What is urinary incontinence?
When you lose control of the flow of urine from your body, you are suffering from urinary incontinence. You may find urine leaks when you jump, cough, or sneeze. You might also be struck with an overwhelming urge to use the restroom but can’t make it before urinating.
Why does it occur?
Usually, you experience urinary incontinence when your urethra is not closed tightly enough to keep urine in the bladder.
To determine the cause, Dr. Sargon Bebla relies on urodynamics, a series of diagnostic tests to assess how your bladder and urethra are functioning with respect to storing and releasing urine. Urodynamics includes*:
- Uroflowmetry: a meter measures the amount of urine you produce and the rate at which it leaves the bladder
- Post-void residual: a catheter is inserted into the bladder to determine the amount of urine left over when you finish urinating
- Cystometry: this test is used to help Dr. Bebla determine how much urine your bladder can hold
- Leak point pressure measurement: if your bladder leaks during the cystometry test, this measure tells the doctor the pressure that occurred when the leak happened
- Pressure flow study: once you’ve undergone the cystometry test, you will have empty your bladder to measure the pressure required to urinate
- Electromyography: this test uses sensors to measure the nerve impulses and muscle activity in the urethral sphincter
How is urinary incontinence treated?
Following your diagnostic tests, Dr. Bebla will discuss with you the best treatment plan. Options include:
- Behavior therapies: sometimes it’s a matter of drinking less and planning more frequent, regular trips to the bathroom
- Pelvic muscle exercises: your provider may teach you how to perform Kegel exercises to strengthen the pelvic floor and muscles surrounding the bladder*
- Protective undergarments: you’ll get recommendations for adult undergarments that absorb leaked urine*
- Catheter: this is a tube inserted into your urethra that collects urine into a drainage bag placed outside your body
- Pessary: this external device applies pressure to reposition the urethra so it closes tightly
- Bulking injections: Dr. Bebla may inject certain compounds, such as collagen, into the urethral lining to make it bulkier and firmer so it closes tightly*
- Medications: drug therapy may help you if your incontinence is caused by a combination of stress and urge
Are there surgical treatments for incontinence?
Certain surgical approaches can help restore strength to the urethra and bladder. Dr. Bebla uses surgery only when other treatment strategies fail. He may suggest a bladder sling that changes the position of the bladder’s opening to the urethra.
Treatments in Modesto, California
We are located in Modesto, and help women in the surrounding areas with their urinary incontinence issues. If you are suffering from this frustrating issue, Dr. Bebla can help. To get started, give us a call at (209) 409-8513, or use our quick and easy scheduling form.
*Individual results may vary; not a guarantee