by person but can be affected by things such as your age and weight. It can potentially last weeks, months, or even over a year. However, most people deal with it for around three months. There are treatments if you aren’t able to get it under control.

How to Stop Post-Surgery Incontinence

Your steps for stopping post-surgery incontinence depend on the type of incontinence you have.

Stress Incontinence

If you have stress incontinence, there are several things you can do to help.

Biofeedback

This mind-body therapy is an alternative medicine approach. It teaches people to change the way their bodies work and can help improve their mental and physical health. 

During biofeedback, a practitioner will use monitoring equipment and various instruments to measure how your body functions. They can then use that feedback to suggest how you can make physiological changes. Then, after some time practicing, you can do it without the equipment. 

Exercises

You can also do certain exercises to help control your bladder. Here are some examples:

• Sitting Fast-Twitch Exercise
• Sitting Slow-Twitch Exercise
• Horizontal Kegel Exercise
• Standing Kegel Exercise

Surgery

There are two main surgeries to help with your incontinence. First, you can get an artificial sphincter, which is a patient-controlled device. It is made of three parts, including a pressure-regulating balloon, a pump, and a cuff that encircles the urethra. The cuff prevents urine from leaking. The artificial sphincter generally improves around 70% to 80% of cases.

You can also get a bulbourethral sling. In certain situations, a sling can be helpful. It is a device that suspends and compresses the urethra. The sling can be made from the patient’s tissue or synthetic material. It creates the urethral compression that is needed to get bladder control.

Urge Incontinence

If you suffer from urge incontinence, there are multiple solutions to help you.

Double Voiding

Double voiding is a simple process that can help ensure you get all the urine out when using the restroom. Follow these steps.

1. Sit on the toilet and lean slightly forward.
2. Rest your hands on your knees or thighs.
3. Urinate as normal and try to get everything out.
4. Stay sitting on the toilet for another 20 to 30 seconds.
5. Lean a little further forward and try urinating again.

Dietary Modification

You will want to implement these dietary changes to help with incontinence.

• Watch the amount of water you drink. Don’t drink too much or too little.
• Cut out alcohol to start, and then slowly reintroduce it to see what your bladder can handle.
• Lower your caffeine intake.
• Avoid spicy and acidic foods.
• Stop drinking carbonated drinks.

Bladder Training

You can do certain things to train your bladder so that you don’t have to use the bathroom as often. Follow these steps.

1. Create a journal of when you have the urge to use the bathroom and when you leak.
2. Figure out when you’re feeling the urge to use the bathroom based on your journal entries. Then schedule a bathroom visit for that time plus 15 minutes. So, if you were going every hour, schedule a bathroom break for every hour and 15 minutes and try to go even if you think you don’t need to. Slowly increase the amount of time between visits to the bathroom.
3. Every time you feel the need to urinate, try to hold it for five minutes. Slowly increase this time in ten-minute increments until you don’t need to use the bathroom for at least three or four hours.

Pelvic Floor Muscle Exercises

Kegel exercises are popular for helping with incontinence. Here’s how they work.

1. Identify your pelvic floor muscles by stopping urination in midstream or by tightening the muscles that stop you from passing gas.
2. Next, tighten these muscles, hold them for three seconds, and then relax the muscles for three seconds. Do it multiple times in a row.
3. Make sure you only tighten your pelvic muscles and not muscles in your thighs, abdomen, or buttocks. Also, ensure you are freely breathing rather than holding your breath.
4. Try to do at least three sets of 10 repetitions each day.

Get Relief from Incontinence after Prostate Surgery

Incontinence isn’t something anyone wants to deal with, but it’s an unfortunate reality for some people after prostate surgery. The good news is there is plenty you can do to help relieve your incontinence symptoms. Contact us today to get relief from your prostate surgery incontinence.

What is Overactive Bladder (OAB)?

Overactive bladder (OAB) is a common condition marked by frequent and sudden urges to urinate. The National Association for Continence states that approximately 33 million American adults experience symptoms of OAB. 

What are the Symptoms of OAB?

