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Incontinence

Urinary incontinence — the loss of bladder control — is a common and often embarrassing problem for both men and women. More than 13 million people in the United State suffer from urinary incontinence. Incontinence occurs more often in women than men, but there are millions of men who suffer this condition, and Skyline Urology can help resolve this issue with cutting edge diagnostic procedures to determine the cause of the problem, and advanced treatment modalities to resolve it.

Urinary incontinence occurs more often in men as they age, but it is not a natural part of the aging process. Incontinence is a symptom of an underlying physical condition affecting the kidneys, urinary tract, or prostate, and it is important that you seek medical attention to discern the cause so that treatment can be administered before the problem becomes worse, or results in a permanent condition.

The types of urinary incontinence include the following categories:

Stress incontinence: When pressure on the bladder, such as caused by sneezing, causes urine leaks

Urge incontinence: When you feel a sudden, overwhelming urge to urinate followed by an involuntary release of urine.

Overflow incontinence: When there is a frequent dribbling of urine due to your bladder not emptying completely.

Symptoms:

Urinary incontinence in itself is a symptom of another health issue, but the most obvious indicator that you suffer this condition is that you are unable to hold urine when you want to, or the experience of an unexpected or unwanted urination. You may feel a pressure or urge to urinate regardless of whether any urine comes out when you go to the bathroom, or have leakage which causes wetness of clothing. You may urinate in your sleep without waking, although that is not in and of itself an indication of urinary incontinence.

Causes:

The causes of urinary continence in men will differ depending on what type of incontinence it is, but could include:

  • Prostate disease or surgery
  • Infection, such kidney infection
  • Constipation
  • Obstruction, caused by a tumor or kidney stones
  • Neurological disorder or disease
  • Diabetes
  • Ingesting too many foods, drinks and medications which stimulate the bladder and increase your volume of urine

Evaluation & Diagnosis:

When seeking medical care for urinary incontinence, it is important for your physician to determine which type of incontinence it is in order to guide treatment. Your physician will begin with a thorough medical history and physical examination. You may be asked to close your mouth, pinch your nose shut, and exhale forcefully to demonstrate incontinence.

The following may be recommended as part of a diagnostic process to determine the most effective treatment for you:

  • Urinalysis, testing a urine sample for chemical or hormonal abnormalities
  • Bladder diary, a recording over several days of your eating and drinking habits as well as your urination times and issue
  • Post-void residual measurement, when the physician checks the amount of leftover urine in your bladder immediately after urinating using a catheter or ultrasound test. This test could indicate a blockage in your urinary tract, or a problem with nerves or muscles in the region.

If further information is needed, your doctor may recommend some of the following advanced diagnostic techniques that Skyline Urology is proud to offer to our patients across Southern California:

  • Urodynamic testing
  • Cystoscopy
  • Cystogram
  • Pelvic ultrasound

Treatment:

Skyline Urology offers the most advanced treatments available for urinary incontinence in women, integrating both low-impact behavior therapies with sophisticated clinical and surgical solutions.

Depending on the type of incontinence you are experiencing and the severity of your condition, you may be advised to undergo the following treatments:

  • Bladder training and kegel exercised to strengthen the muscles of the pelvis and urinary tract
  • Fluid and diet management, in combination with scheduled toilet trips
  • Medication which can treat incontinence and overactive bladder
  • Interventional therapies such as nerve stimulators or Botox
  • Surgery