Riverwalk OBGYN


Urinary Incontinence Specialist San Antonio | Riverwalk OBGYN

Urinary Conditions Specialist San Antonio

To determine the type and severity of your urinary condition, our Riverwalk Women’s Health specialist in San Antonio will complete a full evaluation. We will also be able to decide what type of treatment my be beneficial for you.

Evaluation often includes:
  • Urinalysis and Urodynamic testing
  • Review of bladder diary
  • Physical exam

How Our Specialists Treat Your Problem

Treatment usually starts with conservative nonsurgical therapies such as medications, pelvic floor muscle exercises, and behavior techniques. If surgery is indicated, we offer minimally invasive options which many patients find offer the highly effective, long lasting results usually with minimal downtown and few side effects.
Urinary conditions affect your bladder and urination. They also may involve your kidneys, ureters and urethra. Common urinary conditions in women include:
  • Overactive bladder. Frequent urges to urinate, even when your bladder isn’t full.
  • Incontinence. A group of bladder control issues that may cause you to leak urine.
  • Urinary retention. When your bladder doesn’t empty properly when you urinate.
  • Interstitial cystitis. Causes painful inflammation in your bladder.
  • Bladder or urinary tract infections (UTI). Happens when bacterial get into your urinary tract.
Your symptoms depend on your type of urinary condition and how bad it is. At Riverwalk Women’s Health, we are urinary conditions specialists who treat both mild and severe cases at our San Antonio practice. Common symptoms of urinary conditions may include:
  • Pain or pressure in your lower abdomen
  • Leaking urine
  • Bloody or cloudy urine
  • Painful urination
  • Frequent or urgent urination

In general, incontinence falls into several categories.

Overflow incontinence. One can have overflow incontinence where the bladder fills, and doesn’t empty. It reaches its capacity and then the patient leaks urine more or less on a continuous basis.

Stress incontinence. This type is usually associated with leaking urine with activity such as lifting, coughing, or running.

Urge incontinence. Caused by a bladder contraction that occurs when the patient is not trying to empty their bladder. Generally, patients will complain that they feel the need to empty their bladder but begin leaking before they can reach a bathroom.

Conservative treatment options vary based on individual patient circumstances but may include bladder training, avoidance of irritants, medications, pessary placement. Physical therapy with exercises such as Kegels is also helpful.

Surgical options for stress incontinence include bladder sling or Bulkamid sometimes with repair of bladder prolapse if needed.

Axonics Therapy is a type of sacral neuromodulation that can treat overactive bladder (OAB), urge incontinence, as well as urinary retention and fecal incontinence.

Taking a history and performing a physical examination are used to diagnose patients with urinary incontinence. Usually a urinalysis is performed and, depending on the findings of the history and physical, further testing with either x-ray studies or a urodynamics study may be appropriate.

Get a full evaluation prior to any treatment because the treatments are different due to the cause of the incontinence.

Probably the most common medications used for the treatment of incontinence fall into the general category of anticholinergics or drugs designed to “relax” the bladder

Urinary Incontinence Specialist Near Me San Antonio | Riverwalk OBGYN

San Antonio Urinary Conditions Specialist

At Riverwalk Women’s Health, our expert urinary conditions specialists can help with bladder issues right here in our San Antonio office.

It is important to realize that leaking urine and running to the bathroom throughout the day and night are NOT a normal part of aging. Many women are embarrassed to talk about incontinence, but this is a common issue. Not only are you NOT ALONE, HELP IS AVAILABLE at Riverwalk Women’s Health. Schedule an appointment and take control of your life!

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