Stress continence is defined as being an involuntary loss of urine that occurs during physical activity, coughing, sneezing, or laughing. Stress incontinence is basically a bladder storage problem where the strength of the urethral sphincter has greatly diminished, and the sphincter doesn’t have the ability to prevent the urine flow when there is an increased pressure from the abdomen.

Stress incontinence may result from weakened pelvic muscles that support the bladder and urethra or because of the malfunction of the urethral sphincter. There are other things that could result in a weakened urethra including prior trauma to the urethral area, neurological injury, as well as some medications.

Sphincter weakness can occur in women after they have had pelvic surgery or men after prostate surgery. Stress incontinence is common in women who have had multiple pregnancies and vaginal childbirths, or those who have pelvic pro lapse which is the protrusion of the bladder, urethra, or rectal wall into the vaginal area, with cystocele, cystourethrocele, or rectocele.

Stress urinary incontinence is one of the most common types of urinary incontinence in women. There are many risk factors for stress incontinence such as having sex, aging, childbirth, smoking, and obesity. The risk of stress incontinence is increased if you have a condition that causes chronic coughing such as chronic bronchitis and asthma.

Occasional urinary incontinence is quite common in women. In fact studies have shown that nearly half of all women have occasional urinary incontinence and one in ten women experience frequent incontinence. It becomes more common as you age. Almost twenty percent of women over the age of seventy-five have daily urinary incontinence.

A person must have the psychological and physical ability to recognize and respond to the urge to urinate. The ability to hold urine is dependant upon normal function of the lower urinary tract, kidneys, and nervous system. The urination process involves two phases starting with the filling and storage phase which is followed by the emptying phase. During the first phase urine fills the bladder with liquid from your kidneys.

Your bladder stretches to accommodate for the increasing amounts of urine. It is estimated that the first sensation to urinate occurs when you have about 200 ml of urine in your bladder. A normal functioning nervous system will respond to the stretching sensation by alerting you that you need to urinate while allowing your bladder to continue to fill.

An average person has the ability to hold about 350 to 550 ml of urine. To be able to fill and store urine properly you are required to have a functional sphincter muscle, control of the output of urine from the bladder, as well as a stable bladder wall muscle also known as the detrusor muscle. The emptying process requires the ability of the detrusor muscle to correctly contract force urine out of the bladder, as well as the ability to be able to relax the sphincter to allow the urine to exit the body.

There is a great news for the patients who are seeking a successful prolapse repair surgery at low cost in the metro cities like Mumbai, Delhi and Hyderabad, they can have the uterine prolapse repair in India with the higher success rate and that too at very low cost. Uterine prolapse is a major health concern for women. Approximately 11% of all women will undergo some type of surgical procedure during their lifetime to correct or repair prolapsed pelvic organs. Uterine prolapse is also a frequent cause for hysterectomy. However, treatment options for women’s problems like uterine prolapse repair and hysterectomy are available in India. The large numbers of hysterectomies done for fibroids, uterine prolapse, menorrhagia, and other conditions that can be symptomatic but are benign has increased interest in new approaches to treat these gynecologic disorders. These new procedures are less invasive and offer reduced risk and faster recovery. India is providing the best medical healthcare facilities available in the field.

Surgical Options for Prolapse repair

Prolapse surgery is used to repair and reconstruct the support of the vagina and its neighboring organs when there is a prolapsed uterus. The surgeon’s goal is to restore normal anatomy, sexual function and human physiologic function (urinating and defecating). Since uterine prolapse is not life threatening, surgery is indicated only if the patient feels that her condition is severe enough that it warrants correction. Mild prolapse need not be surgically corrected for it is rarely symptomatic.

