Have you ever laughed so hard that you leaked? What about leaking while playing with your kids or working out?
Bladder problems are common in women, but they can quickly become a major disruption to your daily life, affecting your confidence, comfort, and freedom to enjoy the activities you love. You deserve to live without worrying about embarrassing leaks or constantly searching for the nearest restroom.
At Women’s Excellence in Obstetrics and Gynecology, we specialize in comprehensive bladder control services, including treatment for overactive bladder, stress urinary incontinence, pelvic organ prolapse, and interstitial cystitis. Our experienced team provides accurate diagnoses and personalized treatment plans to help women regain comfort, confidence, and control.
What Is an Overactive Bladder?
An overactive bladder (OAB) is when you experience frequent, sudden urges to urinate that are difficult to control. This condition can interfere with work, social activities, exercise, travel, and sleep.
Symptoms of an overactive bladder may include:
- Urinary urgency
- Urge incontinence
- Frequent urination throughout the day
- Dysuria (painful urination)
- Nocturia (waking up at night to urinate)
- Bedwetting or nighttime leakage
- Bladder spasms
What Causes Overactive Bladder?
Overactive Bladder is caused by bladder muscle (detrusor) instability, hyperactivity, or hypersensitivity. It may be associated with lower urinary tract problems such as infection, atrophic vaginitis, obstruction, or other bladder disorders.
OAB can also result from neurological conditions such as:
- Stroke
- Multiple Sclerosis (MS)
- Parkinson’s disease
Certain medications may contribute to overactive bladder symptoms as well. However, many cases occur without a clearly identifiable cause.
Other physical changes that can contribute to bladder leakage and urgency include:
- Pregnancy and childbirth
- Menopause
- Weakening pelvic floor muscles
- Hysterectomy
- Urinary tract infections
- Obesity
- Smoking
Understanding the root cause of your symptoms is essential for creating the most appropriate treatment plan.
What Is Urinary Incontinence?
Urinary incontinence is the involuntary leakage of urine that you cannot prevent or control. This can happen during daily activities such as laughing, coughing, sneezing, exercising, or lifting heavy objects.
Many women experience bladder leakage after pregnancy, childbirth, menopause, or as part of the natural aging process. While common, urinary incontinence is not something you simply have to live with. Effective treatment options are available.
Stress Urinary Incontinence (SUI)
Stress urinary incontinence (SUI) occurs when urine leaks during activities that increase intra-abdominal pressure, such as coughing, sneezing, laughing, jumping, or exercising.
SUI often develops when pelvic floor muscles and supportive tissues become weakened or stretched. Common causes include:
- Pregnancy and childbirth
- Aging and menopause
- Previous pelvic surgery
- Pelvic floor weakness
- Radiation therapy
- Chronic pressure on the bladder and pelvis
Women with SUI may notice urine leakage during workouts, while lifting objects, or even when standing up suddenly. At Women’s Excellence, we perform a comprehensive evaluation to determine the cause and severity of symptoms before creating a personalized treatment plan.
Pelvic Organ Prolapse and Bladder Support Problems
Pelvic organ prolapse occurs when pelvic organs shift out of their normal position due to weakened pelvic floor muscles and supportive tissues. This commonly develops after childbirth, pelvic surgery, chronic straining, or aging.
Conditions related to pelvic organ prolapse include:
Cystocele (Bladder Prolapse)
A cystocele occurs when the bladder drops and pushes against the vaginal wall. Symptoms may include:
- Bladder pressure
- Frequent urination
- Urinary urgency
- Incomplete bladder emptying
- Urinary leakage
- Painful intercourse
Rectocele
A rectocele occurs when the rectum bulges into the vaginal wall. Symptoms may include:
- Constipation
- Difficulty fully emptying the bowels
- Pelvic pressure
Enterocele
An enterocele involves weakening of the upper vaginal wall that allows the small bowel to descend into the pelvic area. Women may experience pelvic heaviness, pressure, or discomfort.
Our specialists perform thorough pelvic evaluations to identify prolapse conditions and determine the most effective treatment approach. We offer minimally invasive surgical and non-surgical treatment options to restore pelvic support and improve bladder function.
