SPECIALISTS WHO TREAT

M'Liss Hudson, MD
Carl G. KlutKe, MD
H. Henry Lai, MD,

FOR APPOINTMENTS, CALL (314) 362-8200

Urine incontinence This is defined as abnormal loss of urine throughout the day, usually affecting women after childbirth (stress incontinence) or in mid life and later (overactive bladder). Men experience incontinence most often after prostate operations or nerve injury. Incontinence is treated by urologic or urogynecologic specialists.

Women experience incontinence twice as often as men. Pregnancy and childbirth, menopause, and the structure of the female urinary tract account for this difference. But both women and men can become incontinent from neurologic injury, birth defects, strokes, multiple sclerosis, and physical problems associated with aging.

Older women, more often than younger women, experience incontinence. But incontinence is not inevitable with age. Incontinence is treatable and often curable at all ages.

There are several types of urinary incontinence:

Stress incontinence is leakage of small amounts of urine during physical movement like coughing, sneezing, exercising

Urge incontinence is leakage of large amounts of urine at unexpected times, including during sleep

Functional incontinence is untimely urination because of physical disability, external obstacles, or problems in thinking or communicating that prevent a person from reaching a toilet

Overflow incontinence is unexpected leakage of small amounts of urine because of a full bladder

Diagnosis can include urinalysis, blood tests, ultrasound cystoscopy, and urodynamic studies

Medical management includes the use of medication to reduce bladder spasm, muscle training, biofeedback, pessaries, or spinal nerve stimulation. Surgical procedures are successful in shoring up or replacing the muscle that controls the bladder. This can be done with artificial or organic implants.

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