Urinary Leakage or Infections

Urinary leakage can be caused by several different problems only a few of which are related to a problem that would require surgical treatment.

Evaluation for the causes of bladder problems usually involves a careful history of the symptoms, a review of possibly related medical disorders and careful examination. Often I will ask you to keep a 48 hour record of urination, and have a set of non-painful (in-office) measurements referred to as "cystometrics" which are used to understand whether the problem is in the urethra, the bladder or both . Cystoscopy may also be needed, this procedure is also done in the office.

Recurrent urinary tract infections also have many different causes and may be from an unrecognized vaginal infection, pelvic floor hernia or obstruction to bladder drainage. Once the cause of the recurrent infections has been identified it is usually possible to prevent the problem altogether.

We understand that urinary tract infections are uncomfortable and very inconvenient for you. Once you are an established patient, the office is set up so that you may come without an appointment to be tested and, if appropriate, receive immediate treatment. The American Urogynecologic Society has a web page for patients with these types of problems. You can obtain further information by visiting their website www.voicesforpfd.org