Ask The Nurse

To personally discuss a medical issue or to make an appointment, call 216-444-4HER (216-444-4437). You can also make an appointment at Cleveland Clinic. For your security, please do not use this form to email personal, confidential health information. We cannot diagnose or treat by email. Our email policies are explained further in this disclaimer. You may also wish to review our privacy statement. Disclaimer | Privacy

What treatment options are available and recommended for stress leakage? I had a hysterectomy 9 years ago and I am 55 years old now.

Urine leakage is very common and treatable. Women should not have to suffer from urinary incontinence.

Weight loss, kegel pelvic exercises and avoidance of constipation is key. There is a disposable over the counter vaginal pessary like device called Poisse Impressa that can be used.

The APEX (Automatic Pelvic Exerciser) became available as of January 2015 without a prescription and it strengthens the muscles that hold up the bladder neck. Surgical options like a sling can also be considered.

All My Best,
Speaking of Women’s Health nurse

"If you purchase ApexM and use it as directed for 10 minutes per day, six days per week for ninety days, and you are NOT satisfied with your results, InControl Medical will refund your full purchase price within 30 days."

April 16, 2015 at 11:00am

Share this article


Go back to the question archive