Urinary incontinence affects as many as one-third of all men and women in the United State. The inability to hold your urine can lead to discomfort and embarrassment, leading some to avoid bringing it up with their doctor. However it’s important to address urinary incontinence in order to avoid other physical complications, and to start living a more comfortable, stress-free life as well.

The highly trained urologists at Urological Associates use state-of-the-art diagnostics and the most advanced treatments for urinary incontinence. If you’re experiencing bladder leakage, Urological Associates is the place to go for a prompt, accurate diagnosis.

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FAQs on Urinary Incontinence

What is urinary incontinence?

Urinary incontinence is the involuntary leakage of urine due to lost or weakened control over the urinary sphincter. There are different types of urinary incontinence with their own unique symptoms. The 5 main types of urinary incontinence include:

Stress incontinence - Urine leakage is triggered by exerting pressure on the bladder by coughing, sneezing, laughing, exercising or heavy lifting.

Urge incontinence - Occurs when a sudden, intense urge to urinate is followed by urine leakage. Frequent urination (especially during the night) is common.

Overflow incontinence - Characterized by frequent dribbling of urine, which occurs when the bladder does not empty completely or properly.

Functional incontinence - Urine leakage occurs due to a physical or mental impairment, such as arthritis.

Mixed incontinence - Includes a mix of more than one type of urinary incontinence.

How is incontinence treated?

Incontinence isn’t a diagnosis in itself – it’s a symptom of an underlying condition. Therefore, the treatment of incontinence starts with addressing the cause wherever possible.

Once a cause is established, the following methods can be very helpful in improving bladder control:

  • Bladder training
  • Learning to double void (pass urine more than once each time that you go to the toilet.)
  • Scheduled urination
  • Pelvic floor exercises (such as Kegel exercises) 
  • Botox injections
  • Surgery

What kinds of surgery might I need for urinary incontinence?

Urological Associates specializes in performing procedures that resolve urinary incontinence, including:

Artificial urinary sphincter

An artificial urinary sphincter is a device only approved for use in males, which consists of a cuff filled with fluid that wraps around your urethra, a balloon that goes at the front of your bladder, and a pump fitted in your scrotum. The cuff prevents urine from passing down your urethra until you’re ready to urinate.

Percutaneous tibial nerve stimulation (PTNS)

PTNS is a treatment for overactive bladder problems. If other treatments for urinary urgency, urge incontinence, and urinary frequency aren’t proving effective, PTNS could help. It involves stimulating the tibial nerve in your ankle, which affects the nerves in your spinal cord responsible for bladder control.  

InterStim

InterStim is an electronic device that your provider at Urological Associates implants into your body. It stimulates your sacral nerves, which improves bladder control if you have urinary urgency or urinary frequency. More information about how InterStim works can be found here.

Male and female slings

A sling is a support device for the urethra, the tube that carries urine from the bladder. If your pelvic floor muscles are weak, they can’t hold your urethra in the right position, which means the urethra can’t maintain its leak-proof seal. A sling goes under the urethra and keeps it in the right position. It also provides protection against stress incontinence by supporting the urethra when you cough, sneeze, or laugh.