Do you feel like you’re always rushing to the bathroom? Do you find yourself waking up multiple times a night to urinate? There are many indications of an overactive bladder. Here are some of the most common:

• An intense urge to urinate
• Constantly visiting the bathroom for only a small amount of urine
• Waking up regularly during the night to use the bathroom
• Accidental leakage due to the inability to hold urine

Discussing your symptoms with a specialized physician will help determine your best treatment option. Several options exist, ranging from medications and surgical procedures to traditional and alternative methods.

Popular Overactive Bladder Treatment Options

• Bladder control medicine, such as antispasmodics, can help calm an overactive bladder and reduce symptoms. These drugs work by blocking the nerve impulses that cause bladder contractions. 
• Surgery, such as bladder enlargement, can be an option for those with severe cases of OAB. This procedure entails creating a larger bladder capacity to reduce the urgency and frequency of urination.
• InterStim therapy is a form of sacral nerve stimulation. It involves the placement of a small device under the skin in the lower back that sends mild electrical impulses to the sacral nerves to regulate bladder function. 
• Natural remedies for OAB include lifestyle changes, such as modifying your diet, practicing pelvic muscle exercises, and bladder training. Herbs like ginger and marshmallow root may also help reduce symptoms. 

Whether it be medications, surgery, InterStim therapy, or natural remedies, each option has its pros and cons and level of efficacy.

Natural Treatment for Overactive Bladder

While medication and surgery are popular treatment options, some individuals prefer to try natural solutions to manage their symptoms. Here are some of the most common, natural remedies for overactive bladder:

• Diet and Hydration: Limiting caffeine, alcohol, and spicy foods and drinking enough water can help improve bladder function.
• Pelvic Floor Muscle Exercises: Kegel exercises can strengthen the muscles that manage urination and improve bladder control.
• Bladder Training: Scheduling bathroom visits can help retrain the bladder and reduce frequency and urgency.

Herbal Remedies:

Gosha-jinki-gan

• Antispasmodic properties to reduce bladder contractions
• Traditional Japanese remedy for incontinence and frequent urination

Buchu (Barosma betulina)

• Native to South Africa
• Antibacterial, anti-inflammatory, and diuretic properties to improve bladder control

Capsaicin

• Found in hot peppers
• Blocks substance P to reduce bladder contractions
• Pain-relieving effect for bladder pain or discomfort

Note that the success of these natural remedies varies depending on the severity of an individual’s symptoms. Sometimes they may not provide enough relief, and other treatments may be necessary. 

InterStim Therapy: A Technological Approach

You may have heard about InterStim as a treatment option. But what is InterStim, and how does it work?

InterStim is an innovative solution for those with urinary and bowel dysfunction. It harnesses the power of sacral nerve stimulation to bring relief. This treatment process involves the placement of a device, no larger than a stopwatch, in the lower back region, which then sends gentle electrical signals to the sacral nerves to control bladder function. 

The advantages of InterStim therapy include its efficacy and that it’s less invasive than surgery. There are also disadvantages, such as the risk of infection and device malfunction.

According to a study, the success rate of InterStim for overactive bladder ranges from 50-80%. However, individual results may vary. Consult a physician to determine if InterStim is the best choice for your case.

Determining Your Best Options for Treating OAB 

Tips to consider when choosing a treatment option:

• Understand the severity of symptoms: Knowing your signs can help you choose the right therapy. For example, if your symptoms are mild, natural remedies and bladder training may be sufficient. But if your symptoms are severe, InterStim therapy or medications may be more appropriate.
• Personal preferences and lifestyle: Your lifestyle should play a role in your treatment decision. Natural remedies may be a good fit if you want a non-invasive option, but if you’re looking for a quick solution, InterStim therapy may be more appropriate.
• Consulting your physician: Consult a physician before starting any treatment for OAB. They can help you understand your options and determine the best course based on your case.

Find Out More About Overactive Bladder and Consult with a Physician in Middle Tennessee 

Determining the best treatment option for OAB requires careful reflection and consultation with a physician. With so many choices, finding the right solution can be daunting. 

Our network of healthcare providers in Middle Tennessee is committed to helping you control your bladder and your life. Forget searching through endless websites and medical journals. We offer personalized support and guidance right at your fingertips. Contact us today and a medical concierge will reach out to you. You can also reach us by filling out a urinary incontinence self-assessment. Everyone deserves a confident, healthy life. Don’t let OAB control you any longer.

