Urinary Incontinence

Urinary Incontinence

Millions of women, of all ages, live with urinary incontinence – accidental release of urine – but in many cases, the discomfort and irritation may be unnecessary. A variety of treatment options are available.

Don’t stay silent. You do not have to live with urinary incontinence.
Talk with your primary care provider or your OB/GYN provider.

It is very important to find out exactly which kind of incontinence you have.

An exam and thorough evaluation will help determine the best course of treatment – which may include physical therapy, medication, surgery performed by a gynecologist or urologist, or a combination of treatments.

Common kinds of urinary incontinence

Stress incontinence
• Due to weak pelvic floor muscles, often occurring during activities that increase pressure on the bladder, such as coughing, sneezing or laughing

Urge incontinence
• The involuntary loss of urine for no apparent reason while suddenly feeling the need or urge to urinate, often with triggers such as hearing running water or being close to the toilet

Overflow incontinence
• Inability to stop the bladder from constantly dribbling or continuing to dribble for some time after passing urine because of urinary retention (the bladder is not emptying fully)

Mixed incontinence
• Accidental release of urine due to more than one of the causes above, usually with symptoms of both stress and urge incontinence


Examples of treatments available

More than one kind of treatment may be recommended at a time, for optimal results

Physical therapy

• Pelvic floor muscle strengthening
• Education regarding bladder health and strategies for self-management of urge or stress incontinence
• Biofeedback – to help with awareness and control of pelvic floor muscles

Devices and non-surgical intervention
• Pessary – a ring shaped device inserted into the vagina to provide structural support
• Nerve stimulation – a doctor's office procedure targeting the communication problem between the brain and the nerves that control the bladder
• Botox – relaxes the bladder muscle in cases of urge incontinence, may be done in the doctor's office

Medication
• Smooth muscle relaxants – medications such as oxybutynin, tolterodine, solifenacin, darifenacin XL, fesoterodine, trospium, mirabegron or may be prescribed to relax the bladder muscle wall to reduce accidental loss of urine

Surgery
• Sling procedure – placement of a mesh material, through a few small incisions, supporting weak pelvic floor muscles and the urethra
• Prolapse repair – to correct prolapsed organs or vagina, which can cause incontinence

Providers who treat female urinary incontinence

Physical therapists Gynecologists Urologists

Corvallis
Samaritan Physical Rehabilitation
Ashley Riggs, PT
Kerry Boysen, PT
Leigh Flowers, PT
Sharna Prasad, PT

Lebanon
Samaritan Physical Rehabilitation
Jenny Gaillardet, PT

Lincoln City
Samaritan Physical Rehabilitation
Kate Case, PT

Albany
Albany Obstetrics & Gynecology
Jonathan Larsen, MD
Margaret Hovey, MD
Shane Gjesdal, MD

Samaritan Obstetrics & Gynecology, North Albany
Irina Kiseleva, ANP

Corvallis
Samaritan Family Medicine Resident Clinic
Jodell Boyle, MD

Samaritan Gynecology & Surgical Associates
Jess Hickerson, MD
Linda Fox, MD

Samaritan Obstetrics & Gynecology
Andrea McCann, MD
Kristin Wagner, DO
Sarah Vander Pol, MD

Lebanon
Mid-Valley Obstetrics & Gynecology
Diane Leyba, MD
Kimberly James, MD
Robert Park, MD

Lincoln City
Samaritan Obstetrics & Gynecology
Meredith Mann, DO
Michael Cheek, MD

Newport
Samaritan Pacific Women’s Health Group
Gavin Shumate, MD
Megi Morishita, MD

Albany
Samaritan Urology Albany
Robert Moore, MD

Samaritan Urology Elm Street
Jeffrey Palmgren, MD

Corvallis
Samaritan Urology
Angela Reploeg, NP
Robert Laciak, MD
Layron Long, MD

Lebanon
Samaritan Urology at Mid-Valley Medical Plaza
Jeffrey Palmgren, MD

Samaritan Urology-Moore, Lebanon
Robert Moore, MD