House Call: Women and Incontinence – Causes and Treatment Options

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Millions of women suffer from urinary incontinence significantly impacting their quality of life. 

More: PDF: Incontinence Statistics

There are a number of factors that cause incontinence including a weakened pelvic floor, abnormal bladder sensation, and other factors such an infection.

Treatment for incontinence often begins with behavioral and/or medical therapy.  These therapies often include diet and fluid modifications to avoid bladder irritants, pelvic floor exercises, holding drills and medications that help relax the bladder. 

In some cases, patients have difficulty reaching their treatment goal for incontinence and overactive bladder with behavioral and medical therapies alone. 

Fortunately, there is an exciting new treatment option for overactive bladder known as neuromodulation therapy. 

Percutaneous tibial nerve stimulation (PTNS) is a type of neuromodulation therapy that electrically stimulates the posterior tibial nerve in the lower leg. The stimulation sends an impulse to the bladder and pelvic floor muscles, positively influencing the bladder function. 

This non-invasive procedure is being administered and producing many successful outcomes right here in our community by the exceptional urologists within the Cone Health network.

Spokesperson Background:

Dr. Scott MacDiarmid is an urologist at Alliance Urology Specialists and member of Cone Health Medical Staff.  Dr. MacDiarmid is a 1985 medical school graduate of Dalhousie University and completed his residency in Urology there as well.  He completed a fellowship in Reconstructive Urology and Urodynamics at Duke University Medical Center and University of Otago and a fellowship  in Neuro-Urology and Reconstructive Urology at University of Sheffield.