Does sneezing, coughing or even walking cause you to leek urine?

March 25, 2011
Columnist

By Dr. Jill Hall

Does sneezing, coughing or even walking cause you to leek urine? Is there an uncomfortable bulge in your vagina that makes it feel as if you’re sitting on a ball?

-These are symptoms of what’s known as pelvic floor disorders and despite being surprisingly common in women, they still remain a taboo topic too rarely talked about.

As an urogynecologist, I strive to assure my patients that pelvic floor disorders affect millions of women nationwide and that there is help.

For the past 30 years, the emerging field of urogynecology—what is now known as Female Pelvic Medicine and Reconstructive Surgery— has focused on pelvic floor disorders and continues to find treatment options that can help women live free from these uncomfortable symptoms.

I am committed to providing compassionate, quality healthcare by carefully listening to my patients, understanding their symptoms and then treating them in a way that best meets their physical and emotional needs.

So what is an urogynecologist?

Urogynecologists are doctors who have completed four years or residency in obstetrics and gynecology or urology. Many urogynecologists, such as myself, participated in formal fellowships to receive further training in the diagnosis and treatment of conditions that affect a woman’s pelvic organs, as well as the tissues and muscles that support those organs.  Specifically, these conditions include incontinence in women, bowel control issues and pelvic organ prolapse.

Pelvic organ prolapse is caused when tissue and muscular support of the vagina is lost, causing a dropping of the bladder, cervix, urethra and rectum. This results in an uncomfortable bulge in the vagina.

Incontinence is when a person leaks urine or feels as if they need to urinate frequently or without control.

Before the emergence of Female Pelvic Medicine and Reconstructive Surgery, incontinence in women was primarily treated by an urologist, while other gynecologic issues, such as pelvic organ prolapse, were treated by a gynecologist. What we’ve learned, however, is that these two conditions are often interrelated and can be most effectively treated by a doctor who understands how a woman’s vagina and uterus affect her bladder, urethra, cervix and rectum.

If you’re having surgery for pelvic organ prolapse, it’s a good idea to see an urogynecologist who is also aware of the potential of unmasking an incontinence issue. To help ensure incontinence is not an issue after a surgery for pelvic organ prolapse, I perform a simple in-office test that mimics the effects of the surgery. I then examine the bladder to check for any incontinence issues that might arise after surgery. By doing so, I can address both problems in a single surgery, saving many women from a second procedure and a longer recovery.

Although most of the women I see on a daily basis are in their 50s or older, I also regularly treat younger women with many of the same conditions. I am committed to finding the safest, most effective and long-term treatment options available for women of all ages. With proper diagnosis and medical care, many women are able to return to an active sex life. Younger women afflicted with pelvic floor disorders can often still have children.

Women should know pelvic floor disorders are not life-threatening. Treatments, both surgical and in-office, provide safe relief to these painful and bothersome conditions.

It’s also important for women to realize pelvic floor disorders should not go unchecked. Talk to your doctor as quickly as possible if you experience any of the above symptoms. Pelvic floor disorders are more common in overweight women, smokers, those who do repetitious strenuous activities and those who suffer from constipation.

It’s important to me that my patients know I’m here to listen because like them I’m a woman, and I understand.  Pelvic floor disorders can often be painful and no woman should have to suffer in silence.

Jill Hall is an obstetrician/ gynecologist who specializes in Female Pelvic Medicine and Reconstructive Surgery. She serves patients at Community Memorial Health System’s Centers for Family Health in Santa Paula and Fillmore. She is also part of the Ventura County Obstetric and Gynecologic Medical Group in Ventura. To make an appointment with Dr. Hill, please call 805-643-8695.





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