Women's Services

Incontinence | Interstitial Cystitis |  Overactive BladderPelvic Prolapse | Urinary Tract Infections

Incontinence

Diagnosis

Incontinence is the loss of voluntary control over your urinary functions.

There are six main types of urinary incontinence:

  • Stress -  Losing urine involuntarily during certain physical activities: coughing, laughing or sneezing; lifting; walking or performing other forms of exercise; moving to get up from a chair or out of bed.
  • Urge - Inability to control the sudden urge to urinate. A large amount of urine may be released. Urge incontinence may occur after a sudden change in position or activity.
  • Mixed - A mixture of stress and urge incontinence.
  • Overflow - Failure of the bladder to empty normally. The bladder remains at least partially full, and small amounts of urine are leaked on a nearly continuous basis.
  • Neurogenic - Related to defects in the nervous system, which conducts urination signals between the bladder and the brain. Patients may have severe, total incontinence. 

Treatment Options

Guadalupe Urology currently offers several therapies for treatment of Incontinence including:

  • Medication Therapy
  • Traditional Urodynamics (bladder function testing)
  • Interstim Therapy
  • Surgical Treatments- TOT (Transobturator Taping) & TVT (Transvaginal Taping)

Interstitial Cystitis

Diagnosis

Interstitial cystitis (IC) is a long-term condition where the bladder wall can become irritated and inflamed. Women with IC typically complain of pain or pressure in the pelvic area, pain during or after sex, and frequent, sometimes painful, urination. Some or all of these symptoms may come and go at different times. In addition, women with IC are typically diagnosed with two or more urinary tract infections a year.

To diagnose IC, your doctor may perform:

  • Cystoscopy – a tiny scope inserted in the bladder that looks for abnormalities and pinpoints bleeding or ulcers.  Your doctor will use liquid during the exam to stretch the bladder and test its capacity.
  • Biopsy of the bladder wall –  a tissue sample is examined under a microscope to rule out bladder cancer and check for microscopic changes suggestive of IC.

Treatment Options

There is no cure for IC; the goal of treatment is to relieve symptoms. Often, treatment effectiveness wanes and a replacement must be found through trial and error. Most patients who suffer from IC find relief, usually with multiple, complementary treatments.

Medications - There is an FDA-approved oral prescription medication for interstitial cystitis designed to form a protective coating on the bladder lining and repair defects in the lining. Your doctor may prescribe other types or oral medications to help relieve you symptoms.

Hydrodistention - Uses liquid to expand the bladder to increase capacity and reduce irritation
Bladder Instillation - Medication goes through a catheter or syringe to your bladder to reduce inflammation and prevent muscle contractions.

Overactive Bladder

Diagnosis

Overactive bladder causes your bladder muscles to tighten or contract on their own – giving you a strong, sudden need to urinate, even when you bladder is not full. Your body may only give you a few seconds of warning before the strong urge is followed by an uncontrollable leak, or even gush, of urine.

Everyone is different, but the most common signs of overactive bladder are a sudden urgency, frequency and leakage.

Treatment Options

Guadalupe Urology currently offers several therapies for treatment of overactive bladder including:

  • Traditional Urodynamics (bladder function testing)
  • Prolapse (fallen bladder) Repair
  • Neurostimulation (InterStim) Therapy

Pelvic Prolapse

Diagnosis

Types of pelvic organ prolapse include the following:

  • Cystocele (bladder prolapse) - occurs when the front of the vaginal wall weakens, allowing the bladder to herniate into the vagina.
  • Enterocele (small bowel prolapse) - is a condition that occurs when the front and back vaginal walls separate, allowing the small bowel to press against or herniate into the vagina. This condition is more common following removal of the uterus (hysterectomy).
  • Rectocele (rectum prolapse) - which also may be called proctocele, occurs when the back of the vaginal wall weakens and the rectum presses against or prolapses into the vagina. This condition may create a bulge that is more noticeable during a bowel movement.
  • Uterine prolapse (prolapse of the uterus) - Weakening of the ligaments that support the top of the vagina (called the uterosacral ligaments) may cause the front and back of the vaginal walls to weaken as well, resulting in prolapse of the uterus (womb).
  • Vaginal vault prolapse - The uterus, or womb, helps to support the top of the vagina. Following removal of the uterus (hysterectomy), the upper portion of the vagina (vaginal vault) may drop toward the vaginal opening.
Symptoms of vaginal prolapse vary, depending on the type.

Treatment Options

Treatment for vaginal prolapse depends on the cause of the condition and the severity of the symptoms. In many cases, the condition gradually worsens over time and eventually requires surgery. Pelvic organ prolapse usually is treated by an urologist and/or gynecologist.

Urinary Tract Infections

Diagnosis

Urinary tract infection (UTI) is a common infection that usually occurs when bacteria enter the opening of the urethra and multiply in the urinary tract. The urinary tract includes the kidneys, the tubes that carry urine from the kidneys to the bladder (ureters), bladder, and the tube that carries urine from the bladder (urethra). The special connection of the ureters at the bladder help prevent urine from backing up into the kidneys, and the flow of urine through the urethra helps to eliminate bacteria. Men, women, and children develop UTIs.

Treatment Options

Usually doctors prescribe antibiotics, antifungal or antiviral medications to treat UTIs. Once you start taking medication, your symptoms should go away in a few days…but this doesn’t mean you can stop taking the medicine. As with any medication, it’s important to complete the treatment and to follow your doctor’s instructions.

 

© 2011 Guadalupe Urology ~ Robert T. Ryan, III, M.D. ~ Seguin | Gonzales | Cuero | Yoakum