The prostate is an organ that holds a unique significance in a man’s development from childhood to adulthood. It grows larger as the male grows older, and it’s typically with age that men begin to experience complications. For healthy adult males, the expectation is that the prostate won’t grow much larger than the size of a golf ball, but for others, it can grow significantly larger. This excess growth causes Benign Prostatic Hyperplasia (BPH). As the prostate grows larger, it puts increasing pressure on the urethra, resulting in the thickening of the bladder wall. This becomes the starting point of BPH, and issues relating to incontinence.

Treatment usually involves lifestyle changes or medication. It’s also not uncommon for minimally invasive procedures, or other surgeries, to be used as forms of intervention. This article will compare three common BPH treatment options: HoLEP, TURP, and Urolift.

Holmium Laser Enucleation of the Prostate (HoLEP)

During a HoLEP procedure, a physician uses a laser to remove part of the prostate tissue that’s squeezing the urethra and causing a blockage. HoLEP is an effective solution for relief for BPH patients who want to spend as little time as possible preparing, going through, and recovering from the treatment. A patient gets back to their normal routine, mostly, in the space of two weeks.

A downside to this treatment is that there is a 16% to 44% chance of incontinence reoccurring within three months following the surgery. However, if you’ve tried other common BPH treatments and haven’t found success, then you may be a suitable candidate for HoLEP treatment. This procedure may also be the preferred treatment option for patients who take blood-thinning medications as well, given that patients taking such medications aren’t often cleared for other surgical procedures. Be sure to discuss your unique case and symptoms of BPH with a physician.

Transurethral Resection of the Prostate (TURP)

Similarly, a TURP procedure serves to mitigate the effects of an enlarged prostate on the urethra. The treatment involves passing a resectoscope through the urethra, where an electrically heated piece of wire then cuts away the necessary sections of the prostate to relieve pressure on the urethra. A catheter is then inserted into the urethra and flushed with fluid to help clear removed pieces of the prostate.

The TURP process is done under local anesthesia and typically takes about sixty to ninety minutes. As an inpatient procedure, the length of the hospital stay is generally two to three days. Patients are usually advised to avoid any strenuous work including, but not limited to, driving, exercise, and sex during the first few weeks of recovery. Normal functionality can be expected to return within about six weeks. A TURP procedure does affect ejaculation, but not the sensation that accompanies it. Some men have reported having trouble, temporarily, controlling their bladder. Erectile dysfunction and UTIs are also possible, but rare. 

Undertaking this procedure is best for patients facing stronger BPH symptoms, and is ideal for males who no longer have wishes to procreate. Consult with a physician to determine your candidacy for a TURP procedure.

UroLift

A UroLift procedure lifts an enlarged prostate by way of tiny implants and ensures the urethra is not blocked. Nothing in the form of cutting, removal, or heating of prostate tissue is necessary to conduct UroLift treatment.

One of the most desired benefits of a UroLift procedure is the preservation of normal sexual function. It can also be performed under local anesthesia. Similarly beneficial, recovery times and the resumption of normal, daily life are often much faster than other surgical procedures.

Side effects from this treatment are among the mildest. They include a burning sensation during urination, blood in the urine, painful urination, or lower abdominal pain. However, these tend to resolve within 2 to 4 weeks of their first appearance.

UroLift works for any man currently dealing with BPH, especially younger men looking to maintain their sexual activity. 

Comparing BPH Treatments

Each of these procedures is effective in treating BPH. What sets them apart are the recovery times, risks, and costs. If you’d like to return to your daily routines in the shortest time possible, then HoLEP may be a suitable option. TURP, on the other hand, brings the fewest risks and complications and is often used to treat issues brought on by the other treatment options. 

Consulting with a physician will provide you with a comprehensive understanding of each procedure, including risks, postoperative symptoms, and what to expect during your recovery period.

Are You Suffering From Incontinence?

Our network of healthcare providers is committed to helping you control your bladder and your life. Forget searching through endless websites and medical journals. We offer personalized support and guidance here in Middle Tennessee. Contact us today and a medical concierge will reach out to you. You can also reach us by filling out a urinary incontinence self-assessment. Everyone deserves a confident, healthy life.

