Several different treatment options are available including Kegel exercises with or without vaginal weights, biofeedback, home devices (Apex or InTone), hormone optimization, vaginal lasers such as the MonaLisa Touch, non-invasive options such as the Emsella chair, and surgery. Ask your doctor or healthcare provider which option(s) may be best for you!

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Common Types of Urinary Incontinence

1. Stress Urinary Incontinence.

   • This type occurs when physical movements like sneezing, coughing, lifting, or exercising cause urine leakage. It often results from weakened pelvic floor muscles due to childbirth, weight gain, or hormonal changes during menopause. SUI is typically managed through both non-surgical and surgical options, depending on the severity and underlying cause. A comprehensive pelvic and bladder exam is essential to determine the most appropriate treatment.

   • Non-surgical treatments such as dietary modifications, bladder training, and therapies like the MonaLisa Touch laser can help manage symptoms effectively.

   • Bulkamid is a minimally invasive solution for stress incontinence.

2. Urge Incontinence

   • Also known as overactive bladder, urge incontinence is characterized by a sudden, intense urge to urinate followed by involuntary leakage. It may stem from bladder muscle overactivity or nerve-related issues.

   • Non-surgical treatments such as dietary modifications, bladder training, and therapies like the MonaLisa Touch laser can help manage symptoms effectively.

   • Medications like anticholinergics and beta-3 adrenergic agonists can help relax bladder muscles, reducing urgency and frequency. These medications are often used alongside lifestyle modifications and pelvic floor exercises for optimal results. The downside of this option is that some patients may suffer from side effects such as constipation, dry mouth, dry eyes, or other symptoms, and some of these medications can be quite expensive.

   • Outpatient procedures such as Axonics Therapy can be life-changing. This minimally invasive treatment involves a small implant that delivers gentle electrical impulses to the sacral nerves controlling bladder function. Axonics is particularly effective for patients with moderate to severe symptoms who haven’t responded well to other treatments. It offers a long-term solution by improving bladder control without major surgery.

3. Overflow Incontinence

   • Overflow happens when the bladder doesn’t empty fully, causing frequent dribbling. It may result from nerve damage, urethral blockage, or weakened bladder muscles. Treatments include medications to improve bladder contraction, catheterization if needed, and addressing underlying causes like prostate issues or diabetes. Axonics may also help with this type of incontinence.​

4. Mixed Incontinence is a combination of the first 2 options meaning there is more than one reason the person is having leakage.​ We address any and all causes to help our patients.

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