Urinary Incontinence

Urinary incontinence means loss of bladder control. It is one of the most common urinary conditions and is highly treatable. Henry Ford pelvic floor specialists offer a range of diagnostic studies and treatment options for urinary incontinence, including physical, behavioral, and medical therapies, as well as surgical repair when necessary.

Types of urinary incontinence

  • Urge incontinence: Urine leakage accompanied by sudden and/or persistent urges to urinate. This "gotta go" urge occurs with sudden contraction of the bladder. Urge incontinence may be caused by an infection or another cause of irritation to the bladder.
  • Stress incontinence: Urine leakage when physical actions, such as coughing, sneezing or laughing, place stress on the bladder. Stress incontinence may be caused by weakened structural support to the bladder, such as a weakened urethral sphincter muscle.
  • Overflow incontinence: Urine leakage because the bladder cannot empty correctly. This may be caused by a weakened bladder, blocked urethra or nerve damage.

Pregnancy, childbirth, menopause, changes in the anatomy of the female urinary tract, and even certain medications may increase a woman's possibility of experiencing incontinence.

Treatment to regain bladder control

Henry Ford offers a wide array of treatment options for urinary incontinence, including:

  • Exercises to strengthen the pelvic muscles
  • Medications to improve bladder control
  • Pessaries (an insertable device to support the organs)
  • Minimally invasive and robotic surgery options
  • Treatment may also include bladder neck implants, sling procedures (tension-free transvaginal tape or transobturator tape), sacral nerve stimulation, or vaginal and laparoscopic bladder suspension
  • Interstim – stimulation that includes interstim and posterior tibial nerve stimulation
  • Botox injections, FDA approved for neurogenic bladder
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