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

  Click to call +919833290590


Incontinence Bladder & Bowel

Urinary (Bladder) & Stool (Bowel) Incontinence

Incontinence is the inability to control bladder or bowels. Involuntary urination is referred to as urinary incontinence while involuntary soiling is referred to bowel or faecal incontinence.

Urinary Incontinence/Bladder Incontinence

A fairly common medical condition, urinary incontinence is caused by either underdeveloped bladder muscles or over active bladder muscles.

With underdeveloped muscles, patients experience urine leaking during activities such as coughing, laughing or lifting heavy objects.

When the muscles are over active, leakage of urine occurs as the patient feels the urge to pass urine even with the slightest amount of urine in the bladder.

There are other forms of incontinence, but these are the most common ones. Urinary incontinence in women is more likely than men.

Childbirth, obesity and advancing age are some of the reasons that cause urinary incontinence.

Treatment of Bladder Incontinence:

While a number of treatment for bladder incontinence are available today, more often than not, lifestyle changes such as losing weight and pelvic floor exercises that strengthen bladder muscles can bring about a major improvement. For more severe cases, urinary incontinence treatment may be surgery.

Bowel Incontinence/Stool Incontinence

Bowel incontinence occurs when a person is unable to control passing of stools.
There are various forms of continence – some face the problem of being unable to reach toilet in time (urge incontinence), while others have no awareness of rectum sensation (passive incontinence). Some experience soiling during passing wind. The frequency differs person to person.

Weakened or damaged anal muscles are often the cause of bowel incontinence. Damage to nerves can also result in incontinence.

  • Constipation and diarrhoea are among the major underlying reasons as they weaken the anal muscles.
  • Other reasons include injury to anal muscles & nerves of anal muscles during childbirth, aging, diseases like diabetes that lead to nerve damage, and ano rectal operation or injury involving anal area.

Non-Surgical Treatment of Incontinence

Treatment for incontinence depends on the type and severity.

Non-surgical options are used to address some of the fundamental issues.

Lifestyle and dietary modifications such as increasing water intake, adding fibre in the diet and regular exercise help in easing constipation or diarrhoea.

Pelvic floor exercises are used to strengthen the muscles which control bowel movements. In addition to the exercises, bowel re-training and biofeedback can also lead to improving the control over bowel movements.

However, if these measures do not result in any improvement, surgery might be advisable.

Surgical Options for Treating Incontinence

Surgery for incontinence repairs or replaces the sphincter muscles which are the most important muscles for maintaining bowel control.

In sphincteroplasty, damaged sphincter muscles are repaired by overlapping muscles and sewing them, making them stronger.

Sacral and tibial nerve stimulation help improve the functioning of weakened sphincter muscles by generating electricity pulses. Other methods include injecting bulking agents like collagen or silicone to strengthen the muscles and applying heat to scar tissues and tighten the muscles.

Artificial anal sphincter is the preferred treatment when there is permanent damage to sphincter muscles and they cannot be repaired in any way. In this treatment, a plastic cuff, which mimics the anal sphincter in its working, is implanted in the anus. The cuff is operated by a pump which opens and closes it as required.

As a form of treatment, artificial anal sphincter implantation is relatively new but it has been recognised as one of most effective treatments available today.


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.

  • Person Image

    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.

  • Person Image

    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.

  • Person Image

    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.

  • Person Image

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

  • Person Image

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

  • Person Image

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

  • Person Image

    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.

  • Person Image

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