I have HAD it. A TMI question about solutions for..well, TMI

My people. If this happened to men as much as it happens to women, some of us from when we were children, we'd know exactly why and have cheap excellent means to cure it.

I just wanted to tell you all that I was in group fitness class a couple weeks ago, there we jumping jacks involved, and everybody and their mother took a mid-workout pee break shortly thereafter.

I'm working on weight loss from my middle as my OB/GYN just mentioned to me it might be related, and I also don't drink OJ or other straight citrus juices anymore. That helped a little.

Going to go pee now.

I'm pretty sure we all need to head to the ladies room together now!

I'm 60 and have just a little problem with leakage, as in only when I laugh hard or jump with the grandbabies.

However, the mention of weight has caught my attention and is just another reason I need to shed the extra 20 lbs I'm holding on to.

Good luck to those of you seeking treatment. I can't believe we haven't figured out how to take care of this issue yet.

Urogynecologist  I didn’t know that they exist but I’m glad that now I do .
Thanks

Personally for me, surgery would be the last step. I would see a physio who specialises in pelvic floor exercises. I got a referral to one a while ago but I haven't been yet. DD is in her third year of a physiotherapy degree so I am going to wait until she graduates!    She actually did a placement at Kieser last week and they have a pelvic floor machine there that sounds pretty cool. 

A urogynecologist is the best person to see. Although the urologist will tell you they are the best and the gynecologist will say they are. The studies show the best results in treatment both surgical and no surgical with a uro gynecologist.

Is there still a risk of Toxic Shock Syndrome, Or is that a thing of the past?

I work for a company that distributes medical devices, including silicone pessaries, for urinary incontinence.
They really do work, though you need to have the right shape for the reason the UI occur is occurring, and the right size for you.

Here’s a link that shows a range of pessaries - click on each one and it will show you what that shape is best for.
Uro-gynaecology pessaries

They are designed to be easy for the woman to insert and remove, and should be very comfortable when inserted.

Most physiotherapists who specialize in pelvic health will fit and supply pessaries,as will many/most urologists and uro-gynaes.

Surgery can of course work wonders, as we have heard already, but it is a major thing - why not try the easy things first.
And if you do opt for surgery, research it well, and ask the urologist about complications - there are currently many law suits and class actions world-wide brought by women who are facing problems (especially excruciating pain) after having surgical mesh implanted.

I have not read every single comment but I want to say, I'm sorry.  I know how frustrating this is.  Believe me!!!  

I noticed having a little issue every now and then when trying to jump on a trampoline with the kids then it finally progressed to needing an extra set of scrub bottoms and panties in my bag for work.  I'd pull a patient up, I'd leak.  I'd have a lengthy trauma case, I'd leak.  I'd sneeze, I'd leak.   It got so bad for me that I would have to make SURE I went to the bathroom before sex because I was worried I'd leak!    It was awful.

I finally decided to talk to my gyn about it.  She was very reassuring that it happens often and that I wasn't alone.  She explained this one little, simple test she could perform in the office to determine if it was a bladder or a urethra issue.  All she did was take a sterile cotton swab and put some lidocaine on it and inserted it into my urethra and had me bear down.  She said if the swab moved more than 30%, it was a urethral issue.  Wouldn't you know the dam swab touched the side of my leg and I'm not a very big girl either.  
She scheduled me for the urethral sling surgery a week later.  I had the pre-surgical labs done and was good to go.  

The surgery was a piece of cake.  I had to leave a foley catheter in over night just to give all the parts a rest.  I had zero surgical pain but my right hip was sore for a week or so.  I'm sure that was all about the positioning but it was no more than a little bit of an ache not a full-blown pain a little advil couldn't manage.  

I had strict pelvic rest for six weeks and she said I couldn't ride my bike either.  I am two years out and it was the second best surgical procedure I've ever had!!!  
And since we are talking openly here, my dh said he could tell a difference but in a good way.  

I totally agree with this. I went to see a leading urogynocologist and had a sling type surgery 2 years ago (not mesh but something else) and wow the results have been amazing. If I did sports I would have to wear a maxi incontinence pad and it would be soaked. I played my first game since a few weeks ago and only wore a liner (habit) and it was dry. 

I had been to see a womens physiotherapist who specialised in this area but with my prolapse being so bad it was very difficult to do the exercises properly. My surgeon was excellent in giving me non-surgical options too - there are devices you can insert that can help plus he also does Botox for those that aren't suitable for surgery. 

I had bladder/bowel prolapse surgery at the same time so my recovery was longer than just a normal sling. Iknow many people who have had this type of surgery and not one regrets it, all have said they wish they did it sooner. 

There were issues with mesh slings years ago but technology has come a long way since. 

see a urogynecologist.

Also there are physical therapists who work on strengthening the pelvic floor. That can also be helpful.

I love this place! So many suggestions and solutions!

I have not seen anyone mention a pessary. It is along the same lines of the diva cup or the tampon providing support internally. Worth a try for a person who does not want or cannot have surgery at this point in time. It is sort of like a diaphragm but only the ring. It is also inserted and removed by the wearer. There are a ton of different shaped pessaries so if one did not work well another might.

Sorry to resurrect an old thread but I was searching for some answers.

I wondered if anyone here has tried the collagen injection before doing the sling surgery. Seems a bit less invasive. I had a consult with a urogynecologist. Doctor told me to quit taking the oxybutrin since it causes memory loss. I've been taking it for 8 years. YIKES! Looking at other options now.

I took that for a number of years. Is that what happened to my memory?? I had a sling type surgery that only held for around 1 year. Way too invasive and hard to recover from surgery to have it last so short. I've lost about 30 lb since then and I think that really helped limit the incontinence. I know That isn't doable for everyone.