Gynecological Care

Treatment for Urinary Incontinence

There is a common misconception that urinary incontinence is simply part of the aging process and something you must tolerate as such. Let us be very clear, it is not. It is a treatable condition and with proper medical care you will be back to normal in no time.

Urinary incontinence typically falls in to three categories:

  1. Stress Urinary Incontinence – Usually due to an anatomical defect in which the bladder/bladder neck has prolapsed into the vagina. Women are more likely to have this problem after having children. Generally, the treatment includes replacing the bladder/bladder neck to its correct anatomical position, and this is typically done with surgery or pessaries.

  2. Urge Incontinence – This is caused by over activity of the bladder (the detrusor muscle). It can be set off by a myriad of stimuli, such as washing dishes or putting your key in the front door. These women usually have to void frequently throughout the day, as their bladder capacity is usually less than normal. This is typically treated with medicine.

  3. Intrinsic Sphincteric Deficiency – This is caused by a defect in the sphincter of the bladder. It is unable to remain closed with a normal amount of fluid in the bladder, thus causing loss of urine when standing or doing minimal amount of work.

It is not uncommon for a woman to have one or two of the above conditions at the same time. It is important to know that it is never normal to lose urine, and we have very effective treatment for incontinence.