Published On: Wed, May 1st, 2013

Urinary Incontinence after Natural Birth: Stress Incontinence

Fernando BiancoMIAMI – The involuntary release of urine is called “Urinary Incontinence”. This health condition affects over 13 million Americans. Almost 85% of these patients are women. Urinary incontinence in women is more common than male urinary incontinence because the causes of incontinence naturally occur in females more often. Many times bladder symptoms such as “stress incontinence” in women are caused by pregnancy and childbirth, which can stretch muscles and put added pressure on the urinary tract. Sometimes there is damage to the nerves during delivery that can lead to weakened muscles. As a result, stress incontinence in women can occur soon after delivering a child or it can develop later on.

The bladder sphincter is a muscular valve that lies at the bottom of the bladder. It works to control the flow of urine. In pregnancy, the expanding uterus puts pressure on the bladder. The muscles in the bladder sphincter and in the pelvic floor can be overwhelmed by the extra stress or pressure on the bladder. Urine may leak out of the bladder when there is additional pressure exerted - for example, when a pregnant woman coughs or sneezes.

Dr. Fernando Bianco, MD. is the medical director of the Mount Sinai Bianco affiliated Urology program – “After pregnancy, incontinence problems may continue because childbirth weakens the pelvic floor muscles, which can cause an overactive bladder. Pregnancy and childbirth also may contribute to bladder control problems.”- He affirms

Why stress incontinence happens?

·       Damage to the nerves that control the bladder
·       The fact that the urethra and bladder have moved during pregnancy
·       An episiotomy, a surgically planned incision made in the pelvic floor muscle during delivery of a baby to allow the fetus to come out more easily

“The incontinence may be mild and infrequent for some pregnant women, but it can be more severe for others. Incontinence can continue after pregnancy and may not be present right after childbirth.”– Says Dr. Bianco.

Dr. Fernando J. Bianco. Urology Specialists Robotic surgeon of the prostate, kidney and bladder and oncology urologist. He serves as Associate Professor of Columbia University, New York. He founded and is the Robotic Surgery Director for Mount Sinai Medical Center, Miami Beach, Florida. He is the former director of the Prostate Program for the George Washington Cancer Institute (GWCI) and head of urology oncology of George Washington University, Washington, DC. He completed his Urology oncology fellowship at Memorial Sloan-Kettering Cancer Center in New York. Dr. Bianco completed his residency at Wayne State University in Detroit. MD degree from the Universidad Central de Venezuela. For any questions ask Dr. Bianco mailto: drbianco@besturology.net

To call for an appointment with any of the three doctors: UROLOGY SPECIAISTS – Ph: (305) 515- 9887 www.urology-specialists.nethttp://www.da-vinci-surgery.com

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