Facts About Bladder Incontinence
  • 85 percent of those with urinary incontinence are women
  • Urinary leakage is not normal at any age
  • Incontinence is treatable
  • Incontinence can be stopped or decreased in almost everyone
Causes of Bladder Incontinence
Incontinence can happen at any age. Many times it is temporary and can be managed with simple treatment. Causes include weak pelvic floor muscles, involuntary bladder contractions, hormone imbalance, urinary tract infections, or constipation.

Types and Symptoms of Bladder Incontinence
  • Stress - leakage caused by activities such as coughing, sneezing, laughing, or lifting
  • Urge - inability to hold urine once a strong urge is felt - also referred to as "overactive bladder"
  • Overflow - frequent loss of small amounts of urine from incomplete emptying
  • Mixed - many people have more than one type of incontinence

Bladder Incontinence Treatments
Behavior Therapy
Behavior therapies are noninvasive, inexpensive, and have no side effects. The behavior therapies include bladder retraining, pelvic muscle exercise, biofeedback, dietary changes, and timed voiding.

Physical Therapy
An evaluation of the pelvic floor muscles may determine that a form of physical therapy is needed. This may include advanced exercises, biofeedback, or other therapies to strengthen pelvic floor muscles. Therapy is provided by a physical therapist trained in Women's Health at Mid Dakota Clinic in the Gateway Mall.

When conservative treatments are unsuccessful, medication may be prescribed. There are now several different types of bladder medications to choose from to treat symptoms consistent with overactive bladder.

Urgent PC Neuromodulation System
Urgent PC is a system that helps control urinary urgency and frequency without medication or surgery by stimulating nerves through gentle electrical impulses. It works by modifying the signals to the bladder to achieve bladder control. You should start seeing a change in your symptoms after 6 treatments. The therapy consists of 30-minute weekly sessions for 12 weeks. An occasional maintenance session may be needed to sustain your improvement.

Interstim Therapy
Interstim Therapy is a system indicated for urinary control in patients that have failed or could not tolerate more conservative treatments including medications. This sacral nerve stimulation is an effective treatment for patients with urinary frequency, urinary urgency, urinary retention, and urine loss due to urge. Interstim therapy is also indicated for uncontrolled stool loss.

Sometimes surgery is required to adjust the bladder, open blockages, or repair pelvic muscles. For example, when the tissues of the urethra become weakened, urine may leak through the urethral opening due to insufficient muscle strength. A surgical approach widely used today involves a urethral sling, often referred to as a TOTVT, TVT or SIS.

Bowel Incontinence
Bowel incontinence is the inability to control bowel movements. There are a number of causes including chronic constipation, nerve or muscle damage, and past surgical procedures. Our specialists can determine the cause and find the best treatment plan for you.


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