Urinary Incontinence Specialist

Urinary incontinence is common after pregnancy, childbirth, and during perimenopause and can be both inconvenient and very embarrassing for patients suffering. The women’s health experts at Pali Women’s Health Center in Kailua and Kapolei, Hawaii, work closely with each patient to develop a customized treatment plan. Call or schedule an appointment today

Urinary Incontinence Q & A

What is urinary incontinence?

Urinary incontinence is simply a leakage of urine. It varies in severity from a few drops while coughing to inability to control the bladder at all. Urinary incontinence is often associated with other symptoms including urgency, frequency, painful urination, and overnight leakage.

How can patients overcome embarrassment to discuss the topic with their healthcare provider?

While incontinence feels very personal and embarrassing for the patient, it’s a very common medical problem. The doctors at Pali Women’s Medical Center treat incontinence every day with just 1 goal: relief for the patient. Sometimes patients find that it’s easier to identify it as a concern on their medical history form, which shares the information in a way that allows the doctor to initiate the face-to-face discussion and puts the patient at ease.

What kinds of urinary continence are there?

There are 2 primary types of urinary incontinence in women: urgency-related incontinence and stress incontinence. In urgency urinary incontinence, the need to urinate is accompanied by strong urgency and urine leaks on the way to the bathroom. In stress incontinence, urine leaks when the patient bears down, such as when coughing or sneezing. Some patients suffer from both types of urinary incontinence, which is referred to as combination incontinence.

What causes incontinence?

Urinary incontinence can be caused by a variety of conditions, including:

  • Urinary tract infections (UTIs)
  • Pelvic floor disorders and weakened pelvic floor muscles
  • Caffeine, alcohol, or diuretics (like Lasix®)
  • Constipation
  • Bladder stones

Healthcare providers work to identify the underlying cause of urinary continence first. Understanding the cause is important in establishing an effective treatment plan.

Can urinary incontinence be managed without medical intervention?

Patients can take some measures at home to decrease instances or volume of incontinence. Losing weight helps alleviate the pressure on the bladder and decreases leakage. Patients can perform kegel exercises regularly in an effort to strengthen the pelvic floor muscles. Limiting fluid intake before bed (to prevent overnight leakage), avoiding caffeine, and limiting alcohol intake might help, too.

How is urinary incontinence treated?

The treatment plan depends on each patient’s symptoms, causes, severity, and medical history. Multiple treatment options are available:

  • Physical therapy for bladder training
  • Biofeedback
  • Pessary (a device used to support the weight of the bladder)
  • Medications to relax the bladder and prevent muscle spasms
  • Surgical procedures

Major Insurance Providers Accepted

We accept most insurances. Please call the office for any questions regarding insurance!

Deseret Mutual
Tricare West PPO

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