Treatment for Female Urinary Incontinence in Sherman Oaks, CA

Urinary incontinence is a condition where there is loss of control in managing the flow of urine from your 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. 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.

Board-certified urologist, Dr. Richard David serves as Chief Medical Officer for Genesis Healthcare, the largest Urology group in Los Angeles. Many patients drive from Encino, Bel Air, or Studio City to get personalized care at Genesis Healthcare. He specializes in treating patients suffering from female urinary incontinence at his urology office in Sherman Oaks, CA. Call (818) 990-5020 to schedule your consultation.

The 7 Types of Urinary Incontinence

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

Non-Surgical Treatment Options

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 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 Stimulation. InterStim 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.

Urinary Incontinence Surgery

There are a number of surgical approaches 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 hypermobility in which a sling is used to support the urethra when there is increased abdominal pressure.
  • Bone-fixed slings – treat incontinence by supporting the urethra with a graft material attached to the pubic bone.
  • 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.