Incontinence

Incontinence/Urodynamics

Urinary incontinence is the involuntary leakage of urine.  This is a very common problem but it is not necessarily normal.  There are many available treatments for this problem.

There are different types of incontinence. Each causes different symptoms. The three most common types are:

  • Stress incontinence:  People with stress incontinence leak urine when they laugh, cough, sneeze or do anything that “stresses” the abdomen or stomach. Stress incontinence is most common in women, especially those who have had a baby.
  • Urge incontinence:  People with urge incontinence feel a strong need to urinate suddenly.  Often the urge comes on so quickly and suddenly that it is difficult to make it to the bathroom on time.
  • Mixed incontinence:  People with mixed incontinence have symptoms of both stress and urge incontinence.

Click here for more information on Urinary Incontinence

The treatment options differ depending on what type of incontinence you have.  Some of the treatment options include:

  • Exercises to strengthen the pelvic floor muscles
  • Medicines to relax the bladder
  • Electrical stimulation of the nerves that relax the bladder
  • Surgery to repair the tissues that support the bladder or to improve the flow of urine

Urodynamic Testing

If the cause of your incontinence can not be determined or if surgery is being considered to treat your type of incontinence a diagnostic procedure called Urodynamic Testing may be necessary.  This test looks at how well your bladder, urethra and the muscles that control your bladder work.  This testing is available in our office.

Before the Test:

Please arrive at our office will a full bladder. Do not urinate until you are in the testing suite and asked to do so. No other preparation is needed.  You can expect to be at our office for approximately one hour.

During the Test:

Urodynamic testing focuses on the bladder’s ability to empty steadily and completely. It can also show whether the bladder is having abnormal contractions that cause leakage, if you have difficulty starting a urine stream, how hard you have to strain to maintain it, whether the stream is interrupted, and whether any urine is left in your bladder when you are done. 

What to expect after the procedure

You should have no discomfort after the procedure and may resume all normal activities.  We will give you one dose of an antibiotic to prevent any infection.

 Getting the Results

Results and possible treatments will be discussed with your doctor approximately 1 week after the test is completed.