More than 33 million Americans experience some form of urinary incontinence or bladder condition, according to the National Association for Continence. For many, this is more than a medical problem. Bladder control issues can affect emotional, psychological and social well-being.
The Urology Group helps patients with a variety of bladder control and incontinence issues through a range of diagnostic testing and care options.
Services and Treatments Offered
This diagnostic study tests the ability of the bladder to store and dispose of urine by measuring bladder pressure and urine flow. It is typically recommended when the patient is experiencing symptoms of incontinence or urinary retention.
The procedure: A typical urodynamic test is an outpatient procedure, usually taking about 60 minutes, that involves the use of a catheter to fill the bladder. It is usually performed in two steps:
What to expect afterward:
The patient should be able to return home soon after the procedure, though may feel mild discomfort for a few hours when urinating. Drinking water may help to reduce the discomfort.
The physician may prescribe an antibiotic to prevent infection. Any signs of infection, including pain, chills or fever, should prompt an immediate call to the physician.
Biofeedback is a practice designed to help patients better understand how the body normally behaves. In the case of urge incontinence, biofeedback can help the patient recognize when the bladder is overactive and help contract the proper muscles to stop the need to urinate. Often, a sensor is used to monitor muscle activity in the vagina, rectum or pelvic floor.
The exercise involves strongly contracting the pelvic muscles that hold back urine – many mothers may be familiar with the exercise from childbirth classes. These exercises should be performed as a regimen, meaning as many as 20 sets three times a day – but not during urination.
Services and treatments offered:
The physician will first perform a 15-minute test to see if the procedure will work. If the test delivers positive results over a three- to five-day period, the permanent pacemaker can be implanted.
What you should know:
The drug partially paralyzes the bladder, relaxing it so it can store more urine, but leaving enough control to empty itself voluntarily.
What you should know:
In the procedure, an acupuncture needle/electrode is inserted near the posterior tibial nerve and pads/electrodes are adhered to the foot. These electrodes are connected to a pulse generator, which sends an electrical signal up the tibial nerve to the sacral plexus in the pelvis, the group of nerves that controls bladder function.