One of the most common urological problems I treat is urinary incontinence – the loss of control over urination. In some instances it’s as minor a problem as losing a few drops of urine while running or coughing. In other cases, one may feel a strong, sudden urge to urinate just before losing a large amount of urine. Many patients experience both symptoms.
Both women and men can become incontinent from neurologic injury, birth defects, stroke, multiple sclerosis, and physical problems associated with aging. Women experience urinary incontinence twice as often as men. Pregnancy and childbirth, menopause, and the structure of the female urinary tract account for this difference. Incontinence in men is mostly related to prostate problems but there are other neurological and bladder problems that contribute.
Urinary incontinence is not inevitable with age or ‘something you have to live with’. Urinary incontinence is a medical problem. People aren’t aware that a specialty exists for the management and care of incontinence conditions. Highly effective, minimally-invasive treatments are available, and most can be done in the out-patient setting.
For men and women with overactive bladder conditions who have failed to improve with pharmacological management, we can utilize newer treatment options like mild electrical pulses that stimulate the nerve that controls the bladder and surrounding muscles which manage urinary function. Treatment can also include Botox, behavioral modification, pelvic floor rehabilitation and minimally-invasive reconstructive surgical techniques. Effective solutions exit for treating virtually every form of incontinence.
Dr. Parminder Sethi is a board certified urologist with Pacific Urology. He practices general urology with a special focus on treating patients with urinary incontinence and bladder dysfunction. To reach Dr. Sethi, call 925-937-7740.