Urology Specialists of Ohio’s Prostate Cancer Services
Thank you for choosing the Urology Specialists of Ohio. Your care and well-being are our primary concerns. Prostate cancer can be a difficult condition to deal with, and we want your experience to be as comfortable as possible.
If you’re looking for a prostate cancer center in the Dayton/Springfield Ohio area, please contact us at (937) 342-9260. We have multiple locations available, providing you with convenient access to the help you need.
Urinary incontinence is a very common problem affecting as many as 30 million people in the United States. Many patients are embarrassed about this problem and tend to not speak openly with their physician. There is no reason to suffer in silence.
What happens under normal conditions?
The bladder job is to store urine. When everything is working correctly, first the brain tells the bladder it is time to release urine then the urethral sphincter (circular muscle) relaxes and lastly the bladder muscle contracts. Incontinence occurs if closure of the sphincter is inadequate (stress incontinence) or the bladder muscle is overactive and contracts involuntarily (urge incontinence).
What is urinary incontinence?
Urinary incontinence is the involuntary loss of urine and is not necessarily a part of aging. It is a common condition experienced by men and women of all ages.
What are the different types of urinary incontinence?
Stress Urinary Incontinence: Stress incontinence is typically associated with physical activity like coughing, laughing, sneezing, lifting, straining, getting out of a chair or bending over. Damage to the pelvic floor from child birth can lead to stress incontinence. This is also the most common type of incontinence in men that have had prostate surgery.
Urge Urinary Incontinence
Mixed Urinary Incontinence
Overflow Urinary Incontinence
Non-Surgical Management Options
Some of the causes of incontinence are temporary and easily reversible. Reversible causes include urinary tract infection, vaginal infection or irritation, medication, constipation and restricted mobility. However, in some cases, further medical intervention is necessary. Minimally invasive treatment options are those treatments that do not involve surgery and should be the first line of treatment for patients. However, they may also be used in conjunction with surgical therapy.
Pelvic Floor Exercises
Electrical Stimulation during Biofeedback Therapy
Pelvic Relaxation Therapy
PTNS (percutaneous tibial nerve stimulation)
Surgical Management Options
Surgical options are only considered after a full evaluation. Typically non-invasive techniques will be tried prior to proceeding to surgical options. The physician will need to identify the type of incontinent because the surgical options are designed to work specifically for each type of incontinence.
Urethral sling surgeries
The sling material may be muscle, ligament, or tendon tissue taken from the woman or from an animal, such as a pig. It may also be composed of synthetic material such as plastic that is compatible with body tissues or of absorbable polymer that eventually disintegrates.
Interstim Therapy is a neuromodulation therapy that targets the communication problem between the brain and the nerves that control the bladder. It is used to tread urge incontinence. The patient will go through a trial assessment where a temporary device is attached in an in-office procedure. Based on the outcome of the trial assessment the patient and physician may decided to proceed to a full implant, which is done under anesthesia at the hospital.
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1164 E. Home Road
Springfield, Ohio 45503