All problems women may have related to their bladder or female organs. Some primary urogynecology disorders are:
- Stress incontinence – Involuntary loss of urine caused by strenuous physical activity, laughing, coughing or sneezing.
- Urge incontinence or overactive bladder – Involuntary loss of urine that occurs due to a sudden urge to urinate
Evaluation and Management of Urinary Incontinence in Women
Want to end your annoying active-bladder symptoms?
We have the solution that will work for you.
Percutaneous Tibial Nerve Stimulation
PTNS therapy is an effective solution with amazing results.
PTNS is a minimally invasive treatment that delivers retrograde electrical stimulation and results in control of overactive bladder/incontinence symptoms.
It is an FDA-approved, effective treatment, used when other conservative treatments have failed.
And our patients are thrilled with the results
“The results have been overwhelmingly successful for my patients. Their symptoms of embarrassing urinary incontinence, inconvenient/uncontrollable urges to urinate at inopportune times, and the accompanying social anxiety with this problem have all stopped,” said Dr. Badalian.
Did you miss the NewsChannel 3 story about PTNS? You can read it HERE.
Botox? The “wrinkle” stuff? Yes, Botox!
One Botox injection can put an end to your urinary incontinence problems.
Download a brochure on Botox for Incontinence HERE.
More Urogynecology Treatments
Behavioral therapy is safe, easy to learn, and does not have side effects. Examples of behavioral therapy include Pelvic muscle rehabilitation, Bladder retraining programs, Fluid and dietary modification.
Devices and Medications
Pessaries and other devices can be used to treat some conditions as a safe alternative to surgery. Medications are available to treat a variety of urogynecologic problems.
Surgical treatment options range from minimally invasive surgery, vaginal surgery and abdominal surgery.
Minimally Invasive Surgery for Stress Incontinence
This surgery includes transvaginal slings “tapes,” including mini-slings (no outside incisions).
Pelvic Organ Prolapse
You can start with behavioral modifications, bladder training and “Kegel” exercises (see below).
- carbonated drinks (soda)
- citrus drinks
- spicy foods (salsa).
- Try only once to stop your urine stream by tightening your pelvic muscles. You will then feel which muscles you need to tighten. Otherwise, do NOT do Kegel exercises during urination.
- Then tighten the same muscles for a count of 5 when you are in the kitchen, watching TV or reading.
- Then fully relax the muscles for a count of 5. (You should try to control both the tightening and relaxing of the muscles.)
- Repeat 8 to 10 times. Do these at least 3 times a day.
- Try to increase your time between bathroom visits during the day (wait 15 minutes longer).
- When you can wait that long without a problem for 1 week, try to increase the time again.
- Perform 4-5 pelvic muscle contractions. They help calm the urge.
- Try to distract yourself (sit down and take 5-6 deep breaths).
Most patients use more than one of these options to succeed. Some changes seem like common sense, but they can have a big impact on your life. Voiding diary will help you and us to see the problem during 24 hours. Download our voiding diary.
Surgical Treatment of Stress Urinary Incontinence
If non-surgical management of stress urinary incontinence is not working after 3 months, you may need to consider surgical options:
A Minimally Invasive Procedure To Control Stress Urinary Incontinence
Better Support for Improved Control
The Sub-Urethral Sling Procedure
- Small incisions may be made in the vagina or where the top of thigh meets your pelvic area.
- The soft synthetic mesh is inserted through an incision and placed under the urethra to form a cradle of support.
- The mesh is self-fixating and anchors itself to tissue and muscle in the space surrounding the urethra.