We provide contemporary incontinence care that covers the entire treatment spectrum, beginning with non-surgical options and progressing to surgical management where desired.
You have probably heard or read about the potential for surgical complications related to anti-incontinence surgery.
We also see a lot of women who come to us for second opinions after not being offered conservative therapy first.
Please know that we adhere to best practice guidelines for treatment of urinary incontinence. That means you will first be offered non-surgical treatment options, such as physical therapy, to improve pelvic floor muscle function.
We also offer other advanced nonsurgical treatment options, such as InTone, which we have had fantastic results with.
However, if surgical therapy is desired, the mid-urethral sling (also called bladder sling) is a highly effective and long lasting treatment option.
Another option is urethral bulking agents, which have 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 your initial visit, we’ll take a thorough history and exam to make sure no other problems, such as prolapse or pelvic floor muscle issues, which need to be addressed.
We’ll review with you the available treatments for stress incontinence that typically begin with improving pelvic muscle function through physical therapy, biofeedback and/or InTone.
You will also complete a voiding diary (journal where you record what you drink and urinate for 48 hours); this helps us to identify possible holistic treatment options, such as simple behavioral modification.
If a procedure or surgery is desired, we’ll then proceed with urodynamic testing to see how your bladder functions before finalizing a surgery decision.
For the best results, we believe it is important to maximize your pelvic floor muscle function prior to any surgical procedure.
- 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.