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
HMAA
HMSA
Tricare West PPO
Testimonials

Words from our patients

  • Yelp

    "My doctor was Dr. Friedlander and she performed the NovaSure endometrial ablation. I couldn't have been happier with the results."

    Patricia C.
  • Yelp

    "Everyone is so nice and efficient. I am the girl that hates going to the doctors but I seriously love coming here! Thank you!"

    Verified Patient
  • Yelp

    "Dr. Moore delivered my son via emergency cesarean due to a prolapsed cord. So grateful everyone was prepared and well trained! They saved my son's life."

    Verified Patient
  • Yelp

    "No mater how busy the clinic was, everyone always greeted us with a smile on their face and the doctors would spend as much time as we needed to answer our questions..."

    Courtney C.
  • Yelp

    "The medical assistants, are always so friendly...I highly recommend this clinic to any female who is looking for outstanding customer service. Great job Pali women!"

    Mama O.
  • Healthgrades

    "Dr. Chapman is a brilliant, detailed doctor. I learned more about my body in my first visit with her, then I had in my last 20 years with other doctors..."

    Verified Patient
  • Healthgrades

    "Many doctors misdiagnosed me or simply ignored my plea...Dr. Susan Chapman never gave up on me and found the solution for my medical issues. This woman is amazing!"

    Verified Patient
  • Healthgrades

    "If you're looking for a skilled surgeon she's your doctor! She removed my massive fibroids through a large incision in my abdomen..."

    Verified Patient
  • Yelp

    "I was pregnant & began having some complications. Dr. Allison Moore, at Pali Women immediately saw the red flags and took all necessary precautions needed..."

    Mama O.
  • ZocDoc

    "Now that I am pregnant again, there was no question about which doctor I would have caring for me again, but Dr. Moore."

    Verified Patient
Our Locations

Choose your preferred location