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Incontinence

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Dr. Darren Lazare understands that urinary incontinence can significantly impact your quality of life. This condition, which affects millions of people, can lead to physical discomfort and emotional distress. Our comprehensive approach to diagnosing and treating incontinence is designed to provide those in Vancouver with effective solutions that restore their confidence, improve bladder muscle control, and make their daily lives so much better.

What Is Incontinence?

Urinary incontinence is the involuntary leakage of urine, a common problem that can occur at any age but is more prevalent in older adults. It can be caused by a variety of factors, including weakened pelvic floor muscles, nerve damage, an overactive bladder, certain medical conditions like a urinary tract infection, and lifestyle factors. There are several types of incontinence, including stress incontinence, urge incontinence, overflow incontinence, and mixed urinary incontinence, each with its own set of causes and symptoms.

BEFORE & AFTERS

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WHAT DOES IT TREAT?

Incontinence can be treated through a variety of methods depending on the type and severity of the condition. Treatments range from lifestyle modifications and pelvic floor muscle exercises to medical therapies and surgical procedures.

Urethral Bulking

Urethral bulking involves injecting material into the urethra to help close the bladder neck and reduce urine leakage. This minimally invasive procedure is typically performed under local anesthesia and can be completed in a short office visit. Patients can usually return to their normal activities shortly after the procedure, making it an attractive option for many.

Retropubic Sling TVT

The retropubic sling procedure, also known as tension-free vaginal tape (TVT), involves placing a mesh sling under the urethra to provide support, prevent urine leakage, and help with bladder control. This surgical procedure is performed through small incisions in the abdomen and vaginal wall, and it has a high success rate for treating stress incontinence.

Retropubic Sling Autologous Fascia

The retropubic sling using autologous fascia involves creating a sling from the patient’s own tissue, typically taken from the abdominal wall or thigh, to support the urethra. This option is suitable for patients who prefer not to use synthetic mesh. The procedure is slightly more complex than the TVT sling but offers a natural alternative with excellent long-term results.

He is a wonderful skilled specialist with excellent bedside manners and is very knowledgeable, professional and personable. I recovered well with no complications and have my life back. Thank you, Thank You Dr. Lazare, and also to Kim in the office who is very helpful and contacts you with anything you might need to know.

Anonymous

Dr. Lazare and his team were amazing. They were supportive and helpful. The surgery I had went smoothly and the results were exactly as I had hoped. I definitely recommend Dr. Lazare!

Kristen G.

I cannot begin to express how delighted I am with the decision I made in choosing Dr. Lazare as my surgeon. The entire experience from beginning to end has been superb. His office staff are professional, helpful and friendly.

Julia M.
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Results and Recovery of Incontinence Treatment

The results of incontinence treatments can be life-changing, providing significant improvement in urinary control and quality of life. Recovery times vary depending on the type of treatment. Minimally invasive procedures like urethral bulking offer quick recovery with minimal downtime, while surgical options like retropubic slings may require a few weeks for full recovery. Adhering to post-procedure care instructions and attending follow-up appointments with Dr. Darren Lazare will help ensure the best possible outcomes.

Schedule a Consultation

If you are struggling with urinary incontinence, scheduling a consultation with Dr. Darren Lazare is the first step toward finding a solution. Contact our Vancouver office via an online contact form today.

FREQUENTLY ASKED QUESTIONS

You Have Questions, We Have Answers.

What are the risk factors for developing urinary incontinence?

Risk factors for developing urinary incontinence include aging, childbirth, obesity, the use of certain medications, and neurological conditions like multiple sclerosis or Parkinsons disease.

Can urinary incontinence procedures completely cure the condition?

Many urinary incontinence procedures can significantly improve symptoms, but complete cure rates vary. Its essential to discuss expectations and potential outcomes with a healthcare provider to determine the most suitable treatment approach. No procedure offers a complete guarantee.

How do I know which urinary incontinence procedure is right for me?

The choice of urinary incontinence procedure depends on factors such as the type and severity of incontinence, overall health, lifestyle, and treatment goals. Dr. Darren Lazare can evaluate your circumstances and recommend the most appropriate treatment option.

Are there any lifestyle changes or additional therapies that can complement urinary incontinence procedures?

Yes, lifestyle modifications such as bladder training, dietary adjustments, weight management, and pelvic floor exercises can help the results of urinary incontinence procedures and improve overall treatment outcomes. Additionally, certain medications or devices may be used in conjunction with procedures to enhance effectiveness.

What is incontinence?

Incontinence is the involuntary leakage of urine or feces, which can occur in varying degrees. It affects millions of people and can significantly impact their quality of life, leading to emotional and social challenges. Urinary incontinence specifically refers to the loss of bladder control, resulting in unexpected urine leakage.

What are the common types of urinary incontinence?

The most common types of urinary incontinence include: Stress Incontinence: Leakage occurs during activities that increase abdominal pressure, such as coughing, sneezing, or exercising. Urge Incontinence: A sudden, intense urge to urinate results in involuntary leakage. Overflow Incontinence: The bladder does not empty completely, leading to frequent dribbling of urine. Functional Incontinence: Physical or cognitive impairments prevent timely access to the bathroom.

What causes urinary incontinence?

Several factors can contribute to urinary incontinence, including: Weakened pelvic floor muscles Nerve damage Urinary tract infections Hormonal changes (especially during menopause) Certain medications Obesity Chronic conditions like diabetes and multiple sclerosis.

How is urinary incontinence diagnosed?

Diagnosis typically involves a comprehensive evaluation by a healthcare provider, including a review of medical history and symptoms. Patients may be asked to keep a urinary diary detailing fluid intake and urination patterns. Physical examinations and tests such as urinalysis or bladder function tests may also be conducted to determine the type and cause of incontinence.

What treatment options are available for managing incontinence?

Treatment options vary based on the type and severity of incontinence and may include: Behavioral therapies: Bladder training and pelvic floor muscle exercises (Kegel exercises). Medications: Anticholinergics for overactive bladder or topical estrogen for post-menopausal women. Devices: Pessaries or absorbent products for managing symptoms. Surgery: Procedures like midurethral sling surgery for stress incontinence or injections for urge incontinence.

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Who Is a Candidate for Treatment of Incontinence?

Candidates for incontinence treatment include individuals who experience frequent or severe episodes of involuntary urine leakage that affect their daily activities and quality of life. Ideal candidates are typically those who have not found relief from conservative treatments such as pelvic floor exercises or lifestyle modifications. Additionally, those who are in good overall health and have realistic expectations about the outcomes of medical or surgical interventions are considered good candidates for treatment.

Dr. Arko Demianzuk

Dr. Darren Lazare

Restorative Gynecology Surgeon | BLOG

Dr. Darren Lazare received his residency training in Obstetrics and Gynaecology at the University of British Columbia. He successfully completed his subspecialty fellowship training in female pelvic medicine and reconstructive surgery at the University of Alberta. Dr. Lazare has been appointed as a Clinical Associate Professor at the University of British Columbia where he is the residency supervisor for the urogynecology program. He is a Surgeon Champion for the American College of Surgeon’s National Surgical Quality Improvement Program (NSQIP). He is a committed advocate for women’s health, medical education and quality improvement initiatives while maintaining a full clinical, reconstructive and cosmetic practice. Dr. Lazare’s professional memberships include the Royal College of Physicians and Surgeons, the Canadian Society of Pelvic Medicine, the International Urogynecology Association, the International Continence Society and the American Urogynecology Society.

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