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Urinary Incontinence

What you should know about Urogynecology

What is Urinary Incontinence?  Commonly known as lack of bladder control, urinary incontinence is a common problem in women.  There are several types of urinary incontinence.  Sometimes women have trouble getting to the bathroom on time, find themselves urinating frequently or leaking with laughing or coughing.  If you find yourself limiting your activity to places where you know where the bathrooms are or avoiding exercise to avoid leaking, it’s time to call a urogynecologist.

Your urogynecologist will evaluate your bladder function in order to precisely determine what is causing your bladder problem.  This will allow him / her to recommend treatments specifically designed for your care.  In order to evaluate your bladder function, you may be asked to complete a bladder diary, undergo a full pelvic exam, undergo bladder function testing (urodynamics), or undergo cystoscopy to examine the inside of your bladder.

When is it time to seek treatment? If you find that you are making changes in your lifestyle because of your bladder, prolapse or bowel habits, it’s time to see what options are out there. None of these problems should control your life, money and time.

And you’re not alone — at least half of women over the age of 55 have one of these problems.

Based on your complete evaluation, your urogynecologist will recommend treatment specifically designed for your lifestyle. There will likely be a few options to choose from.  The options may include non-surgical treatment such as pelvic floor exercises; oral, patch or intra-vaginal medication; devises to help elevate vaginal prolapse; or surgical therapy to correct anatomic defects..

Does this sound familiar? Are you ready to do something about these problems?

This tip was Written by Megan Schimpf, MD

ABOUT THE AUTHOR

"Alex" Caroline Robboy,

“Alex” Caroline Robboy, CAS, MSW, ACSW, AAMFT, CSTS, LCSW is the founder and executive director of the Center for Growth Inc / Sex Therapy in Philadelphia, a counseling organization that has an office in Ocean City, New Jersey, Richmond Virginia, Alphretta Georgia and 2 offices in Center City, Philadelphia PA.   In her space time she launched the directory sextherapy.com as a resource tool for professionals dedicated to improving peoples sexual health.  Alex has 25+ years of clinical experience working with adults and children. Specifically, she works with people struggling with compulsion problems, personality disorders, neurodiversity (dyslexia, tourettes, sensory issues, adhd, and high functioning autism) anxiety, depression, postpartum depression, shame, trauma, low self-esteem, grief, relationship issues, sexual function & dysfunction, blended families and parenting concerns. Currently, she provides individual, couples, family therapy and group therapy. Lastly, she offers supervision to both staff and therapists outside of this agency seeking their LCSW or AASECT Certification in sex therapy.  Lastly, thru the Philadelphia International Women’s Project, she led a two year sex therapy group for West African women who experienced Female Genital Cutting as well as a sex therapy group for Sudanese women who experienced Female Genital Cutting. 

Ms. Robboy earned three graduate degrees at the University of Pennsylvania; Masters in Social Work, Post-Masters in Certificate Marriage and Family Therapy with a Specialization in Sex Therapy and a Certificate of Advanced Studies in Human Sexuality Education (otherwise known as ABD) as well as a Certificate in Home and School Social Work. Additionally, Ms. Robboy is an AASECT Certified Sex Therapist and Supervisor of Sex Therapy and an ABS Certified Sexologist. Lastly, she is a Certified Imago Therapist. She is currently pursuing certification in CBIT.