Gynecology Services

 

Urinary Incontinence

 

Urinary Incontinence

Urinary incontinence, the leakage or urine, can be socially embarassing to women; however most of the time it can be cured, or at least treated. Behavioral techniques, exercise, lifestyle changes and medical devices are often tried first. Surgical techniques are minimally invasive and can have quick recovery times.

Stress Incontinence

Stress incontinece is the loss of urine during physical activity such as coughing, laughing or lifting. It is caused by the weakness of the muscles that help hold urine inthe bladder.

Urge Incontinence

Urge Incontinece is a condition in which you lose urine with a strong sudden urge.

Overflow Incontinence

Overflow incontinence is many times a persistant dribble of urine, due to the inability to empty your bladder.

Mixed Incontinence

Mixed incontinence is if you experience more than one type of urinary incontinence, usually stress and urge incontinence.

Behavioral Techniques

Three types of behavioral techniques are used to treat urinary incontinece:

  • Bladder training: may be done with kegel exercise, delayed trips to the bathroom, and scheduled bathroom trips.
  • Timed urination: to have scheduled bathroom trips at certain times if you need to void or not.
  • Prompt voiding: is voiding on a predetermined schedule, usually beginning at intervals of one hour then stretching to an hour and a half to two hours and so on.

Additional steps may reduce or eliminate your urinary incontinece. Strengthening our pelvic muscles by performing pelvic floor kegal exercises every day, losing weight, smoking cessation, trying to identify foods that may irritate your bladder and avoiding alcohol and caffeine may help.

Medication

If exercise and behavioral therapies are not successful, your doctor might combine these treatments with medication that relaxes the bladder and icnreases bladder capactiy or may cause the muscles at the bladder neck to contract.

Medical Devices

A pessary is a rubber device that is insterted into the vagina and supports the uretha, thus helping to retain urine in the bladder.

Surgery

Stress incontinence that does not respond to other terapies is often treated with surgery. Surgery is typically not done for urge incontinence.

Click here for more information (American College of Obstetricians and Gynecologists)