Urinary Incontinence in Baltimore, MD

Leaking urine during a physical activities such as, exercising or lifting or when laughing, sneezing and coughing. If your pelvic floor muscles, (vagina and supporting bladder ligaments) weaken, your bladder can move downward, pushing slightly out of the bottom of the pelvis toward the vagina. The urethra can lose its supporting tissue allowing it to move excessively. Either of these conditions can prevent muscles that ordinarily force the urethra to close from squeezing as tightly as they should. As a result, urine can leak into the urethra whenever there is an increase in abdominal pressure (e.g., during physical activities, when laughing, etc.). Physical changes resulting from pregnancy and childbirth, and low estrogen levels that occur during and after menopause, play a significant role in the development of stress incontinence. It is the most common form of incontinence in women and, in most cases, can be effectively treated.

Feeling an overwhelming need to urinate that cannot be controlled. It can occur anywhere and at any time. Whether you are walking with friends, shopping or just sitting at home, if you suffer from urge incontinence you know it can strike at any time. It is due to inappropriate bladder contractions and there are a multitude of causes. Women's Health Services and Cosmetic Services of Maryland can help you.

Overflow incontinence is loss of urine from an overfull bladder. Most times patients with this disorder do not feel the sensation of fullness or are unable to empty the bladder due to an obstruction in the opening of the bladder. Patients with a neurological disorder or using medication that decrease the contractility of the bladder, or over the aggressive repair of the bladder during a prolapse repair complain of this problem. A complete evaluation along with information from Ultrasound, cystoscopy, and urodynamic testing is helpful in the diagnosis of overflow incontinence. Treatment in most cases is conservative and at times medication can be helpful. Surgical removal of the obstruction may be helpful in some patients. A bladder pacemaker can also be helpful in treating overflow incontinence.

A bladder control problem doesn’t just mean that urine leaks out inappropriately. Uncontrolled, frequent bladder contractions can force women to make sudden trips to the bathroom throughout the day and at night. Estimates are that as many as 37 million people in the United States suffer from an overactive bladder. It can control your life.