Urinary Incontinence

Urinary Incontinence

Do you or a loved one suffer with urinary incontinence? Urinary incontinence is an underdiagnosed
and underreported problem that only increases in prevalence with age and affects twice as many
women as men. An estimate of 50-84% of elderly people in long-term care facilities suffer with
urinary incontinence. This Q&A will give you a brief overview of urinary incontinence and will
answer some of the most common questions we are asked here in the office. Let’s begin!

What are the types of urinary incontinence?

Stress incontinence, urge incontinence, overflow incontinence, mixed incontinence, and functional
incontinence.

How do they Differ?

Each type of urinary incontinence is unique in how they present. For example, in stress incontinence urine leakage occurs from laughing, sneezing, coughing, climbing stairs, or other physical stressors, whereas in urge incontinence urine output is associated with an intense sense of urgency during or immediately before urinating.

What are Some Triggers That Cause Urinary Incontinence?

Some dietary triggers may include coffee, tea, caffeinated beverages, or alcohol. Also, consuming too much water prior to going to sleep at night may also trigger increased urinary frequency.

What are Diagnostic Tests That can be Used to Diagnose Urinary Incontinence?

Initially, our providers will perform a detailed history and physical exam. Additional testing may include one or more of the following: Urinalysis and urine culture, voiding diary, cotton swab test, cough stress test, postvoid residual urine volume, cystoscopy, urodynamic studies, and other imaging modalities (ultrasound, CT scan).

What Current Treatment Options are Available?

Conservative treatment may include lifestyle modification including dietary modification as well as incorporating Kegel exercises into your routine. Certain medications may be helpful depending on what type of urinary incontinence you are diagnosed with. At our office, we also offer percutaneous tibial nerve stimulation for certain types of urinary incontinence. Additionally, we offer THERMIVa radiofrequency treatment, which dependent on the case may be helpful as well. Other options for treatment of urinary incontinence include pelvic floor physiotherapy, Botulinum toxin injections, sacral neuromodulation, urethral bulking injections, and Sling procedure.

 

More questions? Contact us at 706-324-0471 or admin@obgynsoc.com to schedule a visit.