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Senior Voice of Citrus County - OCTOBER 2020 • 21
         Health Connections                                                                      Senior Voice of Citrus County -  OCTOBER 2020 • 21
        Urinary Leakage? Women






        Have Options in Citrus County








                                             not normal to have pelvic,          • Do pelvic muscle exercises,  There also are effective
                                             vaginal, or bladder prolapse.         commonly known as a                medications available to treat
                                             Urine leaks because either            Kegel exercises regularly;         overactive bladder.

                                             the bladder is overactive             especially after childbirth.       If your urinary leakage is
                                             or there are weak pelvic            • Watch your diet to avoid           due to weak pelvic muscles
                                             muscles, or both. There are           some common bladder                and pelvic floor therapy
                                             medical reasons for women             irritants like excessive soda,  or medication do not help,

                                             to have these problems.               caffeine, tea, alcohol and         surgery can. Urethral Sling is
                                             These could be the effect             citrus fruits.                     an effective surgical therapy
                                             of multiple pregnancies,                                                 which provides support of
                                             delivering a large baby, or         • Watch your weight.                 the bladder and vagina. The

                                             the use of forceps during           Any condition such as                sling keeps the urethra closed
                                             childbirth.
                                                                                 a urinary leakage or                 so you don’t leak urine when
                                             During pregnancy and                prolapse problem causing a           you laugh, cough, or sneeze.
                                             labor, there is damage to the       disturbance in your routine          A Pessary and/or surgery
        By: Dr. Ashok                        bladder, rectal, vaginal and        life or active lifestyle is          are effective treatments for
        Buddhadev                            perineal support. It causes         cause for a visit to your            pelvic vaginal prolapse.


        Ever since I started practicing      some permanent damage               physician. You must see              At Citrus Memorial, I
        gynecology in 1994, I have           to muscles and nerves in            a doctor to discuss it, as           perform robotic surgery
        seen and followed my                 that area. Over a period of         there are effective treatment        which is minimally invasive
        patients throughout their            years, the problem starts           options available. Often,            laparoscopic surgery using

        adult life and transition            with urinary leakage with           an office procedure called           a surgical robot as a tool to
        into the menopause. I have           or without pelvic prolapse.         urodynamics – the painless           fix severe vaginal prolapse
        managed them through their           During hysterectomy if              filling of the bladder               problems. Recovery after

        childbirth and later for their       careful stitching is not done       with water and telescopic            robotic surgery is faster and
        female pelvic and menstrual          to support the vagina, it can       examination of the bladder –         less painful.
        problems. One thing that             increase the risk of prolapse.      is used. A cystoscopy might          If you are experiencing
        stands out as women come             Abnormal weight gain can            be helpful to confirm the            urinary leakage or pelvic
        for their regular checkups, is       cause aggravation due to            diagnosis and Pelvic Muscle          prolapse, don’t be shy! Your

        that so many of those patients       pressure on weak tissue. And,  Therapy is quite effective if             physician can provide non-
        have problems with urinary           there are always genetic and        started early.                       surgical and surgical options
        leakage and vaginal bulging,         familial risk factors for weak      Pelvic Muscle Therapy is             to help you get back to your

        prolapse or relaxation.              muscle and ligaments which          a type of physical therapy           normal lifestyle.
        When I ask them questions            cause or aggravate these            for your pelvic muscles,
        regarding those issues, many         problems. Overactive bladder        done by a therapist without           Dr. Ashok Buddhadev is an
        of the patients think that it        occurs because the bladder          any pain or discomfort. You          Obstetrician/Gynecologist at
        is normal. That is where my          tissue itself has changed.          must continue to exercise            Genesis Women’s Center and

        real conversation with them          It is very important to know        those muscles yourself, too.         member of the medical staff
        starts.                              what you can do to prevent          Bladder training and lifestyle       at Citrus Memorial Hospital.

        First, it is not normal to           or decrease the severity of         modification to change diet          Visit CitrusMH.com for more
                                                                                                                      information.
        have urinary leakage. It is          urinary leakage problems:           habits also help.
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