Incontinence

OBGYN Turlock

Fatemeh Pazouki, M.D., FACOG

OB/GYN located in Turlock, CA

Urinary incontinence is common, especially among women as they get older. Yet many women are too embarrassed to seek treatment. As a leading obgyn in Turlock, California, Dr. Fatemeh Pazouki is committed to providing women with state-of-the-art treatment solutions for urinary incontinence, helping them avoid embarrassing leakage so they can feel more confident about themselves and their lives. At OBGYN Turlock, she performs in-depth diagnoses and evaluations to understand the cause of bladder leakage, tailoring each treatment plan for optimal long-term results.

Incontinence

What causes urinary incontinence?

Urinary incontinence has several causes, depending on the type of UI that’s present. The major types of UI include:

  • Stress incontinence, resulting in bladder leakage when you cough, sneeze, have sex, or exercise, or any time stress is placed on the bladder
  • Urge incontinence (also called overactive bladder), which causes frequent, intense urges to urinate. even during the night
  • Overflow incontinence, caused by constriction or blockage of the urethra
  • Functional incontinence, occurring when a medical condition (or sometimes medication) prevents you from making it to the bathroom in time to urinate
  • Mixed incontinence, occurring in people who have more than one of the above types of incontinence


Stress incontinence is the most common type of UI in women, typically caused by pregnancy, childbirth, or hormonal changes associated with menopause. Significant weight gain can also cause or contribute to stress incontinence. Urge incontinence is the second most frequent type, commonly associated with nerve-related issues or nerve damage from childbirth.


How does the doctor diagnose the cause of incontinence?

Dr. Pazouki begins her diagnosis with a thorough medical history to look for possible causes and risk factors. Depending on your history, she may order ultrasounds, X-rays, or other diagnostic imaging tests to gain additional information, or she may perform urodynamic testing to evaluate how well your bladder is working. These tests measure how much liquid your bladder can hold, how well it retains urine, and how effective it is at emptying itself. You might need to keep a bladder diary as well to track your urination habits.


How is urinary incontinence treated?

Your treatment will depend on the type of incontinence you’re experiencing. Stress incontinence often can be treated with medications and exercises to help tone and strengthen the pelvic floor muscles and ligaments. The pelvic floor helps support your bladder, but sometimes, age-related changes, pregnancy, childbirth, and other factors can cause the pelvic floor to weaken, resulting in a loss of bladder control. Exercises can help restore the pelvic floor so leakage is prevented. Medications and BOTOX injections both can be helpful in managing urge incontinence caused by some nerve-related problems. More severe types of incontinence may require surgery, especially if incontinence is related to an anatomical defect. For instance, when pelvic floor damage results in a condition called bladder prolapse or "fallen bladder," Dr. Pazouki might recommend surgery to increase support of the pelvic floor.