The inability to control your bowel movement until you reach the bathroom can be embarrassing, and you may feel inclined to try and hide the problem. Also known as bowel incontinence, leaking stool (feces) from your rectum can happen when passing gas. In addition, it can occur when you have no idea you need to use the bathroom.

Some common causes of fecal incontinence include rectal prolapse (rectum drops down to the anus), rectocele (rectum protrudes through the vagina), hemorrhoids, surgery, nerve or muscle damage, and constipation. Additionally, various factors may increase your risk of developing bowel incontinence like being an adult of over 65 years, complications during childbirth, late-stage Alzheimer’s disease and dementia, and physical inability that leads to rectal nerve damage.

Depending on the cause, your physician may advise you on various treatments, including taking supplements to improve or reduce fecal incontinence to enhance your quality of life.

Best Supplements for Fecal Incontinence

The following supplements for bowel incontinence are considered safe to use and effective for reducing fecal incontinence symptoms:

1. Gasha-jinki-gan 

This Japanese blend of 10 natural herbal ingredients works by halting nerve signals to the bladder. As a result, your urge to pass stool decreases, aiding in urine and fecal incontinence. According to the National Library of Medicine, Gasha-jinki-gan is safe and effective for women with overactive bladders.

2. Saw Palmetto

A study from the National Library of Medicine concluded that the consumption of Saw Palmetto, a herbal supplement made from the berries of a palm native tree, for 12 weeks relieved overactive bladder symptoms such as urinary incontinence, frequent urination, and urinary urgency.

3. Vitamin D

Vitamin D is an essential micronutrient for optimal muscle function. A deficiency in vitamin D puts you at a high risk of experiencing pelvic muscle floor disorders like fecal incontinence. You can take a test to determine your vitamin D levels through a blood test in a hospital. The normal range is between 20 and 40 ng/mL. Therefore, if the test results are outside this range, you should supplement your diet with foods or supplements rich in vitamin D. 

4. Zinc

A study by the National Center for Biotechnology Information among patients suffering from fecal incontinence showed that the application of zinc-aluminum-based ointment decreased fecal incontinence symptoms. 

5. Magnesium

Magnesium helps to increase water in the intestines, helping in bowel movement. Often, it is used to help people suffering from constipation. In addition, magnesium plays a significant function in energy production, nerve function, and supporting muscles.

Fiber Supplements for Fecal Incontinence

If you are suffering from fecal incontinence, consider fiber therapy. Fiber therapy includes a gradual fiber intake until you achieve the recommended daily intake with respect to your age. For example, a woman aged above 50 years should eat 21 grams of fiber per day while a man above 50 should consume 30 grams per day.

Your body experiences slower metabolism, less muscle mass(sarcopenia), and reduced physical activity as you age. For this reason, consuming a diet that can help your digestive system function normally may ensure that you live comfortably even at old age. 

Fiber helps alleviate bowel incontinence by absorbing water and bulking up fecal matter. In addition, it relieves constipation, which is a major cause of leaking liquid out around a blockage. You can increase your fiber intake by:

• Eating fresh and raw vegetables and fruits
• Consuming whole grains and cereals like beans
• Using fiber supplements

While fiber may improve your fecal incontinence symptoms, it doesn’t completely clear the issue. Visit your physician to receive extra treatments or advice on bowel management to lead a healthy and normal life.

How Can You Stop Bowel Incontinence Naturally?

Apart from using incontinence supplements like pumpkin seeds, soy milk, barley water, and diluted squash, dietary modifications and lifestyle changes can help alleviate the symptoms or prevent fecal incontinence.

Dietary Modification

Difficulty in controlling your bowel movement is manageable by being keen on the foods you consume. In addition to closely monitoring your diet, consult with your doctor to ensure that you’re receiving the right amount of nutrients to function optimally.

Consider the following to reduce your fecal incontinence symptoms:

• Keep a food diary to track the foods that worsen the situation
• Eat small portions of food but frequently throughout the day
• Drink enough fluids
• Include supplements for incontinence like fiber

If you experience loose stool(diarrhea) during bowel incontinence, limiting or avoiding certain foods can help. They include:

• Alcohol
• Gas-producing foods like legumes
• Dairy products
• Caffeine
• Nicotine from chewing or smoking tobacco 
• Foods high in fat like deep-fried foods
• Drinks and foods rich in sugar

Lifestyle Changes

Making some lifestyle changes can help you manage an existing fecal incontinence issue or prevent it. The lifestyle changes are:

• Including pelvic strengthening exercises like squats, walking, and kegal
• Avoiding bladder irritants like alcohol and caffeine
• Use of catheters as advised
• Shedding off some weight if you are obese or overweight
• Trying pads and collectors to protect your clothes from leakage

What Are The Treatment Options for Fecal Incontinence?