Uterine prolapse is the indication for hysterectomy in approximately 15% of cases in the United States. It is rare for a patient to have a prolapse of the uterus without at least one other type of vaginal prolapse (i.e. Cystocele, rectocele, enterocele, and urethrocele). Therefore it is very important that the physician carefully inspect the vagina for other prolapses. All forms of vaginal relaxation should be treated at the same time as the hysterectomy or uterine suspension. It is possible to have vaginal prolapse surgery without the need for hysterectomy or uterine suspension if there is no prolapsed uterus. Surgery to correct uterine prolapse requires great experience and expertise. Meticulous attention to preoperative evaluation as well as intraoperative technique is essential in repairing all defects present. Failure to do so may result in a second or third surgery for the patient.

Medical tourism helps abroad patients who wish to have their prolapse repair surgery in India at very low cost and keeping their convenience in consideration. Medical Tourism is a combination of wellness and healthcare coupled with leisure and relaxation which is aimed at rejuvenating a person mentally, physically and emotionally, drawing away from his daily routine to a relaxed environment in an exotic location. Medical Tourism in India facilitate the abroad patients to receive superior medical, and cosmetic care by highly skilled surgeons at some of the most modern and state-of-the-art medical facilities in the world.  This means that those who choose medical tourism of India for their prolapse repair surgery will be able to utilize the services of some of the top surgeons in the world, all while enjoying exotic locales and accommodations. Patients can put the money they are saving on the procedure into turning their journey into a magnificent, world-class retreat. For millions of patients, it is the only way to get the needed or desired medical treatment, without wiping out their entire life-savings. For more concern about prolapse repair surgery in India visit http://www.indianhealthguru.com and contact@indianhealthguru.com

“Doctor, help! There’s a bulge in my baby’s butt!”

This is just a common exclamation one can usually hear in a paediatrician’s office. Hysterical mothers bring into the clinic their babies wherein the chief complaint is a bulge in the vaginal area of the infant. Commonly too, are the attempts of these new mothers to try to push back the bulge themselves. Of course, the pediatrician has to warn them off that particular activity. It can actually rupture the site and further worsen the condition.

Rectocele surgery – is it needed ?

Just what is that bulge anyway? That bulge is actually a hernia. The herniation is caused by the rectum pushing through a weakened wall into the back wall of the vagina. Small herniations can cause little or no distress, but larger ones and the more serious ones causes discomfort and a sagging sensation. [ There can often also occur, an enterocele, which is a bulge of the small intestine into the vagina.]

Infants and adults may need rectocele surgery

The rectocele is commonly found among women after repeated childbirth,

 as a complication that arises after a hysterectomy,

 the aged,

 chronic physical trauma to the rectum,

 and to infants.

 According to the American Academy of Paediatrics, the occurrence of a congenital rectocele among infants is rare. This may be true in the United States, but some doctors in Asia have conflicting reports.

The repair to the weakened wall is called rectocele surgery, which involves the pushing back of the small intestine and rectum into place, and held by reconstructed pelvic muscles.

The walls of the vagina are also restored to normal shape. During the rectocele surgery itself, the procedure is usually done by going through the vagina, unless an underlying condition requires having to have an abdominal incision. Because of the nature of rectocele surgery itself, general anaesthesia is usually administered to the patient.

Rectocele surgery recovery

Rectocele surgery recovery is lengthy. Hospital stay is two to three days, normal bowel movement in two to four weeks, normal non-strenuous activities achieved within four to six weeks.

 Plenty of water intakes are a must. Some women have complained that they have more discomfort after the surgery like painful intercourse, painful if not difficulty in urination, retention of urine, vaginal infections and others.

 There are always risks involved when having to undergo surgeries like rectocele repair. However, these risks are minimal when compared to what one has to go through before the repair-.

Rectocele surgery is not a fool proof solution. If symptoms experienced by the patient were present before the surgery, then after the surgery it may still be there. Symptoms pre-surgery may include constipation, painful intercourse, and pelvic or lower back pains.

 It is also best to remember that lifestyle is a significant contributing factor to the rectocele and enterocele. In fact, lifestyle can exacerbate the rectocele and enterocele.  High on the list are:

 smoking,

 obesity,

 constipation due to lack of fibre intake,

 and strenuous activities that can traumatize the lower pelvis and the rectum itself.

 Avoidance of pregnancy after a rectocele surgery is also highly recommended.