By: DelCharco M.D. OB/GYN
Stress urinary incontinence (SUI) is a common condition that affects millions of women, leading to involuntary leakage of urine during activities such as coughing, laughing, exercising, or lifting. For many, this condition can significantly impact quality of life, but effective treatments are available. At the office of Dr. DelCharco M.D. OB/GYN in Ocala, FL, our team offers personalized care to help women manage and treat stress urinary incontinence, including advanced minimally invasive surgical solutions. Dr. DelCharco is one of the areas only board certified Urogynecologist.
What Is Stress Urinary Incontinence?
Stress urinary incontinence occurs when physical activity or pressure on the bladder causes urine leakage. This happens when the pelvic floor muscles or urethral sphincter lose strength and can no longer adequately support the bladder and urethra.
Two primary causes include:
- Urethral hypermobility – when weakened pelvic muscles allow the urethra to shift downward with pressure.
- Intrinsic sphincter deficiency (ISD) – when the urethral sphincter itself weakens and cannot close properly.
Non-Surgical Treatment Options
Many women benefit from conservative approaches before considering surgery. These include:
- Lifestyle modifications: Adjusting diet and fitness routines to reduce triggers.
- Pessary use: A removable device inserted into the vagina to provide support and reduce leakage.
- Pelvic floor physical therapy: Kegel exercises and specialized therapy to strengthen pelvic muscles and improve bladder control.
Surgical Treatment Options
When non-surgical methods are not enough, surgical treatments may be recommended. One of the most effective procedures is the mid-urethral sling surgery.
How Sling Surgery Works
- A small vaginal incision is made, and a synthetic mesh sling is placed under the urethra.
- This “sling” supports the urethra, preventing it from dropping during activities like coughing or exercising.
- The procedure typically takes 20-30 minutes and is minimally invasive.
Recovery After Surgery
- Most women return to moderate activity within 2–4 weeks.
- Strenuous activities and heavy lifting are avoided for up to 6 weeks.
- Many women notice immediate improvement in leakage after surgery.
Risks and Considerations
Like all surgical procedures, sling surgery carries risks, including infection, mesh-related complications, pain, or failure to completely resolve incontinence. Your physician will carefully review your medical history and help determine if this option is right for you.
Who Should Consider Treatment for SUI?
You may be a good candidate for treatment if:
- You experience urine leakage during daily activities.
- Conservative options have not provided enough relief.
- You want to improve your quality of life and regain confidence.
Final Thoughts
Stress urinary incontinence is a common but treatable condition. Whether through lifestyle changes, pelvic floor therapy, or minimally invasive sling surgery, there are effective options available to help you regain control. At the office of Dr. DelCharco M.D. OB/GYN in Ocala, FL, we provide compassionate, personalized care for women seeking relief from SUI.
If you’re experiencing stress urinary incontinence, schedule a consultation today: https://delcharco.com/contact/
Further Reading
For more information, visit the American Urogynecologic Society’s patient resource on bladder health