Author Archives: admin

Surgery for Stress Incontinence – Where’s the Evidence?

If you have stress incontinence and are looking for solutions, surgery might be one of the options you consider. The most common surgical procedure in recent practice has been the surgical mesh. However, this solution seems to be wrought with complications and has even been banned from use in some countries, including the United States.

Transvaginal Mesh Recommendations are Confusing

For a summary timeline of the issues around transvaginal mesh for stress urinary incontinence, see What’s Next for Transvaginal Mesh at  The author notes that the transvaginal mesh conversation has become very complex and confusing, with varying approaches and recommendations.  But he says one thing is clear, which is that the effectiveness (or not) of the solution lacks evidence.

When deciding how to approach stress incontinence management or repair, taking a look at the evidence is a good place to start. If the decision is to go ahead with surgery, the surgical mesh is an easy day surgery relative to other more invasive surgeries. It’s still the largely recommended surgical solution, but what’s the trade-off, if any? What is the evidence that supports it’s long-term effectiveness?  What’s the evidence of complications? What’s the evidence of long-term adverse effects? Though there may be immediate short-term results, will there be long term pain for short term gain? This is important information to discuss with your doctor or surgeon prior to the actual surgery.

Evidence of Success and/or Complications

Stress urinary incontinence treatments range from minimally invasive (example – exercises at home) to invasive (surgical repair).  On the periphery of medical discussions or solutions are questionable natural remedies or new treatments that are currently being studied. In all cases, asking about the short term and long term impact might help make the decision about what’s right for you. Evidence of long term success or complications will factor in to the list of pros and cons that you make as you figure out whether to move forward with stress incontinence treatment. If there isn’t any long term evidence, your current physical health and emotional well being need to be weighed against potential unknown complications.


Pelvic Mesh Risks

Pelvis Mesh – Safe Solution for Pelvic Health?

Urinary Incontinence Impacts Quality of Life


Surgical interventions for women with stress urinary incontinence

What’s Next for Transvaginal Mesh


Wish I had My Giggle Knickers On!

giggle knickers absorbent underwear

I love getting mail when it’s something fun; I was happy to receive a sample of the newest absorbent underwear to hit the market – it’s Giggle Knickers, by UK partnership Anne Davidson and Judith Balcazar.  They designed Giggle Knickers … read more

Tell Someone You Have Stress Incontinence

If you're struggling with accidentally peeing now and then, tell someone

The Stress Incontinence Secret Often when someone has a problem, they will feel better by “getting it off their chest”.  This usually involves venting to someone about your problem – finding a supportive person whose ready to listen. But people … read more

Incontinence (Accidental Pee) After Giving Birth

New moms often have to manage stress incontinence but it's not a condition you have to live with

Surprise! Stress Incontinence After Having a Baby Stress Incontinence, or accidentally leaking pee (urine), often appears as an unwelcome surprise during pregnancy or following childbirth. The constant load bearing of pregnancy or the trauma of delivery may adversely affect the … read more

The Answer Isn’t Simply “Do More Kegels”

Pelvic Health is More than Doing Kegel Exercises

The Pelvic System and Kegel Exercises If you’ve ever mentioned light bladder leakage (stress incontinence) in passing while chatting with friends, one of the first replies you might hear in response is “do kegels”.  Even healthcare professionals will sometimes dismiss … read more

How to Sneeze with Stress Incontinence

Stress Incontinence Sneeze Leak

How To Sneeze When You Have Stress Incontinence An Unofficial, Non-Scientific Guide for Leakers by LeakyLily If you have stress incontinence then we don’t have to tell you that sneezing sucks because you know it first hand.  If your stress … read more

Oh no, I Accidentally Peed My Pants!

Accidental Peeing – It Actually Happens Have you ever heard someone say “I just peed a little”.  Or how about “it was so funny I almost peed myself laughing!”  Chances are the person telling you they almost peed themselves probably … read more