How Do I Know If I Have Overactive Bladder or Urinary Incontinence?
At Women’s Excellence, we believe in accurate diagnosis before treatment. A comprehensive history and physical exam can reveal important signs and symptoms related to bladder dysfunction.
We provide comprehensive in-office bladder evaluations in a comfortable, discreet setting dedicated to women’s bladder health.
Our diagnostic services include:
- Cystoscopy to examine the bladder and urethra
- Urodynamic bladder testing to evaluate bladder and urethral function
- Potassium Sensitivity Testing (PST) for Interstitial Cystitis (IC)
- Pelvic ultrasound imaging
- Additional diagnostic testing to rule out other urinary disorders
These evaluations help us determine the underlying cause of your symptoms and create a treatment plan that fits your needs.
Non-Surgical Treatments for Urinary Incontinence
Many women can improve bladder control symptoms without surgery. Non-surgical treatment options may include:
Pelvic Floor Exercises
Kegel exercises and pelvic floor strengthening help improve bladder support and reduce urine leakage.
Bladder Retraining
Scheduled voiding and bladder retraining techniques can improve bladder capacity and control.
Lifestyle Modifications
Weight reduction and smoking cessation can decrease pressure and irritation affecting the bladder.
Medications
Anticholinergic medications may help reduce symptoms of overactive bladder and urge incontinence.
Pessary Devices
For some women with pelvic organ prolapse, removable pessaries can provide additional support and help relieve bladder symptoms.
Periurethral Injections
Periurethral bulking injections, including Coaptite®, are minimally invasive treatments used to reduce urinary leakage by improving urethral closure.
Advanced Treatments for Overactive Bladder
For women who need additional support beyond conservative treatments, we offer advanced treatment options.
BOTOX® for Overactive Bladder
BOTOX injections are FDA-approved for overactive bladder treatment. BOTOX helps relax the bladder muscle and can significantly reduce urgency, frequency, and urge incontinence.
This outpatient procedure is performed in less than 10 minutes.
Axonics® Therapy for Bladder Control
Axonics therapy is an advanced form of sacral neuromodulation that improves communication between the bladder, bowel, and brain.
This treatment provides gentle stimulation to the nerves that control bladder and bowel function and may help women experiencing:
- Urinary urgency
- Frequent urination
- Accidental leakage
- Urinary retention
- Bowel incontinence
Neuromodulation works similarly to a “pacemaker” for the bladder and may be an excellent option for women who have not responded well to medications or conservative therapies.
Treatment for Recurrent Urinary Tract Infections
At Women’s Excellence, we approach recurrent urinary tract infections differently. Rather than only treating immediate symptoms, we work to identify why infections are occurring and whether another bladder condition may be contributing.
Many women experiencing recurring bladder symptoms may actually have bladder wall irritation, interstitial cystitis, or underlying pelvic floor dysfunction rather than repeated infections alone.
Our specialists perform comprehensive evaluations to identify the true source of symptoms and create treatment plans focused on long-term relief.
Why Choose Women’s Excellence in Obstetrics and Gynecology for Bladder Control in Lake Orion, MI?
Women’s Excellence takes a comprehensive approach to bladder health. We do not simply manage symptoms — we work to identify the underlying cause of bladder dysfunction to create long-term solutions.
Our specialists provide advanced diagnostic testing and minimally invasive treatment options in a discreet office environment focused exclusively on women’s bladder and pelvic health concerns.
We offer:
- Comprehensive in-office bladder evaluations
- Advanced diagnostic testing
- Minimally invasive treatment options
- Pelvic floor disorder treatment
- Personalized care plans
- Compassionate and discreet care
Our goal is to help women feel comfortable, confident, and in control again.
Take the Next Step Toward Better Bladder Control
You do not have to live with the inconvenience or embarrassment of bladder control problems. Whether you are experiencing overactive bladder, stress urinary incontinence, bladder prolapse, pelvic pain, or recurrent urinary tract infections, the team at Women’s Excellence in Obstetrics and Gynecology is here to help.
Contact our office today to learn more about your treatment options and schedule an evaluation.
