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.
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.
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.
Urinary incontinence can be caused by a variety of conditions, including:
Healthcare providers work to identify the underlying cause of urinary continence first. Understanding the cause is important in establishing an effective treatment plan.
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.
The treatment plan depends on each patient’s symptoms, causes, severity, and medical history. Multiple treatment options are available:
We accept most insurances. Please call the office for any questions regarding insurance!
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