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Female Incontinence Specialist in Arlington TX

Urinary incontinence can be disruptive to your day and be embarrassing to live with. Dr. Geoff Nuss is a highly-regarded, board-certified urologist in Arlington, TX who understands the causes of incontinence. He can create an individualized treatment plan that relieves your symptoms and gets you back to normal life. For effective solutions to urinary incontinence, call today to schedule an appointment with Dr. Nuss, at Urology Partners, or request an appointment using our online form.

What is Female Incontinence?

Urinary incontinence is a condition where there is loss of control in managing the flow of urine from a woman’s body. Approximately 17 million women in the U.S. encounter urinary incontinence in their lifetime. This condition can occur in women between the ages of 18 and 60 and beyond and is usually a result of the urethra not being closed tightly to keep urine in the bladder.

What are the Symptoms of Urinary Issues from Incontinence?

Urinary incontinence is not a disease. It’s actually a symptom of an underlying issue that may be caused by several issues, including an underlying medical condition or other physical problem. Dr. Nuss thoroughly reviews your symptoms and evaluates your health to determine the underlying cause. Symptoms vary from:

  • an inability to prevent leaking urine when exercising or other involuntary actions such as coughing or sneezing
  • an overwhelming urge to urinate that often causes them to urinate before getting to a bathroom.

What are the Types of Urinary Incontinence?

Urinary incontinence can be caused by a range of different issues. Because of this, incontinence can be categorized in the following ways:

Urge Incontinence/Overactive Bladder

The sudden and unexpected need to urinate caused by an unexpected contraction of the bladder.

Stress Incontinence

The involuntary loss of urine due to increased pressure on the abdomen and bladder.

Non-Surgical Treatment Options for Incontinence

Behavior therapies. Behavior modification is used to train one’s bladder and sphincter muscles by decreasing fluid intake and by prompting or scheduling voiding.

Pelvic muscle exercises. Called Kegel exercises, these exercises commonly are intended to strengthen weak muscles surrounding the bladder.

Protective undergarments. Basically these are pads undergarments designed to absorb leaked urine.

Catheter. These tubes are inserted into the urethra to collect urine into an external drainage bag. These are generally left in place 24 hours a day.

External devices. Called a Pessary, this device is designed to apply pressure to help reposition the urethra permitting it to close tightly. It features a stiff ring that is inserted into the vagina to exert pressure press against the wall of the vagina and urethra.

Bulking injections Bulking agents such as collagen are injected directly into the urethral lining to firm and bulk up the urethral lining so that the urethra can close more tightly.

Medications. There are a number of medications to treat incontinence caused by urge to continually void. Where incontinence is stress related, there are no medications for to treat this. For incontinence caused by a combination of both urge and stress, drug therapy may be helpful in treating the urge component.

InterStim Electrical StimulationInterStim electrical stimulation sends electrical pulses to the sacral nerve, which plays a key role in the filling and emptying of the bladder. This treatment is carried out by a small device that is implanted under the skin in the buttocks.

Female Incontinence Surgery

If necessary, there are a number of surgical approaches by Dr. Nuss to strengthen, support, elevate and/or restore the urethra and bladder. These are employed when other treatments are not working and include:

  • Retropubic Suspensions. Surgical procedures (Burch procedure) intended to restore the urethra and neck of the bladder to a higher anatomical position.
  • Slings. Procedures used to treat that treats hypermobility in which a sling is used to support the urethra when there is increased abdominal pressure.
    • Self-fixated slings – can be used to support the urethra and are secured in place by friction and tissue ingrowth, and require no sutures or screws.