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Urinary Incontinence and Frequency

Urinary incontinence (or bladder leakage) is often thought of as a side effect of aging, but plenty of young men and women experience it as well. Bladder leakage is not just a medical issue, it’s a lifestyle one, too. It can take a toll on a person’s social activities, their emotional state, and their everyday life. Some people find themselves searching for the nearest bathroom everywhere they go or waking up frequently throughout the night to urinate. Others struggle with leakage when they laugh, cough, or move suddenly. Fortunately, relief is possible with a visit to an Ogden Clinic urologist.

What causes urinary incontinence?

Studies show that many things are linked to incontinence; therefore a combination of treatments may be necessary. Diabetes and obesity increase the risk of urinary incontinence. Aging, prostate issues, and pregnancy also increase the risk of developing it.

All cases of incontinence fall into three categories (or a combination of them):

Stress urinary incontinence occurs when weak pelvic muscles let urine escape. This is one of the most common types of incontinence that causes leakage when we walk, lift, bend, sneeze, or even laugh.

Overactive bladder, also called urgency, is a type of incontinence wherein people fear they suddenly need to urinate when they aren’t near a bathroom.

Overflow incontinence occurs when the bladder is not emptying well. One symptom of overflow incontinence is frequently urinating a very small amount or “dribbling.”

Treatment for Incontinence

Incontinence is treatable, and in a number of different ways. Depending on the type and severity of your incontinence, your urologist will discuss your options. From conservative methods like strengthening the muscles in the bladder, to medication and medical devices, to more aggressive procedures like surgical intervention, our comprehensive evaluation and treatment plan are designed specifically for you.

Urodynamics Diagnosis

Urodynamics are a diagnostic study used by our urologists to examine how well the bladder, sphincters, and urethra are storing and releasing urine. Urodynamics testing also determines if the bladder is having involuntary contractions that cause urine leakage.

Percutaneous Tibial Nerve Stimulation (PTNS)

Also known at PTNS is a minimally invasive form of neuromodulation used to treat an overactive bladder. The treatment is a weekly outpatient visit to the urologist for twelve weeks with monthly treatments thereafter.

Bladder Botox® (In-office Procedure)

Botox® is the brand name for botulinum toxin. The injectable medication can relax the bladder muscle and ease incontinence symptoms such as urgency to pass urine. Bladder Botox® treatment is used when the condition does not respond to medication that is traditionally used to treat incontinence. The procedure is generally well tolerated by men and women and needs to be repeated every six to nine months.

InterStim®

The InterStim® Therapy System is a surgically implanted device used to help reduce the number of incontinence accidents. The InterStim® system has several components: a neurostimulator which delivers an electrical pulse to the sacral nerve; an electrical lead that is implanted on a sacral nerve, and a programmer that is used to control the electrical pulse delivered by the neurostimulator. The neurostimulator and the lead are permanent implants. The programmer is a handheld device that is not implanted. The device will work effectively for three to five years.

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