Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Urogynecology (Expert Forum)
Urinary problems...what are my options?
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine
Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.
Urinary problems...what are my options?
by heart2heart, Jul 17, 2007 12:00AM
Hello. I've been having some problems with urge incontinence and also stress incontinence. I am 55 yo and about 40 lb overweight. If I go to the bathroom every 3-4 hours and limit my coffee I can do ok during the day but the night time is worse. I get up during the night and can't make it to the bathroom without urine release before I make to the toilet. I get up 2x during the night and can't make it to the toilet. It's terrible when we stay as guests overnight. The other problem is there seems to be still some urine retention left in the bladder after I void. Also (and this is most embarrassing) I seem to leak urine during intercourse. I am reluctant to go on medication since I suffer from dry mouth/eyes.(I also have open angle glaucoma- not sure if medication is contradicted) I have tried to do Kegels but have little muscle control. Are there any other options for me???
Doctor's Answer
by Lennox Hoyte, M.D., Aug 03, 2007 12:00AM
, Aug 03, 2007 12:00AM
Sounds like you have a mixture of stress incontinence and overactive bladder with incontinence. This is a treatable condition. The stress incontinence part can be treated with special pessaries, or outpatient surgeries. The urge part can be treated with medication (narrow angle glaucoma patients cannot take the medication), bladder retraining, Botox injections, or a bladder pacemaker; either a patient controlled one like Liberty ESTIM, or a permanent one like the INTERSTIM, which would have to be implanted by your doctor. It probably makes sense to get evaluated by a urogynecologist or urologist to learn what is right for you. Be reassured: this condition is treatable.
