Female Urology and Incontinence

UTI  (urinary tract infection)

A very common diagnosis in patients that causes urinary discomfort and frequent need for antibiotic use.  In our office, we will help you identify, treat and prevent recurrent infections.  By identifying risk factors and using preventative measures, you can avoid being exposed to these unpleasant symptoms. 

Overactive Bladder, Incontinence, and Pelvic Organ Prolapse.

Overactive bladder - happens mostly in women but may occur in men. It is a problem with bladder-storage function that results in a sudden and frequent urge to urinate that is  difficult to stop.  Overactive bladder may lead to the involuntary loss of urine.

Urinary incontinence — the loss of urinary control — is a common and potentially embarrassing problem. The severity of leakage can range from  leaking a few drops of urine when you cough or sneeze to leaking significant amounts of urine that require you to wear urinary pads. This is called stress urinary incontinence.  Another common type of incontinence is called urge urinary incontinence which occurs when having a strong urge to urinate that's so sudden you don't get to a bathroom in time resulting in leakage of urine.  Proper evaluation and diagnosis are key to successful treatment since different types of incontinence  are treated differently.  

Pelvic organ prolapse - loss of normal vaginal support resulting in descend of pelvic organs (bladder, uterus, intestine) through vagina, may cause urinary symptoms such as incontinence, urinary retention, recurrent urinary infections.  

Treatment Options (depending on diagnosis)

• Pelvic Floor Muscle Exercises (Kegel Exercises) and Physical Therapy
• Medical Management with Medications
• Neuromodulation
• Interstim 
• PTNS - Percutaneous Tibial Nerve Stimulation
• Botox Injection for Overactive Bladder and Urgency Incontinence
• Urethral Bulking Agents
• Urethral Sling Procedure for Stress Urinary Incontinence
• Pelvic Floor Prolapse Surgery

Urethral Disorders

Female patients may also experience urinary symptoms from infrequent urethral conditions  that require urological evaluation and treatment. Examples of such urethral diagnoses include: 

• Urethral Stenosis and Atrophy
• Urethral Diverticulum
• Urethral Caruncle and Mucosal Prolapse
• Urethral Gland Infections and Urethral Cyst disorders