Bladder Leakage - Female Urology

Of the several types of urinary incontinence, stress, urge, and mixed incontinence account for more than 90% of cases. Overflow incontinence is more common in older men with benign prostate hyperplasia (BPH). The primary characteristics of these types are as follows:


Stress—urine loss during physical activity that increases abdominal pressure (e.g., coughing, sneezing, laughing)


Urge—urine loss with urgent need to void and involuntary bladder contraction (also called detrusor instability)


Mixed—both stress and urge incontinence


Overflow—constant dribbling of urine; bladder never completely empties



Treatment options depend on the type of urinary incontinence.


Urge incontinence, often caused by Overactive Bladder (OAB), can be treated with:


· Behavior / dietary modification

· Medication

· Biofeedback

· Neuromodulation (Interstim). 



Stress incontinence treatment options include:


· Non-surgical treatments (kegels, biofeedback)

· Injectable bulking agents

· Oral medications

· Minimally Invasive procedures (TVT®, TOT, slings)

· Bladder surgery