We provide contemporary incontinence care that covers the entire treatment spectrum beginning with non-surgical options and progressing to surgical management where desired.
With the increasing awareness around the potential for surgical complications related to anti-incontinence surgery, we are dedicated to adhering to best practice guidelines.
Unfortunately, too many women that have seen us for second opinions have not been offered conservative therapy first.
All women with urinary incontinence should be offered non-surgical treatment options such as physical therapy to improve pelvic floor muscle function first. We also offer other cutting-edge nonsurgical treatment options such as InTone where we have had fantastic results.
However, if surgical therapy is desired, the mid-urethral sling (also called bladder sling) is a highly effective and long lasting treatment option. In addition, urethral bulking agents are a great choice and there is minimal recovery time. You can go to the gym the day after a urethral bulking with minimal disruption of your daily routines.
What to Expect
At the initial visit each consultation includes a thorough history and exam to make sure no other problems such as prolapse or pelvic floor muscle issues are present that need to be addressed.
We spend time reviewing the available treatments for stress incontinence that typically begin with improving pelvic muscle function through physical therapy, biofeedback and/or InTone. A voiding diary (journal where you record what you drink and urinate for 48 hours) is also completed and this helps us to identify holistic treatment options such as simple behavioral modification.
If a procedure or surgery is desired we then proceed with urodynamics testing (test to see how the bladder functions) before finalizing a surgery decision. We believe it is important to maximize pelvic floor muscle function prior to any surgical procedure for the best possible results.
- Stress Incontinence
Stress incontinence is urinary incontinence/leakage with activity. Some common symptoms are: Leaking with coughing Leaking with laughing Leaking with sneezing Leaking with exercise
- Urethral bulking agent
Urethral bulking is a technique to thicken the lining of the urethra and narrow the inner diameter to prevent urinary leakage from stress urinary incontinence.