Incontinence Treatment

Our doctors have extensive experience in treating urological conditions, including urinary incontinence. They will begin with a thorough medical history and physical exam. They will also ask about your symptoms and when they occur. You may be asked to keep a bladder diary for several days, recording how much you drink, when you urinate and whether or not you have leakage. Your doctor will likely also order a urinalysis, which is a test that checks for signs of infection.

If you have overactive bladder, your doctor can recommend fluid schedules and a healthier diet that reduces the amount of leakage. Bladder training can also help, with a simple technique that helps you control the timing of your bladder contractions. Medications are available that block nerves that signal the bladder to release urine. These medications, known as anticholinergics, reduce the frequency of urge incontinence and are generally well tolerated. Medications are less effective for people who have stress incontinence, which occurs when they cough, sneeze, laugh or lift something heavy.

Your doctor can perform a number of surgical procedures to address incontinence caused by weak pelvic muscles. For example, a sling procedure involves using strips of mesh and tissue to support your urethra and the area of the bladder where it connects to your urethra (bladder neck). This can be done as an outpatient under local anesthesia, with little or no bleeding. A more-invasive surgery can repair a prolapsed bladder, by lifting the weakened area of the pelvic floor and supporting it with stitches.

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