incontinence & overactive bladder treatment

overview

Have you ever laughed so hard that you “leaked”? This happens to many people occasionally, but when it becomes more common, it can be a sign of a bigger issue. When you frequently leak urine or have sudden, extreme urges to go to the bathroom, it could be urinary incontinence or overactive bladder. 

This loss of bladder control can range from mild leaking to an involuntary release of urine. Fecal incontinence, or bowel incontinence, is the uncontrolled release of gas or stool.

We offer a variety of treatments to help stop the leaks and help you feel comfortable again.

symptoms

There are four types of urinary incontinence:

  • Stress incontinence is triggered by coughing, sneezing, laughing, bending or lifting, and it causes urine leakage.
  • Urge incontinence is characterized by a sudden need to use the restroom, an uncontrollable flow of urine and increased urinary frequency.
  • Overflow incontinence means frequent or constant dribbling of urine and an inability to completely empty the bladder
  • Mixed incontinence is a combination of the symptoms described above.
The two main types of fecal incontinence are anal sphincter injury and rectovaginal fistulas. Both conditions are usually the result of vaginal delivery.

diagnosis

Urodynamic testing, or urodynamics, assesses how well the bladder and urethra are storing and releasing urine. It includes a series of tests that reproduce bladder and voiding capabilities, evaluate the function of your bladder and urethra, and accurately identify and diagnose underlying problems.

Tests may include:

  • Cystoscopy, where a scope is used to look inside your bladder
  • Radiology/imaging scans
  • Endoscopic procedures of the bladder or bowel

services & treatment

There’s no single treatment that works for every person. That’s why we offer medical or surgical treatment options tailored to meet each individual's needs. 

From pelvic floor rehabilitation and medical management to state-of-the-art urogynecologic surgery, we help you regain health, confidence, comfort and quality of life. 

Nonsurgical treatment for urinary incontinence and urinary urgency include:

  • InterStim therapy stimulates the sacral nerves, which control the bladder and muscles that work during urination, with mild electrical impulses. It can immediately reduce symptoms of overactive bladder and urinary retention.
  • Percutaneous tibial nerve stimulation (Urgent PC) sends stimulation through your tibial nerve. A pulse generator then sends an electrical pulse to the sacral nerves. 

Surgery may be a choice if other treatments aren’t effective. 

  • Laparoscopic, or minimally invasive, surgery begins with small incisions in your abdomen. The surgeon performs the procedure while viewing the surgery on a video monitor after a very small video camera and surgical instruments are inserted through the incisions. Small incisions mean faster healing time and smaller scars for you.   
  • Robotic surgery combines laparoscopic techniques with robotic arms. Operating through the small incisions, the surgeon’s hand movements are translated into small robotic fingers, allowing for delicate work in small spaces. Minimal incisions mean faster healing time and fewer scars for you. 
  • Sacral nerve stimulation requires a neurotransmitter device to be placed under your skin. The device gives mild electrical pulses to stimulate the nerve that controls the bladder and surrounding muscles.
  • Sling procedures are typically used to treat stress incontinence – the most common form of urinary incontinence. The sling restores and supports the correct anatomical positioning of pelvic organs. 
  • Urethral bulking injections of collagen or another synthetic material are injected around the tube that lets urine out of your bladder (the urethra). This lets it seal more tightly to prevent urine from leaking.
  • Vaginal surgery, which  is similar to laparoscopy, uses small incisions in the vagina to perform urogynecologic procedures that treat incontinence.
For fecal incontinence, pelvic floor rehabilitation, including pelvic floor exercises, can be an effective treatment in many cases before considering surgery.

Find out more about minimally invasive gynecologic surgery. And learn about pelvic reconstruction surgery options.

Locations

8901 W. Lincoln Avenue

West Allis, WI 53227

414-329-5650

2845 Greenbrier Road

Green Bay, WI 54311

920-288-8400

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