Do you have bladder control problems?

A SPECIALIST IN VOIDING DYSFUNCTION CAN HELP

The physicians, physicians' assistant, and nurses at Advanced Urology Associates specialize in treating patients with bladder control problems.

1. Do you go to the bathroom 8 or more times a day?

2. Do you get up two or more times at night to go to the bathroom?

3. Has your bladder control problem changed your daily activities?

4. Do you avoid participating in things you enjoy for fear of leaking?

5. Do you get uncontrollable urges to go to the bathroom that you cannot ignore?

THERE ARE SOLUTIONS

25 million Americans suffer from bladder control problems. These conditions can make every day activities a challenge. There are different types of bladder control problems which prevent you from controlling how and when you urinate. Today, there are many treatment options and approaches available to treat bladder control problems.

We offer a comprehensive program to offer you solutions for your urinary problems. Our nurses, physicians' assistant, and urologists are committed to helping you gain control over your bladder symptoms.

WHAT YOU CAN EXPECT

INITIAL VISIT

1. Complete review of your past medical and surgical history

2. Detailed review of your urinary problem

3. Physical examination with attention to the urinary and reproductive organs

4. Review of findings and develop treatment plan

POTENTIAL NEXT STEPS....

VOIDING DIARY

Personal log used to track urinary symptoms over a 2-3 day period. This diary serves to assess number of times you urinate during the day and night, beverages consumed, and when leaking episodes occur.

BLADDER SCAN

This scan uses ultrasound to determine the amount of urine helps your urologist to diagnose the underlying conditions which may contribute to your bladder symptoms.

URODYNAMIC STUDIES

Tests that determine how well the bladder is functioning. These tests are done in our office and take 30-60 minutes.

CYSTOSCOPY

This test involves looking into tile bladder with a tiny camera. Cystoscopy can be performed in the office or in an outpatient setting. This test looks for any abnormalities inside the bladder.

TREATMENT OPTIONS

Behavioral Techniques/Biofeedback: Kegel excercises, dietary changes, and bladder training (physiotherapy and rehabilitation for the pelvic floor).

Medications: Some medications prevent contractions of an overactive bladder and tighten muscles at the neck of the bladder and urethra preventing leakage. Your physician may utilize several effective prescription medications to improve your urgency, frequency, and urge incontinence symptoms.

InterStim Therapy: An approach for managing symptoms of overactive bladder (urge incontinence and symptoms of urgency frequency) and urinary retention.

This therapy uses a small device that sends gentle electrical impulses to the nerves that, control the bladder. This influences how the bladder functions. A test is performed to determine if the patient responds to the therapy. If symptoms are improved by 50% or better, the device may be placed. Approximately 80% of patients see significant improvement and choose to proceed after the test. InterStim Therapy is performed as an outpatient procedure.

Bulking Agents: Durasphere and collagen are used to treat the loss of urine due to stress (coughing, sneezing, laughing). Injections are performed as an outpatient procedure.

Sling Procedure: This procedure is for patients who leak urine when they cough, sneeze, or run. It is performed as an outpatient procedure.

Hydro distension: This procedure is performed in the hospital as an outpatient procedure under general anesthesia. The patient's bladder is filled with water and "distended" or stretched.

Intravesical Therapy: Medications are instilled in the bladder via a catheter. This procedure is performed in our office.