Your treatment option depends on the cause of fecal incontinence. The options vary, and they include;

1. Sacral Nerve Stimulation

Sacral nerve stimulation is a medical electrical stimulation approved by the FDA to treat urinary retention and overactive bladder. The therapy is used as a last resort for those who have tried and failed medical management and treatment. This procedure includes using a device that sends mild electrical pulses from a handheld device that adjusts the stimulation level to the sacral nerves, reducing bladder control problems and symptoms.

The two common devices used for sacral nerve stimulation are Interstim and Axonics. Interstim has a battery that can last up to 15 years, but you cannot have an MRI done below the head. Axonics is rechargeable after every two weeks using a special belt, smaller in size than Interstim, and is MRI-compatible. 

2. Hemorrhoid Banding

Hemorrhoids are pockets of swollen veins in the anal canal and can cause fecal incontinence due to straining during bowel movements. Hemorrhoid banding or rubber band ligation is a minimally invasive procedure that cuts the hemorrhoids’ blood supply, providing relief during bowel movements.

3. Medication

After a diagnosis and medical test, your doctor may prescribe you medicine depending on the cause of your bowel incontinence. They may include:

• Bulk laxatives like Psyllium( Metamucil) for chronic constipation causing incontinence
• Anti-diarrhea drugs like Lomotil(atropine sulfate) or Diphenoxylate

4. Physical Therapy for Bowel Incontinence

If your bowel incontinence is due to muscle damage, your doctor may recommend the following physical therapy to improve anal sphincter control and increase bowel movement awareness.

• Kegel exercises to contract your inner muscles
• Biofeedback through specially trained physical therapists to teach you how to increase your anal strength with the help of a rectal balloon or anal manometry
• Bowel training by making a conscious choice of when to visit the bathroom

Regain a Sense of Normalcy

At Incontinence Institute, we provide you with an individualized treatment plan depending on the cause of your incontinence. In addition, our team of healthcare providers in Middle Tennessee will treat you with utmost respect and care as they are sensitive to your situation. Contact us today for help with fecal incontinence. Our medical concierge will get back to you as soon as possible.

Persistent abdominal pain from gallstones may lead to a physician recommending gallbladder removal. The removal of the gallbladder usually causes a lot of concerns to a patient and their families. As a patient, you will start asking questions about what life is like post the surgical process, whether life will be normal and post-surgery effects that may change the trajectory of your life. With gallbladder removal, life should be normal with minimum life alteration. However, some people experience long-term effects. Here are some of the long-term effects of gallbladder removal.

What is the Function of the Gallbladder?

The gallbladder is a thin-walled pear-shaped sac located beneath the liver. It is responsible for concentrating and storing bile from the liver and releases bile into the small intestine to enhance the breaking down and absorption of fats from food. Research indicates that the gallbladder usually holds about 30 to 80 milliliters of bile fluid. It functions by releasing bile by contracting and squeezing through the bile duct when food reaches the small intestine. 

Gallstones Complications

The gallbladder may experience a gallstone complication leading to a cholecystectomy. The term “gallstones” is often associated with severe abdominal pain, which is not the case among most people. However, when the symptoms of gallstones persist, your physician may recommend a procedure for removing the gallbladder.

Symptoms of Gallstones

Here are some of the symptoms of gallstone that may lead to gallbladder removal:

• Intolerance of fatty foods
• Abdominal bloating
• Severe pain in the upper abdomen lasting more than 30 minutes
• Back pain, particularly between your shoulders and beneath your right shoulder.
• Nausea or vomiting

Gallbladder Removal Side Effects

Generally, gallbladder removal effects may be felt in the first six months after the procedure. However, in some cases, it may have long-term effects on individuals. Some of these long-term effects include

• Diarrhea
• Constipation
• Fatty food intolerance
• Flatulence, or the accumulation of gas in the alimentary canal

Most of the impacts of gallbladder removal may be felt by lifestyle and dietary changes one makes in their schedule. Individuals may also find it difficult to handle hard tasks post-removal. In case of severe effects, it is important to consult your physician for further guidance.

