Incontinence

Types of Urinary Incontinence

Stress Incontinence

Poor bladder neck support, also called a fallen bladder, or a weak bladder neck causes this condition. Women who have stress incontinence may leak urine when exercising, coughing, laughing or simply walking.

Urge Incontinence

When a bladder is overactive, it may contract unexpectedly leading to urge inconti­nence and frequent urination during the day and night. It is also associated with strong urges to urinate and difficulty getting to the bathroom in time.

Mixed Incontinence

Symptoms of both stress and urge incontinence may occur simultaneously.

Overflow Incontinence

This condition causes a weak urine stream and feelings of incomplete bladder emptying. It usually occurs in women with diabetes, neurologic disease or severe pelvic organ prolapse.

Diagnosis

We offer a variety of tests to evaluate the bladder. Test options include urodynamics, cystoscopy and bladder ultrasounds.

Urodynamics evaluates bladder function by measuring the pressure and volume inside the bladder with a small catheter.

Cystoscopy detects any bladder abnormali­ties using a lighted telescope to evaluate the bladder interior.

Bladder ultrasounds determine the volume of urine remaining in the bladder after urinating.

Treatment for Urinary Incontinence

Treatment options depend on a patient’s diagnosis and needs. Dr. Portera will thor­oughly discuss all treatment options, including risks, benefits and success rates, to determine the best therapy for you.

Behavioral

Many women can gain bladder control with simple instructions on fluid intake and scheduled emptying of their bladder.

Muscle Tone

Physical Therapy

It has become one of the most popular treatments for urinary incontinence. Effective for both stress and urge incontinence, biofeedback treatments provide immediate information to assist in isolating proper pelvic muscles for exercise.

Kegel Exercises

help strengthen the pelvic muscles and. bladder neck.

Vaginal Cones

Plastic cones of increasing weight are held in the vagina twice a day to help strengthen pelvic muscles.

Botox Injection

Patients with severe overactive bladder unresponsive to medications or physical therapy are candidates for Botox — which is injected into the base of the bladder.

Bulking Agents

Some patients are candidates for coaptite injections. These agents are injected around the urethra to prevent urine leakage and can be done in the office setting.

Medication

Medicines are used to treat infections, re­place hormones and relax overactive bladder contractions which can cause urge incontinence and overactive bladder.

Surgical Options  

Sling Procedures and Bladder Neck Suspensions are the most commonly performed procedures for stress urinary incontinence. These procedures stabilize the bladder neck and return it to its normal anatomical position. In most cases this can be done vaginally as an outpatient procedure. This will facilitate a decrease in traditional recovery time.

Contact us

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Call 901-227-9610
FAX: 901-227-9615

Center for Urinary and Pelvic Disorders
6215 Humphreys Blvd.
Suite 110
Memphis, TN 38120

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