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 Female Urology Pelvic floor disorders are a combination of medical problems that affect the quality of life for people of all ages. These conditions include urinary and fecal incontinence (leakage), rectal and vaginal prolapsed ("dropped" bladder, uterus, vagina, rectum) and complex combinations of these disorders, as well as interstitial cystitis, and other pelvic pain syndromes. Overactive bladder What is an overactive bladder? An overactive bladder is a disorder that results from sudden, involuntary contraction of the muscle in the wall of the urinary bladder. Overactive bladder causes a sudden and unstoppable need to urinate (urgency). Overactive bladder is also referred to as urge incontinence and is a form of urinary incontinence (unintentional loss of urine). What are symptoms of an overactive bladder? The symptoms of an overactive bladder include frequent urination, urgency of urination, and urge incontinence. Overactive bladder may cause significant social, psychological, occupational, and sexual problems. These symptoms should not be considered a normal part of aging. What are treatments for an overactive bladder? Pelvic muscle rehabilitation to improve pelvic muscle tone and prevent leakage Behavioral therapies to help people regain control of their bladder Medications for overactive bladder to improve incontinence medically Surgery includes botox injection and sacral nerve stimulation Incontinence/Voiding Dysfunction and Urodynamics Urinary incontinence (the loss of bladder control) is a common and often embarrassing problem. The severity of urinary incontinence ranges from occasionally leaking urine when you cough or sneeze to having sudden, unpredictable episodes of strong urinary urgency. Sometimes, the urgency may be so strong you don't get to a bathroom in time. Types of urinary incontinence include: Stress incontinence: This is loss of urine when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy. Stress incontinence occurs when the sphincter muscle at the bladder is weakened. Changes from pregnancy, childbirth and menopause can cause stress incontinence. Urge incontinence: This is a sudden, intense urge to urinate, followed by an involuntary loss of urine. Simply going from sitting to standing may even cause you to leak urine. In urge incontinence, the bladder is said to be "overactive" it's contracting even when your bladder isn't full. Overflow incontinence: If you frequently or constantly dribble urine, you may have overflow incontinence. This is an inability to empty your bladder, leading to overflow. With overflow incontinence, sometimes you may feel as if you never completely empty your bladder. Nerve damage from diabetes also can lead to overflow incontinence. Mixed incontinence: If you experience symptoms of more than one type of urinary incontinence you have mixed incontinence. Functional incontinence: Many older adults experience incontinence simply because a physical or mental impairment keeps them from making it to the toilet in time. Treatment options for urinary incontinence fall into four categories - behavioral techniques, medications, devices and surgery.Urodynamics This test is actually a series of different measurements of bladder function. It can be used to determine the cause of a variety of bladder conditions. This test is performed in the office. At the beginning of the test, the nurse or doctor will insert a small, flexible plastic catheter tube into the opening of your bladder. A second small tube will be inserted into your vagina or rectum. Together with a computer monitor, they give the doctor useful information about the function of your bladder. Vulvodynia The term means "painful" and actually refers to several pain disorders that affect the female genitals. The most common form of vulvodynia is Vulvar Vestibulitis Syndrome (VVS) and is a group of disorders that affects the tiny glands that lie at the top and bottom of the vaginal opening. These are called "Skenes", "Bartholins", and "Vestibular" glands. Female Sexual Disfunction (FSD) A condition that affects an estimated 43% of American women at some time in their lives. FSD is composed of the following possible symptoms:
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