The Female Pelvic Health Center
760 Newtown-Yardley Road, Suite 115
Newtown, PA 18940
Email: Info@fphcenter.com | Phone: 215-504-8900

Female Pelvic Health Center - Patient Login

Urge Incontinence

What is Urge Urinary Incontinence?

Leakage that occurs after suddenly feeling the need to urinate; The loss of bladder control is a common and often embarrassing problem. The severity ranges from occasionally leaking urine when you have the urge to urinate or on the way to the bathroom to a more severe problem that's so sudden and strong you just can’t get to a toilet in time. A common cause is abnormal nerve signals that result in bladder spasms.

Treatment Options

Sacral Neuromodulation (Interstim)

InterStim Therapy is approved for the treatment of overactive bladder, fecal incontinence, and urinary retention in patients who have failed or could not tolerate more conservative treatments, such as medication. InterStim Therapy first received FDA approval in 19971 and has since been provided to more than 100,000 patients worldwide. A potential patient first undergoes test stimulation for 3 to 7 days to see if the therapy might work for her or him. The process to place the test system will occur in either the office, ambulatory surgical center, or the hospital and is a simple noninvasive procedure.

If the test stimulation period is successful and the patient has an improvement in her or his symptoms, the patient may proceed with long-term InterStim Therapy. Clinical studies have shown that for many patients, InterStim Therapy has successful long-term results. Additionally, most insurance payers, including Medicare, will cover the procedure.

 

 

[1] FDA approved since 1997 for urge incontinence, and since 1999 for urinary retention and urgency-frequency.


Pelvic Muscle Training/Exercises (PMT/PME)

Also known as Kegel exercises, PME techniques are an effective treatment option for urinary incontinence and strengthening pelvic organs. They are especially important after surgery to maintain strength and optimize outcomes, and are very useful in prolapse prevention. Most women require guidance from a medical professional to learn how to contract the pelvic floor muscles correctly. We provide PMT sessions in our office with the latest computerized equipment on a regular basis along with electrical stimulation when appropriate.

Biofeedback

This term refers to various techniques that teach patients bladder and pelvic muscle control by giving positive feedback when the patient performs the desired action. This feedback can be from an electronic device or directly from a health professional.

BOTOX® for Overactive Bladder (OAB)

BOTOX® is FDA approved to treat overactive bladder symptoms such as a strong need to urinate with leakage, urgency and frequency in adults when another type of medication (anticholinergic) does not work well enough or cannot be taken.

 

 

Urgent PC

The Urgent PC Neuromodulation System uses percutaneous tibial nerve stimulation (PTNS) to treat overactive bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence.

 

 

Bladder Training

This treatment for urge incontinence involves teaching a patient to urinate according to a timetable rather than an urge to do so. The scheduled time between trips to the bathroom gradually increases as the patient's bladder control improves.

The Bladder Diet

This is a list of dietary irritants to the bladder. Avoiding the items on this list may greatly improve certain bladder symptoms such as frequency, urgency or pain.

Medications

Commonly prescribed drugs used in the treatment of urge incontinence include Detrol LA, Ditropan XL, Oxytrol patch, Sanctura, Enablex, Vesicare, Toviaz, and Gelnique.

ThermiVa

ThermiVa is a radio-frequency device which stimulates collagen growth and tightens tissue and skin. Typically taking three treatments 4 to 6 weeks apart, it may help in tissue and nerve healing. Radiofrequency’s therapeutic effects on muscular and tissue healing is well known and has been used in physical therapy practices for decades.

 

 

EMSELLA™

EMSELLA™ is a non-surgical, non-invasive treatment for stress urinary incontinence and urge incontinence.

It is the first device of its kind and is FDA-cleared for treating urinary incontinence and vaginal laxity in women. It utilizes High-Intensity Focused Electromagnetic technology (HIFEM) to cause deep pelvic floor muscles stimulation and restoration of the neuromuscular control.

 

 

Call today to set up a consultation. 215-504-8900