Urinary Incontinence

Peter O'Hare office feature

Peter O'Hare, MD, board certified urogynecologist at MedStar Franklin Square Medical Center

A symptom and not a disease, urinary incontinence—the inability to control the release of urine from your bladder—is often a result of weakness or nerve damage of the muscles of the pelvic floor and can severely affect a person's quality of life. The condition ranges in severity. For some people, it means leaking urine when sneezing or laughing; for others, the urge to urinate is so strong and sudden they often do not make it to the bathroom in time. Incontinence is an uncomfortable and often embarrassing problem.

Often, people suffering from this condition do not report the problem to their doctor, or wait years to do so. However, at MedStar Franklin Square Medical Center, our urogynecologists successfully treat patients for this condition every day.

The most common types are:

  • Stress Incontinence: Laughing, lifting, coughing, sneezing, or any activity that suddenly increases abdominal pressure, making it difficult to hold back urine. This is common after pregnancy, pelvic surgery, and during menopause.
  • Urge Incontinence: A sudden uncontrollable urge to urinate often associated with urinary tract infections, certain medications, stress, spinal cord injuries, multiple sclerosis, and neurological diseases.
  • Bowel Dysfunctions: Constipation due to pelvic floor muscle spasms and fecal incontinence after childbirth or anorectal surgery.

Diagnosis

MedStar Health offers a full range of services for diagnosing incontinence, including:

  • Urodynamic testing assesses how well your bladder and muscles store and release urine.
  • Anorectal manometry measures the pressure and electrical activity of the anal sphincter and the rectum
  • Pudendal nerve testing measures the delay between an electrical impulse and the muscle contraction

Causes 

While it affects men and women of all ages and levels of health, some of the few reasons why women experience urinary incontinence more often than men do include: 

  • Pregnancy
  • Childbirth
  • Menopause
  • Structure of the female anatomy 

Treatment of Urinary Incontinence 

Once a diagnosis has been made, there are a variety of treatments available, including behavior modification, medication and non-surgical therapies, including:

  • Physical therapy, including pelvic floor muscle exercises
  • Functional electrical stimulation, which stimulates the muscles of the pelvic floor
  • Biofeedback training, which uses a monitoring device to feedback on the effectiveness of the pelvic floor muscle contraction

Most patients can experience improvement without surgery, but it may be necessary for more extreme cases. Advances in technology have resulted in successful outpatient surgical treatments that require minimal incisions and result in less pain and quicker recoveries.

Request a Consultation

Please call 443-777-7608 or use the button below:



 

Location Information

To schedule an appointment, please call 443- 777-7608 or use the buttons below.

National Center for Advanced Pelvic Surgery
9103 Franklin Square Drive
Suite 305
Baltimore, MD 21237
Fax: 443- 777-7618

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Office Hours

Monday, Tuesday, Thursday: 8 a.m. – 4:30 p.m.

Wednesday: 8 a.m. – 5:30 p.m.

Friday: 8 a.m. – 12:30 p.m.

In addition, our physicians see patients in Bel Air and Federal Hill at the following locations: 

Women's Care at Bel Air
MedStar Health Bel Air Medical Campus
12 MedStar Blvd. 
Suite 235
Bel Air, MD 21015
410-569-7789
Fax: 410-569-7609

Our Center is part of the National Center for Advanced Pelvic Surgery (NCAPS) at MedStar Washington Hospital Center