What is Urinary Incontinence?

Urinary incontinence is loss of bladder control. Symptoms can range from mild leaking to uncontrollable wetting. It can happen to anyone, but it becomes more common with age.

Most bladder control problems happen when muscles are too weak or too active. If the muscles that keep your bladder closed are weak, you may have accidents when you sneeze, laugh or lift a heavy object. This is stress incontinence. If bladder muscles become too active, you may feel a strong urge to go to the bathroom when you have little urine in your bladder. This is urge incontinence or overactive bladder.

Treatment depends on the type of problem you have and what best fits your lifestyle. It may include simple exercises, medicines, special devices or procedures prescribed by your doctor, or surgery.

Urodynamics & Bladder Testing For Incontinence

Multi-channel urodynamic testing is most commonly performed in the evaluation of urinary incontinence. It is also performed to evaluate bladder function before pelvic organ prolapse surgery.

We must perform this test before any kind of surgery is done on the bladder. Please let us know if you have had this done previously so we can obtain those results for review. This testing gives us a detailed evaluation of the function of the bladder and helps to identify problems with storing and emptying urine.

You should come to the office with a full bladder. A trained technician will insert a small catheter into the bladder with a second catheter placed in the vagina. The bladder will be filled with sterile water and you will be asked to cough and “bear down” and leakage will be recorded. You will be asked to identify different sensations with bladder filling. We will be able to identify spontaneous bladder contractions which are present in women with an overactive bladder.

The entire test takes approximately 20 minutes and is virtually painless to most patients.

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