Urinary Incontinence/Overactive Bladder

Urinary incontinence is a common condition in women.  13- 25 million Americans are incontinent- 85% of them are women. Women with urinary incontinence typically wait almost 7 years before seeking medical help. Leaking urine is not a normal part of aging- it is a treatable medical condition. Here at Houston Metro Urology we specialize in the treatment of this problem. Our patients undergo evaluation in our state of the art voiding dysfunction center.

There are several types of urinary incontinence. The two major types are stress urinary incontinence and urge incontinence.

Stress incontinence

Leakage of urine with activity (coughing, laughing straining). Physical changes from pregnancy, childbirth and menopause often cause stress incontinence. Other risk factors include obesity, family history, connective tissue abnormalities, chronic disease and smoking.

Treatment options

  • Non surgical therapy (pelvic floor rehabilitation, pessary placement)
  • Minor Surgical treatments (sling placement, bulking agent injection)

Urge incontinence

Leakage of urine that is associated with an uncontrollable urge to urinate. Urinary leakage often occurs with triggers such as returning home, touching or hearing water, cold weather and so forth. This leakage is caused by bladder spasms.

Treatment options

  • Restricting fluid intake
  • Behavioral techniques (scheduled voiding, bladder retraining)
  • Pelvic floor rehabilitation
  • Medications
  • Tibial nerve stimulation (Urgent PC)
  • Bladder Botox injections
  • Interstim placement ("pacemaker to the bladder")

Overactive Bladder

This condition describes the frequent and urgent need urinate. Patients with this condition find themselves running to the restroom very frequently. They often have the sudden urge to urinate that occurs without warning. This condition can be caused by bladder spasm or by increased sensation in the bladder. It is treated similarly to urge incontinence.