Learning to Cope With These Effects

It is important to understand the various coping mechanisms you can adopt after removing the gallbladder. Adjustments may feel uncomfortable at first, but with time one gets used to them and adopts a new way of life. Some of the ways to cope with these effects of gallbladder removal include the following:

Limit Fat Intake: Gallbladder removal may reduce the action of bile. It is important to reduce fat intake since one may become fat intolerant. As a dietary adjustment, one should consume steamed, baked, boiled, or grilled foods and avoid fried foods which contain fats.

Lifestyle adjustments: It is important to adjust your lifestyle and activities in the long term to enhance comfort. One needs to be aware of their condition and be mindful of their activities, such as exercises, what to ingest, and the duration between eating to avoid challenges such as bloating.

Incontinence After Gallbladder Surgery

Most people who have experienced gallbladder removal live a normal life. However, proper adjustment often comes with adequate coping mechanisms, such as lifestyle changes and limiting fat intake, so one can easily adapt post-surgery. A small percentage of patients also experience incontinence after gallbladder surgery. If you’re experiencing incontinence as a result of gallbladder surgery, contact us to speak to a medical concierge about your symptoms and find the right solution. The Incontinence Institute offers a network of specialized physicians in Middle Tennessee that are focused on long-term solutions. You can also reach us by phone at 1 (615) 434-8661 or by filling out a fecal incontinence self-assessment or urinary incontinence self-assessment.

Parkinson’s Disease is an incredibly complex disorder with an array of degenerative symptoms that can manifest a little differently in every person with the disease. This leads to questions and concerns related to the direction of your, or your loved one’s, health. When these concerns are sensitive in nature, such as the relationship between Parkinson’s and incontinence, the questions can become more difficult to ask. 

But knowledge of both urinary and bowel incontinence is important to talk about because both problems can arise and addressing them is essential for informed, supportive, and effective care. 

Does Parkinson’s Cause Incontinence?

Parkinson’s Disease can cause both bowel and urinary incontinence as part of its degenerative nature, though not always at the same time. These symptoms, when they appear, can be addressed in several ways as long as they remain a part of the dialogue between you and your caregivers, whether they be family, friends, or professionals. 

What Kind of Incontinence Does Parkinson’s Disease Cause?

Incontinence is considered a non-motor symptom of Parkinson’s Disease, which is mainly considered to be a movement disorder. This means that much more research and emphasis have gone into the more noticeable motor issues that define the disease and not the prominent non-motor problems that accompany the disease. 

This also means that the medication prescribed already to control a person’s motor functions doesn’t necessarily have any effect on non-motor-related symptoms, such as incontinence, which need to be addressed separately and discussed with your doctor. Identifying and treating incontinence issues aren’t just about increasing personal comfort. It’s about dignity. It’s about confidence. It’s about quality care.

Parkinson’s and Urinary Incontinence

Parkinson’s causes problems with automatic bodily functions, such as breathing, heart rate, and urinary function. Urinary incontinence is much different than fecal incontinence and usually doesn’t start to occur until the later stages of the disease. Urinary incontinence due to Parkinson’s is a two-fold problem. The bladder has trouble holding urine in, but, at the same time, it’s difficult to control the release of urine, leading to some serious discomfort and emergency bathroom visits. 

Urinary incontinence problems can come in many forms:

• Functional Bladder Incontinence
• Mixed Incontinence
• Overflow Incontinence
• Pelvic Prolapse
• Reflex Urinary Incontinence
• Stress Urinary Incontinence
• Urge Incontinence
• Erectile Dysfunction

A person with Parkinson’s may have to urinate very frequently, complicated by an increasingly difficult time with movement. Once they sit down, they may find it difficult to let go of the urine and void their bladder. While nearly 40% of Parkinson’s patients may experience some level of urinary incontinence, only 15% of patients should develop a serious urinary condition. 

