Urinary Incontinence and Voiding Dysfunction
Men and women may experience problems with bladder control after cancer treatment or as a result of many benign conditions. Urinary incontinence is the involuntary loss of bladder control (wetting) that can be very debilitating. We offer urodynamic testing for bladder problems as part of our evaluation for bladder dysfunction. Treatment for these conditions may include medication, posterior Tibial nerve stimulation, and botox bladder injections. We offer mid urethral slings and pelvic prolapse surgery for women, and the artificial urinary sphincter and male slings for selected men with severe incontinence.
Treatment Options for Men
An artificial sphincter keeps the urethra closed until the patient is ready to urinate. It helps patients who have incontinence because of weakened sphincter muscles or nerve damage that interferes with muscle function.
With a male sling, a support is created for the urethra by wrapping a strip of material around the urethra and attaching the ends to the pelvic bone. It keeps constant pressure on the urethra, ensuring it doesn’t open until the patient is consciously ready.
In a urinary diversion, the surgeon creates a reservoir by removing a piece of the small intestine and directing the ureters to the reservoir. An opening is then created in the lower abdomen where the urine can be drained through a catheter. Urinary diversion is a procedure unique to our area, as it is very complex and few surgeons have the capabilities to perform it.
Treatment Options for Women
Retropubic suspension uses sutures to support the bladder neck, securing it to strong ligaments within the pelvis that support the urethral sphincter.
A sling uses a strip of tissue to cradle the bladder neck. The sling is attached to either the pubic bone or just above.