Women's Urology
Evaluation and treatments for all female bladder issues including bladder leakage, infections, and bladder/pelvic pain
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No one has to accept urinary leakage, which is also known as urinary incontinence.
Bladder leakage at any age is never normal and should not be an accepted part of life or aging.
Incontinence significantly impacts quality of life—leakage is very embarrassing and management with incontinence pads is very expensive.
Leakage and urinary urgency/frequency may also be a sign of something more serious like cancer.
The providers at Modern Urology are experts in evaluation and management of incontinence.
Different types of incontinence are treated differently.
A patient may have more than one type of incontinence.
Types of incontinence can include: overactive bladder (OAB), stress urinary incontinence (SUI), overflow incontinence.
Click here for information on OAB
Click here for information on SUI
Leakage can also be from a urinary tract infection and weak pelvic floor muscles.
The providers at modern urology believe in offering patients conservative treatments, such as behavioral modifications and pelvic floor physical therapy, in additional to medications and interventions.
The providers at Modern Urology have significant experience in providing interventions and surgical treatments for all types of incontinence.
- Stress Urinary Incontinence refers to leakage of urine that occurs with movement or activity such as coughing, laughing, running, jumping jacks, or even just standing up.
- SUI is different from incontinence that occurs when a person feels they need to void and can’t make it to the restroom before some urine leaks out (this type of leakage is referred to by several terms under overactive bladder – urinary urgency, urge urinary incontinence).
- SUI and overactive bladder can occur together which is referred to as mixed urinary incontinence.
- The team at Modern Urology works closely with our patients to determine the type of leakage and to customize treatment options.
- Treatment for SUI can include conservative management and surgery.
- Conservative managements include
- Pelvic floor physical therapy
- Evaluation and treatment with a pelvic floor physical therapist to strengthen the pelvic muscles to reduce leakage with activity.
- Our providers at Modern Urology have identified well trained and educated pelvic floor physical therapists, and we work closely with these therapists to offer the best outcomes for our patients.
- Use of topical vaginal estrogen
- Vaginal estrogen is very safe to use, has minuscule absorption into the blood stream, and restores unhealthy thin vaginal tissue to its healthy state.
- Healthy vaginal tissue is a vital component of treating many female urinary issues especially genitourinary syndrome of menopause.
- Using 1-2 peas-sized amounts of vaginal estrogen to the urethra and inside the vagina can bulk up the urethral tissue and result in an improved watertight closure of the urethra to help reduce urine leakage.
- The providers at Modern Urology will address questions and concerns about topical vaginal estrogen so the patient can feel comfortable using this cream.
- Pelvic floor physical therapy
- Surgical intervention
- Bulking agents
- Can be injected around the urethral meatus to help the urethra to close more water tight. This is a quick procedure done in the operating room and has immediate results.
- Bulking does need to be repeated to maintain its benefits.
- Time to repeated bulking treatments varies.
- Retropubic midurethral sling.
- An outpatient surgical procedure that involves placing a hammock of artificial mesh around the urethra to provide support. By supporting a “loose” urethra, the leakage stops.
- A retropubic sling is different from vaginal mesh.
- Retropubic slings have never been removed by the FDA and are safe if placed properly and placed by a specialist with significant experience.
- Bulking agents
- There are many reasons why urinary tract infections occur and reoccur over and over.
- Some of the reasons include bladder dysfunction, kidney stones, suboptimal vaginal tissue, constipation, suboptimal fluid intake, and even cancer.
- A goal of the providers at Modern Urology is stop these infections from happening.
- The providers at Modern Urology want to find the reason for the recurrent UTIs, not just keep treating recurrent UTIs with more and more antibiotics.
- The providers at Modern Urology do a thorough evaluation to identify risk factors for recurrent UTIs and then design a customized plan for reducing and hopefully stopping recurrent infections.
- In some cases, a look into the bladder (cystoscopy) or imaging may be needed as part of the evaluation.
- Interstitial cystitis (IC) is a term for bladder pain syndrome.
- IC can occur in women and men.
- The providers at Modern Urology have several techniques and treatment options to work with patients that have bladder pain syndrome.
- Treatment options include but are not limited to pelvic floor physical therapy with expert doctors of physical therapy, vaginal/rectal pain suppositories, instillations, and cystoscopy to evaluate and treat bladder ulcers.A referral to specialists in bladder pain may also be needed.
- Please make an appointment to discuss the options for bladder pain.
