Serving San Diego and Del Mar

Urinary Incontinence San Diego

Incontinence is defined as leaking urine that interferes with your hygiene or social life. This can occur with daily activities such as coughing, running, jumping, playing with your children. This is a common problem that affects 1 in 20 women over the age of 20 whether it is stress incontinence associated with activity or urge incontinence where you have to urinate immediately. It is more common after pregnancy, childbirth and menopause.

Your doctor or friends may have suggested that you try some common remedies such as Kegel exercises, limiting water intake or going to the bathroom every hour on a regular basis. These can work in some cases. Medications are often prescribed as well. The medications are anticholinergics and can have side effects including dry mouth, drowsiness, and constipation and are often not well tolerated. Bioidentical hormones can be quite helpful post menopause.

At Fontaine MD, we also offer a new procedure called the O-shot. It is called the O-shot as it was initially developed to improve the quantity or quality of orgasms for females who had difficulties in that area. However, it turns out that is approximately 80% successful in treating stress and urge incontinence.

The O-shot is a simple procedure where we take a small amount of your blood, only about 2 tablespoons, and make plasma. We do this by centrifuging the blood to separate it into its different components and thus concentrate the platelets. The platelet rich plasma that is injected releases growth factors and other healing proteins that help with tissue growth, repairing blood vessels and nerves and increasing collagen. This is the same process that has been used for years in the orthopedics to treat tendon tears and other soft tissue injuries as well as in race horses. For incontinence, it is injected into the anterior vaginal wall. We do this with local anesthesia resulting in a virtually pain-free procedure.

If you are tired of dealing with the inconvenience of incontinence, the O-shot may be right for you. However, if you have uterus that is prolapsed or basically falling out and your doctor has told you that you need a reconstructive surgery, then the O-shot is probably not right for you. Otherwise, it can be quite helpful. In about 80% of women, their symptoms are significantly reduced or eliminated.

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