Incontinence Treatment in Columbus, Ohio

What Is Urinary Incontinence?

Urinary incontinence — the loss of bladder control — is a common and often embarrassing problem. The severity of urinary incontinence ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that’s so sudden and strong you don’t get to a toilet in time.

If urinary incontinence affects your day-to-day activities, don’t hesitate to make an appointment with one of our doctors. In most cases, simple lifestyle changes or medical treatment can ease your discomfort or stop urinary incontinence. Some common symptoms include:

  • experiencing difficulty in starting a urine stream
  • the amount of effort put forth to maintain it
  • the stream is interrupted
  • there is residual urine left in the bladder after urination

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What Is Overactive Bladder (OAB)?

Overactive bladder is a problem with bladder-storage function that causes a sudden urge to urinate. The urge may be difficult to stop, and overactive bladder may lead to the involuntary loss of urine (incontinence).

If you have an overactive bladder, you may feel embarrassed, isolate yourself, or limit your work and social life. The good news is that a brief evaluation can determine whether there’s a cause for your overactive bladder symptoms. Available treatments may greatly reduce or eliminate the symptoms and help you manage their effect on your daily life.

Click here for more information on overactive bladder syndrome on the website.

Incontinence Testing

Urodynamics is a group of diagnostic test procedures to assess how the bladder and urethra are functioning with respect to storing and releasing urine. Generally speaking, urodynamic testing provides precise measurements using sophisticated instruments to assess the bladder’s ability to eliminate urine steadily and completely. We have urodynamic testing equipment at both of our office locations, and can perform these tests for patients when indicated.

The tests help physicians determine if:

  • a patient is experiencing difficulty in starting a urine stream
  • the amount of effort put forth to maintain it
  • the stream is interrupted
  • there is residual urine left in the bladder after voiding

Learn more about urodynamics testing.

Treatment Options

  • InterStim Percutaneous Urinary Nerve Stimulation Therapy. InterStim therapy is a proven neuromodulation therapy that targets the communication problem between the brain and the nerves that control the bladder. If those nerves are not communicating correctly, the bladder will not function properly. The InterStim system uses an external device during a trial assessment period and an internal device for long-term therapy.

    The trial InterStim device can be inserted by our physicians at a regular office visit. In the procedure, the physician will numb a small area and insert a thin, flexible wire near your tailbone. The wire is taped to your skin and connected to a small external device which you’ll wear on your waistband. The external device sends mild electrical pulses through the wire to nerves near your tailbone which may get your bladder working the way it’s supposed to.

    Click here to learn more about InterStim

  • Durasphere. Known as a “bulking agent,” Durasphere is a substance that helps the weak muscles of the
    bladder neck by adding bulk to the area, increasing the ability to resist urine leakage during exercise or other activities. Durasphere EXP is a water-based gel, into which tiny carbon-coated beads are placed. It is a black, odorless, sand-like material, placed through a hollow needle into the middle layer of tissue surrounding the urethra. Once injected, the gel is dissolved by the body, leaving the tiny beads in place permanently. These tiny beads add “bulk” to the urethra muscles, allowing the bladder neck to close enough to stop urine from leaking. When you decide to empty your bladder the urethra expands, allowing urine to pass.

    Click here for a patient brochure on Durasphere.

  • Sling Procedure. A urethral support sling is a minimally invasive procedure that can help correct incontinence with a small tape made of soft material that supports the urethra. The sling functions much like a hammock on which your urethra rests to prevent accidental urine leakage. Mesh has been used to treat incontinence since 1968, and has been used in millions of patients worldwide.

 To schedule an appointment, contact Comprehensive Women’s Care at (614) 583-5552.