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Incontinence makes vaginal tissue tender

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Urinary incontinence — the loss of bladder control — is a common and often embarrassing problem. The severity ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that's so sudden and strong you don't get to a toilet in time. Though it occurs more often as people get older, urinary incontinence isn't an inevitable consequence of aging. If urinary incontinence affects your daily activities, don't hesitate to see your doctor. For most people, simple lifestyle changes or medical treatment can ease discomfort or stop urinary incontinence.
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Urinary Incontinence & Sex Problems | Everyday Health

Vaginal sling procedures are types of surgeries that help control stress urinary incontinence. This is urine leakage that happens when you laugh, cough, sneeze, lift things, or exercise. The procedure helps close your urethra and bladder neck. The urethra is the tube that carries urine from the bladder to the outside.
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7 Hilarious facts about vaginas you haven’t heard before

Vaginal scar tissue can form following a myriad of conditions including surgery, radiation treatment, an episiotomy, gynecological surgery and giving birth although the development of vaginal scar tissue after childbirth from tearing is the most common. Vaginal scarring results in the stiffness of the skin and muscles around the vagina. Scar tissue is much stiffer than healthy tissue. Also, it can reduce the flexibility at the entrance and inside the vaginal canal, as well creating the "narrowing" effect.
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The urethra, which originates from the urogenital sinus, is under the influence of estrogen just like the vagina. The concentration of estrogen receptors in the urethral mucosa is similar to that of the vaginal mucosa. Estrogen deprivation will result in atrophic urethritis and sometimes urinary incontinence, and estrogen replacement therapy may reverse this trend. Estrogens have been shown to increase urethral pressure in up to 30 per cent of women and to significantly improve or cure stress urinary incontinence in many cases. Adding alpha-sympathomimetic drugs to estrogens may further improve symptoms in women with stress incontinence.
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