Urinary incontinence is the loss of bladder control. Millions of people suffer from bladder control and it is often an embarrassing problem.
The role of the bladder is to store and to empty urine. It should store urine at low pressures allowing for passage of urine easily out of the kidneys, down the ureters into the bladder. It should keep the urine without leaking or bothersome bladder sensations.
When it is a convenient time to urinate, bladder emptying should occur as an easy command from the brain to the bladder. The bladder muscle should contract, the pelvic floor should relax, and the bladder should empty fully.
Interruption of the bladder's functions can lead to irritation, fear of urine loss, poor quality of life, kidney failure, or infection. This article examines several types of bladder disorder along with their symptoms, diagnosis, and treatment.
Urinary incontinence - the loss of bladder control - is a common and often embarrassing problem. The severity of urinary incontinence ranges from occasionally leaking urine when you cough or sneeze to having sudden, unpredictable episodes of strong urinary urgency.
More info needed
More info needed
More info needed
This is involuntary leakage with a sudden strong urge to urinate (for example, putting the key in the door on arrival home). This condition may cause you to have to urinate often. We recommend the following treatments, depending the patient's individual preferences and needs and based on prior attempts at treatment.
This is the involuntary leakage on effort or exertion, such as coughing, sneezing or lifting. Stress incontinence occurs when the sphincter muscle at the bladder is weakened. The problem is especially noticeable when you let your bladder get too full. Most treatments are surgical, but all options are tailored to the patient's preferences, the severity of incontinence, as well as other physical exam findings such as prolapse (a relaxed bladder or rectum). Minimally invasive options are usually possible, so a fear of surgery should not prevent one from seeking treatment.
Kegal exercises are designed to strengthen the urethral sphincter (bladder closing) muscle. These are no-risk exercises that can reduce leakage for as long as they are performed.
Injection therapy to bulk up the urethral sphincter (bladder closing) muscle. There is no incision for this surgery. It is performed by telescope from inside the urethra.
Minimally invasive surgeries (e.g. the transobturator tape sling, tiny hidden vaginal incision). These are very successful and well tolerated surgeries.
Traditional anti-incontinence surgeries (e.g. the pubovaginal sling, a smiley-face incision with the lower abdominal curve). These surgeries work well for very heavy leakage.Specially designed surgeries for people who have had prior unsuccessful treatments (for example we sometimes use an adjustable sling, or sometimes identify a "fistula" or hole from the bladder to the urethra or vagina that need to be repaired).
This is a combination of stress urinary incontinence and urge urinary incontinence.Treatment is tailored to symptoms and diagnostic testing, but basically a combination of the therapies mentioned for stress and urge urinary incontinence.
This is the over-stretching of the bladder and poor emptying leading to overflow of urine when the bladder reaches maximum capacity. If you frequently or constantly dribble urine, you may have overflow incontinence. With overflow incontinence, sometimes you may feel as if you never completely empty your bladder. When you try to urinate, you may produce only a weak stream of urine.
Non-emptying of the bladder can occur when the bladder muscle does not contract, or with a blockage of the bladder due to "cystocele", a muscle spasm of the sphincter muscle, or other causes. Treatment involves correction of bad voiding habits, correction of anatomy to its natural location (fixing prolapse or hernias) or teaching people how to empty their own bladder with a catheter placed in for two minutes to drain.
The role of the bladder is to store and to empty urine. It should store urine at low pressures allowing for passage of urine easily out of the kidneys, down the ureters into the bladder. It should keep the urine without leaking or bothersome bladder sensations.
When it is a convenient time to urinate, bladder emptying should occur as an easy command from the brain to the bladder. The bladder muscle should contract, the pelvic floor should relax, and the bladder should empty fully.
Interruption of the bladder's functions can lead to irritation, fear of urine loss, poor quality of life, kidney failure, or infection. This article examines several types of bladder disorder along with their symptoms, diagnosis, and treatment.
Urinary incontinence - the loss of bladder control - is a common and often embarrassing problem. The severity of urinary incontinence ranges from occasionally leaking urine when you cough or sneeze to having sudden, unpredictable episodes of strong urinary urgency.
More info needed
More info needed
More info needed
This is involuntary leakage with a sudden strong urge to urinate (for example, putting the key in the door on arrival home). This condition may cause you to have to urinate often. We recommend the following treatments, depending the patient's individual preferences and needs and based on prior attempts at treatment.
This is the involuntary leakage on effort or exertion, such as coughing, sneezing or lifting. Stress incontinence occurs when the sphincter muscle at the bladder is weakened. The problem is especially noticeable when you let your bladder get too full. Most treatments are surgical, but all options are tailored to the patient's preferences, the severity of incontinence, as well as other physical exam findings such as prolapse (a relaxed bladder or rectum). Minimally invasive options are usually possible, so a fear of surgery should not prevent one from seeking treatment.
Kegal exercises are designed to strengthen the urethral sphincter (bladder closing) muscle. These are no-risk exercises that can reduce leakage for as long as they are performed.
Injection therapy to bulk up the urethral sphincter (bladder closing) muscle. There is no incision for this surgery. It is performed by telescope from inside the urethra.
Minimally invasive surgeries (e.g. the transobturator tape sling, tiny hidden vaginal incision). These are very successful and well tolerated surgeries.
Traditional anti-incontinence surgeries (e.g. the pubovaginal sling, a smiley-face incision with the lower abdominal curve). These surgeries work well for very heavy leakage.Specially designed surgeries for people who have had prior unsuccessful treatments (for example we sometimes use an adjustable sling, or sometimes identify a "fistula" or hole from the bladder to the urethra or vagina that need to be repaired).
This is a combination of stress urinary incontinence and urge urinary incontinence.Treatment is tailored to symptoms and diagnostic testing, but basically a combination of the therapies mentioned for stress and urge urinary incontinence.
This is the over-stretching of the bladder and poor emptying leading to overflow of urine when the bladder reaches maximum capacity. If you frequently or constantly dribble urine, you may have overflow incontinence. With overflow incontinence, sometimes you may feel as if you never completely empty your bladder. When you try to urinate, you may produce only a weak stream of urine.
Non-emptying of the bladder can occur when the bladder muscle does not contract, or with a blockage of the bladder due to "cystocele", a muscle spasm of the sphincter muscle, or other causes. Treatment involves correction of bad voiding habits, correction of anatomy to its natural location (fixing prolapse or hernias) or teaching people how to empty their own bladder with a catheter placed in for two minutes to drain.
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