Urinary Incontinence Specialist

Why have I lost control of my bladder?

There are two types of urinary incontinence. Stress incontinence consists of slight leaks that happen when you laugh or cough. Urge incontinence, also called overactive bladder, makes it so you’re not able to reach the bathroom in time. Urge incontinence can interfere with your daily function if you skip events due to possible embarrassment. You may also have leaks at night when you sleep.

Women may develop either type of incontinence during pregnancy, or following childbirth. Menopause is another cause, due to the drop in estrogen. Aging can also result in the degeneration of the muscles of the bladder. It’s possible to suffer from a combination of the two as well.

Caffeine intake, certain medications, or bladder infections can be temporary causes of incontinence, too.

How can I deal with incontinence?

In mild cases of incontinence, pelvic floor exercises — known as Kegels — can help. The staff at Complete Healthcare for Women can explain how to do these on a regular basis to improve the strength of your pelvic floor and prevent urine from leaking. You might also change some of your habits, like making plans to urinate more frequently, cutting back on caffeine, and wearing light pads. Weight loss can also help resolve the issue, especially if you experience stress incontinence.

But these measures don’t help all women. If that’s the case for you, it’s time for a medical intervention.

What tests will I undergo?

Urinary incontinence treatment begins with an evaluation as to why you’re suffering. You might undergo a physical exam, ultrasound, urodynamic testing, and a bladder stress test. Which of these you’ll need depends on your symptoms and the doctor’s findings along the way.

How can Dr. Lorenzo help with urinary incontinence?

If your incontinence is due to weak bladder muscles or slack in your vaginal wall, the SeleneTouch vaginal rejuvenation procedure can help. The painless laser treatment helps restore function of the vagina if you’re experiencing symptoms of vaginal atrophy, such as laxity, dryness, and thinning skin. Talk to Dr. Lorenzo to see if this is an option for you.

Dr. Lorenzo may also recommend other measures, including installation of a bladder sling or other device to treat incontinence.