Urinary incontinence can cause a significant decline in your quality of life, affecting your social and professional lives and making you feel uncomfortable and self-conscious. Embry Women’s Health offers a range of treatments to help women in and around Mesa, Arizona, control or even eliminate symptoms so they can lead happier, healthier lives.
Incontinence Q & A
What is incontinence?
Incontinence is the medical term anytime there is a leakage of bodily fluids. The most common is urinary incontinence or bladder leakage.
Are there different types of urinary incontinence?
Yes. There are three:
- Stress incontinence
- Urge incontinence
- Mixed incontinence
What is the difference?
Stress incontinence is marked by the leakage of urine after coughing, sneezing, laughing, jumping or pressure on the pelvis. It is due to structural problems of the uterus pelvic floor bladder and urethra.
Urge incontinence is usually a neurological problem and shows a severe urge to urinate with no time to find a bathroom. This is where the person feels they have to go and if they don’t find a toilet within a few moments they will leak, sometimes quite a lot.
Mixed incontinence is a combination of the two and is the most common type of incontinence.
Are there risk factors?
Yes. The risk factors lead to different types of incontinence. For stress incontinence, a genetically weak pelvic floor is a risk factor. Certain women inherit poor quality collagen, which makes the tissues thin. Another is pregnancy and vaginal delivery. In fact it is common to have stress leakage after birth and during breastfeeding. Age is a very large component as well. As estrogen levels go down in postmenopausal women these tissues thin out and become weak as they need estrogen to maintain strengths.
Urge incontinence is often the side product of other diseases such as diabetes due to the impact on the nerves that control the bladder. As urge incontinence is mainly a nerve problem, anything that affects nerves will affect voiding and this also includes aging.
Mixed is a combination of the two so some structural and some neurological problems are present.
Is there any testing?
It is extremely important that a person that has leakage is tested properly. It begins with making sure there are no old infections, then urodynamics is performed. This is a test where sterile water is placed in the bladder while the patient has electrical measuring devices placed. While the patient voids, it is possible to read the electrical impulses and determine how much of which type of incontinence is present. Sometimes a bladder ultrasound is done as well to look at all of the structures.
Are there treatments?
There are very successful treatments ranging from physical therapy to drug therapy to surgery. Each treatment is carefully designed for a patients unique problem after undergoing all the testing. Several options are then presented, and the patient and providers work as a team.
Embry Women’s Health is committed to providing quality, affordable health care. We’re in-network with all major insurance plans, including Aetna, Blue Cross Blue Shield, Cigna and UnitedHealthcare. No insurance? No problem. We offer a simple fee schedule for those who wish to pay out-of-pocket. Click the button below for our complete list and more information:
Words from our patients
JoEllen is AMAZING! Not only is she professional- she makes your whole experience comfortable. If you’re looking for a professional that never judges your situation and treats you very well- I would definitely recommend this office!
5 Stars – Yelp
It is refreshing to meet a practitioner who sees the whole patient and not just a series of symptoms. JoEllen is willing to spend the time to ask questions and really listen to the responses. I have seen JoEllen several times and I have always appreciated how much time she spends with each appointment and her pragmatic approach with solutions. I feel like my health drives the appointment and not the schedule. Finding JoEllen’s practice was like finding a needle in a haystack, a caring practitioner who encourages patients to listen to their bodies and to be their own best advocate.
5 Stars – 10/11/2018
Friendly staff. JoEllen is incredibly kind, patient and answers all of my questions whenever I see her. I don’t feel like I am being rushed when I am there, it is very nice.
5 Stars – 10/4/2018
I went in as a new patient just for an annual exam and Dr. Barbara Lockwood was so professional, knowledgeable, and friendly. She made sure to answer any and every question I had and she made sure I understood everything I needed to know. I have been to some offices in the past where you feel judged but she was so kind and made me feel so comfortable talking to her! I will be moving away soon but I might just have to make the drive back to see her next year!
5 Stars – 10/4/2018
“I started seeing Joellen earlier this year and I have had nothing but good experiences every time I have gone back. She is very down to earth and listens to any concerns. I would highly recommend Embry Womens Health.”
5 stars – 09/28/2018