Parkinson’s and Fecal Incontinence

Did you know that 65% of Parkinson’s patients are affected by constipation, and, many times, the constipation is severe? The beginning stages of fecal incontinence start to occur immediately due to behavioral changes that can even preclude a diagnosis. For example, when someone starts to notice that their hand is shaking a little, they may be nervous about spilling something and reduce their intake of fluids. The trembling hand may be what causes you to call the doctor, but bowel problems have already begun.

Fecal incontinence also comes in several forms, including: 

• Double Incontinence
• Fecal Incontinence
• Flatus Bowel Incontinence
• Passive Bowel Incontinence
• Rectal Leakage
• Urge Bowel Incontinence

Parkinson’s Disease slows down our gastric motility function, which means that our ability to digest food and move waste through our system has slowed way down. When you mix this with all the medication that a person with Parkinson’s has to take and the fact that they aren’t always getting enough water or movement, constipation is an unfortunate side effect. 

This means that a person with Parkinson’s can suffer from bowel impaction that needs to be removed or experience a loss of muscle control that can lead to accidents, and near-accidents, that can keep someone with the disease from living their best life. What can be done to treat incontinence in Parkinson’s patients?

What Can Be Done For Incontinence As A Result of Parkinson’s Disease?

When incontinence becomes a problem, there are several interventions that can be done, depending on the cause of the loss of function, whether it’s behavioral or medical. 

Lifestyle Changes

Your diet will have a big impact on your ability to get back the control that you have lost. Certain foods can irritate your bowels, cause inflammatory reactions, and lead to incontinence problems. There may even be foods that bother you that may not bother another person in the same state. A great idea is to have a journal that documents what you have eaten, when you ate it, and how much you ate along with details from your bathroom visits to help your doctors identify problem foods not already on the list. 

Along with a healthier diet, walking more, and generally moving around more, will help move waste along your bowels and help you know when it’s time to go. 

Exercises

Did you know that there are physical therapy options for incontinence? Physical therapy has been pretty effective, especially for fecal incontinence, and can be used alongside a great diet and daily behavioral changes before any medication may be introduced. The goal is to strengthen your pelvic floor muscles, such as doing kegal exercises throughout your day.

Bowel training with a routine schedule can help you retain your bowel habits as well. Biofeedback is a way to retrain your bowel muscles by utilizing noninvasive sensors attached to the outside of your abdomen. It’s all about strengthening and retraining those muscles weakened by medication and disease. 

Medications

Once your diet has been optimized for better digestive control, and incontinence is still a problem, medication may be helpful. But medication can be tricky and certain medications have been known to make problems worse or not mix well with other medications. If this is the next step in your plan, even OTC medications can have a harmful effect and you should report everything you take to your doctor. It’s essential to identify the source of your problems before treating them. 

Sacral Nerve Stimulation

Your sacral nerve communicates important messages between your urinary tract, digestive tract, and your brain. These messages give you fair warning before you need to use the restroom and let you know when you are about to enter into a situation that could be messy and uncomfortable. There are a few non-invasive nerve stimulation options available to those who are interested. Options include:

• InterStim Implants work for both bowel and urinary incontinence by using an internally implanted device that sends electric pulses to stimulate sacral nerves to increase your body and mind’s ability to communicate messages between your digestive tract and the brain. This should fully restore a person’s ability to use the restroom as intended, but is usually only an option when medication and behavioral modifications fail to help.
• Axonics is another implant that works for both bowel and urinary incontinence and that also stimulates the sacral nerve, increasing the ability of your gut to communicate with your brain.

Both of these procedures are outpatient and usually only use a local anesthetic for implantation. You will be given a hand-held remote to control the devices and should be back on your feet soon. There are a few differences between these two particular options. While both implants are small and can’t be felt under the skin, Axonics is still a smaller device and requires charging once a month, for an hour. On the other hand, the InterStim II device doesn’t need charging but requires replacement every five years, unlike Axonics, which needs replacement every fifteen years.

The InterStim Micro needs to be charged once a week for 20 minutes, but also only needs to be replaced every fifteen years. You will need to discuss your options with your doctor and an incontinence specialist, who can help you determine which treatment is best for you and your life.

Don’t suffer in silence; we hear you and we see you. 

Contact us at the Incontinence Institute in Middle Tennessee for further information on living your life comfortably and confidently.