Urinary Incontinence

Involuntary leakage of urine can occur for a variety of reasons. It affects up to 1 in 3 women after the age of 40, and by the age of 60, 1 in 2 women suffer from the disorder. The incidence is not limited only to older women, as it can occur in patients as young as 18 years of age. We also understand that at any age urinary incontinence may be associated with depression and social isolation. Also, many patients have experienced a partial response to prior therapy and may still be seeking better results and help.

At The University of Kansas Hospital, advanced diagnostic testing is utilized by fellowship trained Urogynecologists to target the cause(s) of incontinence. We can then offer a range of medical/non-invasive therapies as well as surgical options to cater to each patient's individual needs and condition.

Risk factors for urinary incontinence

  • Changes in the anatomy of the urethra or bladder or pelvis after childbirth, menopause, or prior surgery (changes in the normal bladder and urethral support can affect the integrity of the urinary system).
  • Menopause and hormonal changes (changes in estrogen levels and other hormones contribute to changes such as thinning in vaginal and urethral tissues).
  • Weakness / deficits in pelvic floor strength and support (with age and deliveries, pelvic muscles often weaken despite performing Kegel exercises).
  • Recurrent bladder infections and bladder wall inflammation (recurrent infections often result in hypersensitivity of the bladder and the need for frequent emptying).
  • Spine and neurological disease (some medical conditions such as multiple sclerosis and stroke affect the nerves and the function of the bladder and urethra directly).
  • Medications (whereas some medications can weaken the muscles of the urethra causing leakage, some others may weaken the bladder itself thus not allowing appropriate emptying. Also, some medications such as water pills cause your bladder to be overfilled rapidly causing leakage in some women).
  • Being overweight (excessive weight may result in increased pressure on the bladder and pelvic muscles with activity).
  • Medical conditions such as COPD and lower extremity swelling.
  • Excessive intake of fluids (high water intake such as when dieting or trying to satiate thirst results in overfilling the bladder causing leakage).
Types of urinary incontinence

Treatment options

Depending on the type of incontinence, treatments may vary. We offer many non-invasive state-of-the-art procedures. Treatment options include: 
  • Biofeedback techniques 
  • Pelvic muscle strengthening 
  • Bladder electrical stimulation 
  • Bladder BOTOX┬« injections 
  • Collagen injections 
  • Non-invasive sling procedures (same-day minor surgery) 
  • Interstim / neuromodulation (pacemaker for the bladder)