Bladder

The urinary bladder is a hollow, muscular, and distensible (or elastic) organ that sits on the pelvic floor. It is the organ that collects urine excreted by the kidneys prior to disposal by urination. Urine enters the bladder via the ureters and exits via the urethra.

There are many bladder problems that affect both women and men. These include daytime and nighttime urinary frequency, urinary urgency, recurrent urinary tract infections, bladder pain and urinary incontinence.

Urge incontinence is leakage of urine associated with a sudden desire to void. The problem may be related to intrinsic bladder issues, neurological problems, and in men, disorders of the prostate.

Stress incontinence is leakage of urine associated with increased intra-abdominal pressure such as is seen with coughing, laughing, exercising, sexual as well as other activities. Stress incontinence is found commonly in women, with the incidence increasing with age.  It is due to a variety of factors, the most common being genetic predisposition (your mother had this problem), multi-parity (many vaginal deliveries), being overweight and post menopausal status.  In men, it is found only as a complication of prostate surgery or due to trauma.

Cystitis is caused by infection or inflammation of the bladder. A simple UTI, or honeymoon cystitis, is the most common cause. Interstitial cystitis is a bladder disorder of unknown etiology, which is associated with bladder pain and frequent urination. This problem may be exacerbated by sexual intercourse or consumption of certain foods or beverages.

Our practice has expertise in the evaluation and treatment of bladder problems and incontinence. Evaluation may include urine tests, cystoscopy (looking into the bladder), and urodynamic studies. Treatments include behavioral and dietary modifications, pelvic floor exercises, biofeedback, medications, or minimally invasive surgical therapy.