Urinary Incontinence

Women's Health Care Center, PLLC

Obstetrics & Gynecology located in Helena, MT

If you feel like you have to “go” shortly after you’ve emptied your bladder or if you sometimes struggle to make it to the bathroom in time, you likely have urinary incontinence. At Women's Health Care Center, PLLC, in Helena, Montana, Drew Malany, MD, specializes in integrative urinary incontinence treatments to help you experience fast and effective relief. Find out more information by booking an appointment online or by calling the clinic to schedule by phone.

Urinary Incontinence

What causes urinary incontinence?

Urinary incontinence means that you lose control of your bladder because of an underlying condition. 

While urinary incontinence affects both women and men, women are twice as likely to struggle with it. In most cases, urinary incontinence is linked to women’s health conditions, such as:

  • Hormonal imbalances, especially around menopause
  • Gynecological surgery, including hysterectomy
  • Weak pelvic floor muscles
  • Pregnancy and childbirth

You may also be struggling with urinary incontinence because of being overweight, consuming too much caffeine, or taking certain medications (like diuretics for hypertension). 

When should I see a doctor for urinary incontinence?

Whether you have occasional bladder issues or ongoing problems that affect your work and daily activities, the team at Women's Health Care Center can help. 

They encourage you to schedule an evaluation if you’re having any of the following symptoms:

  • Bedwetting 
  • Bladder spasms
  • Pelvic pain or pressure
  • Minor to moderate bladder leakage 
  • Nighttime bathroom trips (more than two)
  • Frequent bathroom trips (more than eight times daily)
  • Difficulty getting to the bathroom in time (urge incontinence or overactive bladder)

You may also find that you lose small amounts of urine when you cough, laugh, or sneeze. This is known as stress incontinence, which is the most common. 

What is the treatment for urinary incontinence?

Your urinary incontinence treatment plan is personalized to you after you complete diagnostic testing, which may include urodynamic testing, an ultrasound, or lab testing. 

For mild to moderate cases of urinary incontinence, Dr. Malany may recommend:

  • Dietary counseling 
  • Vaginal pessary
  • Pelvic floor physical therapy
  • Medications to relax your bladder muscle
  • Medications to increase how much urine your bladder holds

If these types of conservative urinary incontinence treatments aren’t effective, you may need a minimally invasive gynecological surgical procedure. One of the most effective procedures is the tension-free vaginal transobturator tape surgery (TVT-O), also known as a sling procedure. 

This highly effective treatment involves placing a mesh-like device under the bladder to provide support. Dr. Malany can help you determine if surgery is the best solution for your unique needs.  

You have plenty of options for urinary incontinence relief at Women's Health Care Center. Book your evaluation with Dr. Malany through the website or call to speak with a team member today.

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