The Importance of Regular Well-Woman Exams
Women’s health needs change over time, and an annual well-woman exam ensures you get the care you need at each stage of life.
Don't Ignore the Leaks: Real, Lasting Solutions for Urinary Incontinence
At Holistic OB/GYN & Midwifery, Paola A. Escobar, MSN, MBA-HCM, CNM, Sandra Hronopoulos, APN, and our team help women in Paterson, New Jersey, and Spring Valley, New York, understand what may be causing urinary incontinence (bladder leaks) and explore treatment options that fit their needs.
What is causing your urinary leaks?
Bladder leaks aren’t all the same. Identifying exactly when you leak is the first step toward dry days.
A review in the Canadian Medical Association Journal indicates that stress incontinence involves damage to pelvic floor support tissues and/or urethral sphincter dysfunction. The review also highlights that urge incontinence is multifactorial and not simply caused by bladder muscle spasms, with causes that can be idiopathic and symptoms that do not neatly correlate with detrusor contractions.
Many women experience a mix of both types. At our offices in Paterson, NJ, and Spring Valley, NY, we listen to your story to find the root cause.
Why doing Kegels isn’t always the answer
Many women assume that Kegel exercises are the universal cure for any bladder leak. However, this isn’t always true.
A 2024 article published in Obstetrics & Gynecology outlines an expert-consensus treatment algorithm specifically for high-tone pelvic floor dysfunction. For patients with high-tone pelvic floor dysfunction, first-line pelvic floor physical therapy focuses on muscle relaxation rather than strengthening.
Our team helps you understand your pelvic anatomy. We guide you toward the right therapy for your specific muscle tone.
Personalized, nonsurgical solutions that work
We believe in starting with conservative, nonsurgical therapies. The American Urological Association recommends customizing treatment based on your symptoms, goals, and lifestyle.
One highly effective option is a vaginal pessary. This removable silicone device physically supports your bladder neck.
A continence pessary is one nonsurgical option for stress urinary incontinence. This removable vaginal device provides support that can reduce leakage for some women, particularly during activities that increase pressure on the bladder.
We also discuss targeted procedures based on your specific type of incontinence—such as percutaneous tibial nerve stimulation (PTNS) for overactive bladder and urge symptoms, or urethral bulking injections for stress incontinence.
Bladder leaks can feel overwhelming, but they are highly treatable. You do not have to live with the daily disruption and worry. Our compassionate team is here to help you find a lasting solution.
To start your journey toward dry, worry-free days, contact our team today to schedule a consultation.
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