The uncontrollable leakage of urine under any circumstance is called urinary incontinence. It is common in women of all ages, and it is estimated that up to 70% of women in our community suffer from some form of urinary leakage. If you are experiencing this condition, please know that you are not alone, and there are treatments available that may be able to help you.


Different Types of Urinary Incontinence


Stress Incontinence:
Occurs when there is increased pressure and/or weakness in the abdomen, usually during sneezing, coughing, laughing, standing, walking and running, and even during sex in some women


Urge Incontinence:
Urine leaks because of hyperactive nerves and/or muscles in the bladder


Mixed Incontinence:
A combination of stress incontinence and urge incontinence


Overflow Incontinence:
Loss of urine due to the bladder not emptying all the way



Symptoms of Urinary Incontinence


  • Urgency: A strong need to empty the bladder. If delayed, this may lead to episodes of leaking
  • Frequency: Urinating so often that it affects your quality of life
  • Nocturia: Urinating two or more times at night
  • Dysuria: Burning or irritation with urination
  • Enuresis: Bladder emptying in bed
  • Urinary retention: The inability to fully empty the bladder


Common Causes of Urinary Incontinence:


  • Urinary Tract Infection (UTI)
  • Medications
  • Abnormal growths from the benign to the malignant, including stones, polyps, and tumors
  • Lack of support in the pelvic floor
  • Abnormalities in the urinary tract, such as a fistula
  • Hyperactive muscles or nerves in the bladder


Treatment Options for Urinary Incontinence


To arrive at the most accurate diagnosis possible, Dr. Samuels will spend time taking a history and performing a physical.


Testing may be necessary, and may include urodynamics, a urination diary, ultrasound, and cystoscopy.


Possible treatment ranges from lifestyle changes to pills or, in some cases, surgery. Which treatment will be right for you depends on your type of incontinence, the cause of your incontinence, and the severity of your symptoms.


BOTOX®: This is a prescription medicine that can be injected into the bladder wall to help relax the bladder. This helps to reduce urgency, frequency, and incontinence episodes. This procedure is done in the office.


Interstim®: The world’s first system that uses mild electrical pulses to stimulate the nerves that control the bladder and muscles related to urination. It helps the brain and nerves to communicate so the bladder can function properly.


It may be an option for patients with overactive bladder (OAB) symptoms or non-obstructive urinary retention who have failed other treatments.


Bowel or Anal Leakage


The uncontrollable leakage of gas, liquid, or solid stool out of the anus is known as bowel leakage. It usually occurs in women who have had childbirth injury, trauma, medications or other concurrent illnesses. It is particularly disturbing for women and can severely affect their quality of life.


Treatment Options for Bowel Incontinence


Dr. Samuels will take a history, perform tests, and learn about the full extent of your symptoms in order to make the best treatment recommendation for you. Treatment options range from behavioral changes to Interstim® or surgery, depending on the individual patient’s needs.