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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, and women suffer this condition at twice the rate of men.

Factors such as childbirth, menopause, and the structure of the female anatomy contribute to urinary incontinence. The severity of this condition ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that's so sudden and strong you don't reach a bathroom in time.

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.

Most women with incontinence experience a combination of these, which is termed mixed incontinence.

If urinary incontinence affects your daily activities, don't hesitate to call Skyline Urology. Our comprehensive, integrated pelvic health program for women can help most women with incontinence find relief for this condition.

Symptoms:

The primary indication of urinary incontinence is the inability to hold urine when you want to, or the unwanted release of urine. You may feel a pressure or urge to urinate, 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 women will differ depending on what type of incontinence it is, but could include:

  • Infection, such as Urinary Tract Infection (UTI) or kidney infection
  • Constipation
  • Obstruction, caused by a tumor or kidney stones
  • Neurological disorder or disease
  • Diabetes
  • Pregnancy
  • Childbirth and related trauma to the region
  • Menopause
  • Hysterectomy
  • Ingesting too many foods, drinks and medications which stimulate the bladder and increase your volume of urine

Diagnosis and Evaluation:

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
  • Medical devices such as a pessary or urethral insert
  • Interventional therapies such as nerve stimulators or Botox
  • Surgery