Your Bladder | The Woman's Clinic

Speaking to your physician at The Women’s Clinic, P.A. is the first step to obtaining a proper diagnosis if you are experiencing bladder problems.

However, many find it difficult or embarrassing to bring up problems with urinary incontinence when visiting your doctor. Know that we have the expertise required to take care of you and your bladder, and you can utilize our supportive staff as your resource at any moment if you have questions.

We have particular expertise in treating the following bladder symptoms and conditions:

  • Incontinence and other voiding dysfunctions
  • Overactive bladder
  • Interstitial cystitis/painful bladder syndrome
  • Urinary tract infections
  • Pelvic prolapse
  • Pelvic prolapse surgery
  • Pelvic pain

In order to determine the root cause of your discomfort, we will use any combination of the following in working with you:

  • Pelvic floor muscle assessment
  • History
  • Physical
  • Pelvic examination
  • Urinalysis
  • Urine culture
  • Post void residual
  • Office urodynamics (cystometrogram, uroflow, UPP, voiding pressure study)

Conditions
Women who come to the Woman’s Clinic, P.A. experience a variety of symptoms.
  • Incontinence
  • Urinary frequency and/or urgency
  • Urinary tract infections
  • Overactive bladder
  • Neurogenic bladder
  • Nocturia
  • Voiding problems
  • Pelvic prolapse/pelvic surgery
  • Interstitial cystitis
  • Constipation
Treatments

With a thorough assessment, we are able to offer several treatment options.
Congratulations to you for taking an important first step in addressing issues with continence. Urinary incontinence affects as many as 17-25 million Americans. Experts estimate that greater than 12 billion dollars is spent each year on incontinence and related problems. Approximately 85 percent of those affected with urinary incontinence are women. One out of every four women between the ages of 30 and 59, and 50 percent of the elderly, suffers with urinary incontinence. It affects people not only physically, but emotionally, psychologically and socially. It may lead to embarrassment, social isolation and depression and prevent its sufferers from fully participating in normal daily activities.
Noninvasive Therapies

  • Bladder retraining
  • Toileting programs (habit training, prompted voiding)
  • Pelvic floor muscle rehabilitation
  • Dietary management
  • Fluid management
  • Constipation prevention/managemen
  • Patient education
Rehabilitation Therapies
  • Pelvic floor muscle rehabilitation using biofeedback or a referral to Physical Therapy)
  • Intermittent catheterization instruction
Devices
  • Fitting of devices (intermittent catheterization, catheters)
  • Pessary placement
Drug Therapy
  • Anticholinergic/OAB drugs
  • Antibiotics
  • Topical estrogen
  • IC treatments
  • Elmiron
  • Bladder instillations
Surgical Interventions
  • Stress urinary incontinence surgery
  • Sub-urethral sling procedures
  • Transobturator sling surgery
  • Pelvic organ prolapse surgery
Other Treatments
  • Indwelling catheterization
  • Skin care product recommendations and care
  • Absorbent products and devices recommendations
  • Referrals for dietician, psychologist, and physical therapy
What to Expect

We have numerous ways to determine the root cause of your discomfort. We will use any combination of the following in working with you.
Speaking to your physician is the first step to obtaining a proper diagnosis. However, many find it difficult or embarrassing to bring up problems with urinary incontinence when visiting the doctor. Please see our Getting Started link below for tips that will help you get started.

  • Pelvic floor muscle assessment
  • History
  • Physical
  • Pelvic examination
  • Urinalysis
  • Urine culture
  • Post void residual
  • Office urodynamics (cystometrogram, uroflow, UPP, voiding pressure study)