Urinary Incontinence

Urinary incontinence is the involuntary loss of bladder control. It is an extremely common problem and the incidences increases with Advanced aging. Incontinence is typically from stress when one coughs or sneezes, or from a sudden urge that can’t be controlled.

Stress incontinence is a mechanical failure of the urethra to stay closed with stress ( running, walking, cough, laugh, sneeze), it is typically related to some degree of urinal prolapse as a result of childbirth. The treatment is usually surgical in the form of a sub urethral sling. The surgery is fast, minimally invasive and outpatient.

Urge incontinence is felt to arise from overactive of the bladder nerves. This causes the muscle around the bladder to constantly contract leading to symptoms of urgency, frequency, getting up at night and leaking​ without stress.

Urge incontinence is more difficult to treat than stress incontinence. Treatment begins with voiding schedules and fluid restrictions. Behavior modification or physical therapy have been employed as treatment modalities. Medication are commonly used to relax an overactive bladder. Neuromodulation of the bladder nerve is a very effective therapy. This could involve an acupuncture like treatment, or an outpatient pacemaker to regulate the bladder nerves. Many people suffer from both causes of incontinence. WHS offers a full complement of diagnosis and treatment services for urinary incontinence. If you are lifestyle is hampered by urinary incontinence call for an appointment.