Millions of women experience involuntary loss of urine, called urinary incontinence. Many women avoid activities for fear of embarrassing accidents. Urinary incontinence can range from mildly troublesome to totally debilitating. It is twice as prevalent in women as in men, affecting up to 25% of women under age 65, and up to 30% of women over the age of 60. Causes range from simple urinary tract infections, to muscular disorders, and frequently, pelvic support problems. Physical changes resulting from pregnancy, childbirth and menopause can cause urinary incontinence.
Most Common Types of Urinary Incontinence
If sneezing, laughing, running or other movements that put pressure on the bladder cause you to leak urine, you may have stress incontinence. Pelvic floor muscles, the vagina, and ligaments support your bladder. If these structures weaken, your bladder can move downward. This prevents muscles that ordinarily force the urethra shut from squeezing as tightly as they should. As a result, urine can leak during moments of physical stress. Stress incontinence also occurs if the muscles used for squeezing have weakened.
Urge Incontinence and Overactive bladder
If you lose urine for no apparent reason after suddenly feeling the need to urinate, you may have urge incontinence. You may empty your bladder during sleep, after drinking water or when you touch water or hear it running. A common cause is inappropriate bladder contractions. Abnormal nerve signals might be the reason for these spasms.
Proper treatment starts with proper and complete diagnosis. At Dover Women's Health we have the latest in computer assisted fiber optic diagnostic equipment. In the course of a 15 minute test, we can help determine the correct treatment for why you are leaking urine, and help to customize a therapy program that meets your individual requirements.
Treatments include behavioral remedies, physical therapy, surgical options including sling procedures, neurostimulor implantation, Botox injection, and Posterior Tibial Nerve Modulation (PTNM). Modern medications have dramatically decreased side effects compared to their predecessors, and surgical therapies can now include same day procedures that allow for rapid recovery and return to function with excellent success rates.