Frequently Asked Questions

Q: What happens at the time of urination?

A: You release urine by relaxing the urethral sphincter muscles and contracting the bladder muscles.

Q: What is the urethra?

A: Urine travels out of your bladder through a short tube called the urethra. 

Q: What is urinary incontinence?

A: Urinary incontinence is defined by the International Continence Society as “a condition in which involuntary loss of urine is a social or hygienic problem and is objectively demonstrable”. 

Q: How often do women experience this problem?

A: Urinary incontinence is very common. But many women are too embarrassed to get help. The good news is that millions of women are being successfully treated and cured. 

Q: What are the causes of urinary incontinence?

A: The causes are as follows but in almost every case these conditions can be treated:
• Weakness of the muscles that hold the bladder neck in place. Weakness of the bladder itself.
• Weakness of the urethral sphincter muscles.
• Overactive bladder muscles. Lack of female hormones.
• Neurological disorders. 

Q: How many types of incontinence are there?

A: There are many different types of urinary incontinence. Urge incontinence, stress incontinence, overflow incontinence, etc.. The majority of patients have more than one type of urinary incontinence or together they have mixed type like urge and stress incontinence. 

Q: What is urge incontinence?

A: The patient loses urine as soon as they feel a strong need to go to the bathroom. In this case you may leak urine before you can get to the bathroom. Sometimes when you drink even a small amount of liquid or when you hear or touch running water you may also leak urine. In some cases during the day or night you may even wet the bed. 

Q: What is stress incontinence?

A: Patients lose urine when exercising or moving in a certain way. In some cases you may lose urine when you sneeze, cough, laugh, get up from a chair, or get out of bed. While walking or doing other exercises you may also leak urine. 

Q: What is overflow incontinence?

A: In this case patients do not have the feeling of fullness or the need to urinate and they lose urine during the day or night. 

Q: How are the causes of urinary incontinence discovered?

A: Your physician will talk with you about your medical history and your urinary habits, then you will have a physical examination and urination and other tests. These investigations will help find the exact cause of your urinary incontinence and the best treatment for you. 

Q: How does US Women, Inc. treat urinary incontinence?

A: After the causes of your urinary incontinence are known, treatment can start. Urinary incontinence is treated in one or more of three ways:

• Behavioral techniques.
• Medication.
• Outpatient surgery (“Closed Burch”). 

Q: Is urinary incontinence a natural part of aging?

A: No! Urinary incontinence is not a natural part of aging. In most cases it can be successfully treated and reversed. 

Q: What is behavioral techniques in treatment of urinary incontinence? 

A: Two types of behavioral techniques are commonly used. Bladder training and pelvic muscle exercises. Normally bladder training is used for urge incontinence. This may also be used for stress incontinence. In this technique women can benefit from bladder training by learning different ways to control the urge to urinate. Pelvic muscle exercises called Kegel exercises are used for stress incontinence. This technique helps to strengthen weak muscles around the base of bladder and proximal portion of the urethra. 

Q: What is the role of medication for treatment of incontinence?

A: The most common types of medications treat infections, replace hormones, stop abnormal muscles contracting, or tighten sphincter muscles. 

Q: How does the surgical procedure treat urinary incontinence?

A: Surgical technique is a major solution in the treatment of the urinary incontinence because it is fast and usually certain. If there are anatomical defects after a hard labor or any trauma in the pelvic area, surgery can be used to:
• Return the bladder neck to its proper position.
• Remove tissue that was causing a blockage of the urethra.
• Correct severely weakened pelvic muscles.