Incontinence

Extremely common in women but also occurring in men, urinary leakage can occur with stress maneuvers (such as exercise, coughing, sneezing) or with uncontrollable urge or frequency. Often, fluid management and behavior/bladder retraining can achieve some success. More significant cases of urge incontinence can be treated with medication usually, and in severe cases with bladder neuromodulation ("InterStim"). Stress incontinence, if bothersome, can be treated with minimally invasive procedures such as "slings" or urethral injections with high degrees of success and satisfaction.

FEMALE PELVIC ORGAN PROLAPSE

Cystocele (Bladder Drop), Rectocele (Rectal Drop), Perineal Laxity (weak perineum) and Enterocele (bowel descent) are all pelvic hernia that create protrusions through the vagina. Often, women will feel a "bulge" or sense heaviness in the vagina, back pain, difficulty with urination, constipation, or feel they are "sitting on a ball". If severe, it may completely protrude through the vaginal opening. Surgical correction to restore proper anatomy, vaginal length and caliber is done minimally invasively through the vagina, often with mesh or grafts. Sexual function is restored or preserved. These conditions often occur with urinary incontinence.