Treating Incontinence (part 3 of 3)

Incontinence | Pacific Urology | East Bay AreaBy Jeremy Lieb, MD

When treating incontinence, it is important to remember that each patient has different needs and responses to treatment. All diagnoses and treatment plans are only prescribed after a thorough patient evaluation. We have found great success with some of the treatment options listed below.

Bladder Sling

For patients whose incontinence is a result of stress being placed on the bladder (stress incontinence) this 15- to 30-minute minimally invasive procedure is highly effective. A mesh sling, made of the same material as thesutures used in surgery, is placed underneath the bladder restoring its height and removing pressure.


In patients who suffer from an overactive bladder (urge incontinence), this 30-minute minimally invasive treatment can solve the problem. Bodily functions such as urination require communication between the brain and body in order to assess when it is time for a trip to the restroom,which occurs naturally through electrical impulses between the body and brain via the sacral nerve system located at the base of the spine. When electrical impulses are not received by the brain or organs, the body does not communicate properly and accidents result.

Interstim therapy restores communication between the bodyand brain by delivering soothing electrical pulses to the sacral nerve system.To accomplish this, a urologist inserts a small device the size of a silver dollar under the skin of the lower back. This is an outpatient procedure done in the hospital under local anesthesia and IV sedation.


Patients suffering from urge incontinence may find great relief through prescription medication that relaxes bladder muscles and reduces bladder contractions.

Botox Injections

Placing Botox injections in the bladder blocks the release of chemicals that cause muscle spasms and incontinence issues, providing a minimally invasive option offering fast results.

There are many ways to treat incontinence, so you don’t need to suffer needlessly. We work hard to stay up-to-date on the latest procedures and treatment options in order to provide the most convenient, minimally invasive solutions to your urological issues. To learn more about how we can help, call our offices to request an appointment with our experienced board certified urologists.

Our Continence Program