As embarrassing as it can be, urinary incontinence, an overactive bladder, is both common and treatable. Prostate problems remain the most common cause in men, but there can be other causes. Incontinence may also stem from anxiety, drinking/eating habits, neurologic disease, and primary disorders of the bladder among other behaviors and conditions.
Diagnosis and treatment
Our evaluation of each patient starts with a careful history, physical and lab tests, and possibly other, subsequent testing. We may employ high resolution pelvic or transrectal ultrasounds, a non-invasive uroflow test, neurologic assessment, urodynamic testing (computer evaluation of the bladder and prostate), cystoscopy (looking in the urinary tract with a small scope). Our initial approach is always conservative as are our first-line treatment recommendations. We may start with nothing more than behavioral and dietary modification. In addition to pharmacotherapy, we pride ourselves on having available the very cutting-edge new and exciting modalities of therapy for voiding dysfunction and incontinence. These include pelvic floor modulation, lower extremity nerve stimulation, intravesical botox therapy, the full spectrum of minimally invasive prostate procedures (see BPH>> [link]), and surgically implanted permanent spinal nerve stimulator.