Women’s Urinary Incontinence

If you suffer from urinary incontinence -- loss of bladder control -- you are not alone. One out of three women in the U.S. has this condition. 

There are different types of urinary incontinence:

  • Stress incontinence: urine leakage caused by pressure on your bladder when coughing or sneezing
  • Urge incontinence: when you feel a strong need to urinate and leak urine
  • Overflow incontinence: when your bladder becomes too full and you leak urine

Diagnosing Urinary Incontinence in Women

Our urologists use a range of tools to diagnose your type of urinary incontinence and determine the best treatment plan. Your doctor will begin with a thorough health history and physical exam.

Other tests may include:

  • Urinalysis: A sample of your urine is checked for  infection, traces of blood or other problems.
  • Bladder diary: You keep a record over several days of how much you drink, when you urinate, the amount of urine you produce, whether you had a sudden urge to urinate and the number of times you leak urine.
  • Post-void residual measurement: After you urinate into a container, your doctor will measure the urine left in your bladder using an ultrasound. A large amount of leftover urine in your bladder may mean you have a blockage in your urinary tract or a problem with your bladder nerves or muscles.
  • Urodynamic testing: This advanced diagnostic tool is important for determining the type of incontinence. A small, pediatric-sized catheter is gently inserted through your urethra and is used to fill your bladder with water while a pressure monitor measures and records the pressure within your bladder.

Treatment

If you have been diagnosed with urinary incontinence, our team will create a treatment plan for your specific type. 

Your treatment plan may be as simple as changing your lifestyle habits, retraining your bladder or doing pelvic floor exercises. However, if your condition requires more intervention, we offer the latest specialized procedures.

Your treatment plan may include:

  • Behavior and bladder training: This may involve delaying urination to lengthen the time between trips to the toilet, learning to fully empty your bladder and managing the amount and types of fluids you drink.
  • Pelvic floor therapy: Our specially trained nurse will teach you to perform exercises such as Kegels that strengthen the muscles that control urination.
  • Medication: A number of medications are available to manage incontinence and overactive bladder.
  • Percutaneous tibial nerve stimulation (PTNS): PTNS works by providing electrical stimulation via a nerve in your ankle to the sacral nerves involved in bladder control. This outpatient treatment is delivered in weekly 30-minute sessions for about 12 weeks.
  • Botulinum toxin type A (Botox®): Botox is injected into the bladder muscle to relax it and allow the bladder to fill with more urine before you have the urge to go to the toilet.
  • Sacral nerve stimulation: A device like a pacemaker is implanted under your skin to deliver ongoing, painless electrical pulses to the sacral nerves involved in bladder control. This device may be implanted under the skin in your buttock and connected directly to the sacral nerves or may deliver pulses to the sacral nerves via a nerve in your ankle.

Why Choose Hackensack Meridian Health for Urology Care

Quality

Hackensack University Medical Center has been ranked the #1 Urology Department in New Jersey for eight years in a row by U.S. News & World Report and is the only urology department in New Jersey that is nationally ranked.

Innovation

Our urodynamic testing uses the latest state-of-the art technology in diagnosing incontinence. This means you receive faster and more effective treatment.

Patient Experience

We specialize in a range of urologic disciplines including urologic oncology, infertility, stone disease, sexual dysfunction, female urology and pediatric urology.

Our Doctors

Combining medical expertise, advanced technology, and state-of-the-art facilities, our physicians provide you with innovative diagnostic, treatment, prevention, and screening services for the full range of urologic disorders and diseases.