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Management of Urinary Incontinence

Management of Urinary Incontinence

Are you dealing with the physical discomfort and emotional distress caused by urinary incontinence? It is a common condition affecting women of all ages, characterized by the involuntary leakage of urine. It can significantly impact the quality of life, leading to physical discomfort, emotional distress, and social embarrassment. Adam Shoman, MD, FACOG, MBA, and the Hackensack CMIGS team provide Management of Urinary Incontinence to women in Hoboken, NJ. For women experiencing this issue, urinary incontinence treatment such as pelvic floor therapy or consulting a urogynecology expert may provide effective solutions.

Don’t wait to find relief. Take the first step toward managing your urinary incontinence by contacting Hackensack CMIGS today. Speak with an urogynecology expert to explore personalized treatment options and restore your confidence and comfort.

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Types of Urinary Incontinence

  1. Stress Incontinence: This occurs when physical activities or movements such as coughing, sneezing, laughing, or exercising put pressure on the bladder, causing urine to leak. It is often related to weakened pelvic floor muscles or urethral sphincter.
  2. Urge Incontinence: Also known as overactive bladder, this type is marked by a sudden, intense urge to urinate followed by involuntary urine leakage. Involuntary bladder contractions can cause it and often require overactive bladder treatment.
  3. Mixed Incontinence: This is a combination of both stress and urge incontinence, where symptoms of both types are present.
  4. Overflow Incontinence: This occurs when the bladder does not empty, leading to overflow and leakage. It can be due to weak bladder muscles, nerve damage, or blockages in the urinary tract.
  5. Functional Incontinence: This type is due to physical or mental impairments that prevent a person from reaching the toilet in time, such as arthritis or Alzheimer’s disease.



Causes and Risk Factors

Urinary incontinence in women can be caused by a variety of factors, including: 

  • Pregnancy and Childbirth: These can weaken pelvic floor muscles and cause nerve damage. 
  • Ageing: The bladder and urethra lose elasticity with age.
  • Menopause: Reduced estrogen levels can weaken the bladder and urethral tissues. 
  • Obesity: Excess weight increases pressure on the bladder. 
  • Hysterectomy: Surgery involving the reproductive organs can affect pelvic floor support. 
  • Neurological Disorders: Conditions like multiple sclerosis, Parkinson’s disease, and stroke can interfere with nerve signals involved in bladder control. 

Diagnosis and Treatment

Diagnosis typically involves a detailed medical history, physical examination, and tests such as urinalysis, bladder diary, post-void residual measurement, and urodynamic testing. 

Treatment options for urinary urgency and incontinence may include:

  •  Lifestyle Changes: Weight loss, fluid management, and dietary modifications.
  •  Pelvic Floor Exercises (Kegel Exercises): Strengthening the pelvic muscles. 
  • Medications: Drugs to relax the bladder or increase urethral muscle tone.
  •  Medical Devices: Pessaries or urethral inserts. 
  • Minimally Invasive Procedures: Injections or sling procedures. 
  • Surgery: In severe cases, surgical interventions such as bladder neck suspension or artificial urinary sphincter implantation may be necessary.

 Urinary incontinence is a manageable condition with a variety of treatment options available, including pelvic floor therapy, Urinary urgency treatment, overactive bladder treatment, and pelvic organ prolapse treatment. Women experiencing symptoms should seek an urogynecology expert or Uterine fibroid doctor to determine the underlying cause and appropriate treatment plan, improving their quality of life and restoring confidence.

Dr. Adam Shoman, MD

Meet Dr. Adam Shoman

Adam Shoman, MD, FACOG, MBA, is an obstetrics and gynecology specialist with over 15 years of experience in medicine, fibroids, and surgical treatment.

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