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Urinary Incontinence

Why choose HackensackUMC Urology

If you suffer from urinary incontinence—the loss of bladder control—you are not alone. One out of three women in the U.S. has this condition, which can range from occasionally leaking urine when you cough or sneeze to having sudden urges to urinate that are so strong you cannot get to the toilet in time.

The good news is that help is available. The urologists at Hackensack University Medical Center—two of whom are women—have extensive experience treating a range of incontinence problems. With our physicians’ expertise and the latest in diagnostic and treatment technology, we can treat your condition and return you to everyday life with confidence.

Female Urology Professionals

HackensackUMC Urology is the only urology group in New Jersey with two female urologists on staff.

HackensackUMC Women's Urology - Urinary Incontinence

Expert Diagnosis

Our urologists use a range of tools to diagnose the type of urinary incontinence you have and determine the best treatment plan for you. Your doctor will begin with a thorough history and physical exam. Other simple and painless tests may include:

  • Urinalysis. A sample of your urine is checked for signs of infection, traces of blood or other problems.
  • Bladder diary. You keep a record over several days of how much you drink, when you urinate, the amount of urine you produce, whether you had a sudden urge to urinate and the number of times you leak urine.
  • Post-void residual measurement. After you urinate into a container, your doctor will measure the urine left in your bladder using an ultrasound test. A large amount of leftover urine in your bladder may mean that you have a blockage in your urinary tract or a problem with your bladder nerves or muscles.
  • Urodynamic testing. This advanced diagnostic tool is important for determining the type of incontinence you have. A small, pediatric-sized catheter is gently inserted through your urethra and is used to fill your bladder with water while a pressure monitor measures and records the pressure within your bladder.

State-of-the-art Technology

Our urodynamic testing uses the latest state-of-the art technology in diagnosing incontinence. This means you receive faster and more effective treatment.

Individualized Treatment Plans

Once we have established a diagnosis, our team will create a treatment plan specifically for your type of incontinence.

Your treatment plan may be as simple as changing certain lifestyle habits, retraining your bladder or working on pelvic floor exercises. However, if your condition requires more intervention, we offer the latest specialized procedures.

Confidentiality & Compassion

We deliver all our services with compassion, care and understanding in a private setting. Our goal is to make you as comfortable as possible.

Your treatment plan may include:

  • Behavior and bladder training. • This may include delaying urination to lengthen the time between trips to the toilet, learning to fully empty your bladder, and managing the amount and types of fluids you drink.
  • Pelvic floor therapy. Our specially trained nurse will teach you to perform specific exercises such as Kegels that strengthen the muscles that control urination.
  • Medications. A number of medications are available to help manage incontinence and overactive bladder.
  • Percutaneous tibial nerve stimulation (PTNS). PTNS works by indirectly providing electrical stimulation via a nerve in your ankle to the sacral nerves responsible for bladder control. The stimulation gradually improves bladder activity. This outpatient treatment is delivered in weekly 30-minute sessions for about 12 weeks.
  • Botulinum toxin type A (Botox®). Botox is injected into the bladder muscle to relax it and allow the bladder to fill with more urine before you have the urge to go to the toilet.
  • Sacral nerve stimulation. A device like a pacemaker is implanted under your skin to deliver ongoing, painless electrical pulses to the sacral nerves involved in bladder control. Stimulating these nerves can control incontinence. This device may be implanted under the skin in your buttock and connected directly to the sacral nerves or may deliver pulses to the sacral nerves via a nerve in your ankle.


Physicians in this Specialty

ROBERT CARUSO, M.D.


DEBRA FROMER, M.D.


MARTIN GOLDSTEIN, M.D.


MICHELLE KIM, M.D.


VENKATA MARELLA, M.D.


SERGEY ROME, M.D.


ANDREW SIEGEL, M.D.




Get Connected to HackensackUMC Urology Department

Learn more about our team of specialists

Meet Our Team

To make an appointment, contact a HUMG Urologist

Call 551-996-8090

 


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