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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

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Incontinence treatment and symptoms

Incontinence treatment and symptoms

What is incontinence?

Do you have a frequent or sudden need to urinate or you can’t control your bladder? You may have this common condition known as urinary incontinence which is more commoner among the female gender.

Types of urinary incontinence:

Stress incontinence is when urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy.

Urge incontinence is if you have a sudden, intense urge to urinate followed by an involuntary loss of urine, you may need to urinate often. Urge incontinence may be caused by a minor condition, such as infection, or a more severe condition such as neurologic disorder or diabetes. Urge incontinence is also called overactive bladder, spastic bladder or reflex incontinence.

Overflow incontinence is when you experience frequent or constant dribbling of urine due to a bladder that doesn’t empty completely.

Functional incontinence is where a physical or mental impairment keeps you from making it to the toilet in time.

Symptoms of incontinence are — feeling a sudden need to urinate or feeling a frequent need to urinate (more than 7 times a day or 2 times a night), weak bladder control and leaking. Some people experience occasional, minor leaks of urine. Others wet their clothes frequently.

What are the main causes for incontinence?

Diseases like diabetes, Parkinson’s and multiple sclerosis (MS) can damage the nerves that control your bladder.

Vaginal childbirth, recurrent urinary tract diseases, strokes, surgeries and treatments for pelvic cancers can also cause urinary incontinence.

What are the treatment options available for this condition?

Treatment depends on what kind of incontinence you have and how bad your symptoms are. There are four main treatment approaches for incontinence which include bladder and pelvic floor muscle training, lifestyle changes, medications, surgery and bladder retraining.

For Urge incontinence– Practices like double voiding (urinating and wait for another few minutes and doing again), toilet trips which involves 2-3 hourly scheduled toileting rather than waiting

until an urge arises and proper fluid and dietary management play a major role in reaching a symptomatic improvement.

Behavioral modification therapy is the therapy where an urologist might suggest techniques like limiting the amount of fluid you drink, eliminating caffeine because it irritates your bladder or bladder training, which will teach you to hold your urine longer and doing exercises to strengthen your pelvic floor.

Both Stress incontinence and Urge incontinence can be treated effectively with Electrical stimulation which enhances the tone and strength of pelvic floor muscles.

Furthermore, medications like Anticholinergics, Mirabegron (Myrbetriq), Alpha blockers and topical estrogens can also be used to address symptoms in all the three types.

Is there any place for surgical treatments?

In patients who do not respond to any of the conservative or pharmacological management, can be treated with surgical interventions like Sling procedures, bladder neck suspension, prolapse surgery and artificial urinary sphincter fixation, depending on the etiology


What patient says about Dr. Nitish Jhawar

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    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

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    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

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    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

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    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

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    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

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    Honest doctor, expert in his field....can trust his words

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    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

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    Very nice. Doctor is very patient and gives you correct advice.

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    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

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    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience