What can I do about my leaky bladder?

Urinary incontinence is a condition that affects million of Americans. Treatment of urinary incontinence is a dynamic area which has grown tremendously in the past decade. Once a qualified health care practitioner has identified the cause of incontinence, treatment is directed at the underlying pathology and is usually quite successful.

In most cases, incontinence is due to overactive bladder, urethral support problems, or both. With the introduction of new medications, treatment of overactive bladder has truly been revolutionized. In addition, a bladder neurostimulater, or "pacemaker" has improved quality of life dramatically for tens of thousands of people who previously suffered from incontinence due to overactive bladder.

Surgical treatment of urethral support problems has also improved. The newest procedures are done on an outpatient basis and are "minimally invasive" meaning that the incisions are very small and postoperative pain is minimal. Urethral support can also be improved with "biofeedback," a specialized form of physical therapy for the pelvic floor.

In conclusion, treatment of urinary incontinence has evolved tremendously over the past decade. No longer is it necessary to "suffer in silence." Most healthcare providers are very happy to help, although they may not ask specifically about this problem. If this is the case, let your doctor know that you are troubled by your condition so that (s)he may offer help.

Jill G. Byers, M.D.
Diplomate, American Board of Urology
Member, South Bay Independent Physicians Medical Group, Inc.