Incontinence Treatment

Eastern Wisconsin’s Leading Destination for Treating Incontinence

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Urogynecologists at Aurora explain incontinence, treatment options, and when to see a doctor for the condition.

Urinary incontinence, the loss of bladder control, ranges from mild leaking concerns to overwhelming urges and involuntary flow of urine. There are many causes of urinary and fecal incontinence and these problems can significantly impact a woman’s quality of life.

Aurora Health Care has specialists with advanced training in treating incontinence and pelvic floor disorders. From initial consultation to successful treatment, we offer women personalized, sensitive care.

Treatment Options

Incontinence treatments depend on the type and severity of each case and, because no single treatment works for every woman, we offer medical and/or surgical treatment options tailored to meet each patient’s individual needs.

From pelvic floor rehabilitation and medical management to state-of-the-art urogynecologic surgery, Aurora offers women the opportunity to regain health, confidence, comfort and quality of life. Patients benefit from compassionate care combined with successful and effective incontinence treatments.

Non-surgical incontinence treatment options include procedures, therapies and education to help women strengthen and reeducate the muscles and pelvic organs that control their bladder and urination. New, low-risk treatments for urinary urge incontinence include:

  • InterStim Therapy: Works by stimulating the sacral nerves with mild electrical impulses. This procedure can immediately reduce and even eliminate symptoms of overactive bladder and urinary retention, offering hope when medications and other therapies have been unsuccessful.
  • Percutaneous Tibial Nerve Stimulation (Urgent PC): Sends stimulation through the tibial nerve. A pulse generator then sends an electrical pulse to the sacral nerve, which regulates bladder function. 

Surgery may be an option when other incontinence treatments are not effective. Our physicians offer experience and expertise in laparoscopic, robotic-assisted and other minimally-invasive urogynecologic surgery techniques and pelvic reconstruction surgery options.

Excellence in Treating Incontinence

Our fellowship-trained urogynecologists and urologists work with OB/GYNs, physical and occupational therapists and other specialty providers to offer women the most advanced and comprehensive incontinence treatments. Our incontinence and pelvic health team includes:

Tracy Capes, MD, fellowship-trained urogynecologist
Alexis Chesrow, MD, fellowship-trained urologist
Dennis Miller, MD,  fellowship-trained urogynecologist
John Utrie, DO, fellowship-trained urogynecologist

Four Common Types of Urinary Incontinence

There are four distinct types of urinary incontinence. Thorough evaluation of a woman’s condition is important to ensure proper treatment. The four types are:

  • Stress incontinence: urinary leakage normally triggered by coughing, sneezing, laughing, bending or lifting
  • Urge incontinence: characterized by a sudden need to use the restroom, an uncontrollable flow of urine and increased urinary frequency
  • Overflow incontinence: frequent or constant dribbling of urine and an inability to completely empty the bladder
  • Mixed incontinence: a combination of symptoms associated with more than one type of incontinence

Fecal Incontinence

This is the uncontrolled loss of gas or liquid stool from the rectum or vagina. The two main types of fecal incontinence are anal sphincter injury and rectovaginal fistulas. Both conditions are usually the result of vaginal delivery and are usually unavoidable. Pelvic floor rehabilitation can be an effective treatment in many cases prior to consideration of surgery.

Diagnosis

Urodynamic assessment involves a series of tests to:

  • Reproduce bladder and voiding capabilities
  • Evaluate the function of your bladder and urethra
  • Accurately identify and diagnose underlying problems

Tests may include:

  • Cystoscopy
  • Radiology/imaging scans
  • Endoscopy
  • Endoscopic procedures of the bladder and/or bowel

Locations

Expert evaluation, testing, diagnosis and treatment is available at these locations:

Center for Continence and Pelvic Floor Disorders
Aurora Women’s Pavilion of Aurora West Allis Medical Center 
8901 W. Lincoln Avenue
West Allis, WI 53227
414-329-5650

The Urogynecology and Pelvic Reconstructive Surgery Center
Women’s Center at Aurora BayCare Medical Center 
2845 Greenbrier Road
Green Bay, WI 54308
920-288-8400