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Conditions We Treat: Urinary Incontinence and Overactive Bladder

Urinary incontinence, also known as loss of bladder control, refers to the accidental loss of urine. This common condition affects nearly 25 million adults, most commonly, women over the age of 50.

If you are suffering with urinary incontinence, trust your care to the Johns Hopkins Women’s Center for Pelvic Health.

Urinary Incontinence Treatment: Why Choose Johns Hopkins

  • Our expert team works closely with our patients to identify the unique causes of their incontinence and tailor treatments to their individual circumstances. We have received advanced training in treating pelvic floor disorders and are equipped to help women who have experienced unsuccessful prior treatments.
  • We explore a broad spectrum of treatment options, first considering the least invasive, most effective treatment approaches for patients, including behavior and lifestyle changes.
  • If surgery is needed, our urogynecologists specialize in the most advanced surgical treatment options for urinary incontinence, including minimally invasive surgical procedures.
  • We work across many disciplines within Johns Hopkins to offer holistic care for the resolution of urinary conditions, including physical therapy, nonsurgical and surgical treatment options.

Patient Story: Bladder Sling Treatment for Stress Urinary Incontinence

Sling Surgery Restores A Patient to Active Life | Stephanie's Story

After suffering stress incontinence in silence for 15 years, patient Stephanie Richards sought surgery from Danielle Patterson, M.D., of the Women's Center for Pelvic Health, to restore bladder control and return to the active lifestyle she had always enjoyed.

Urinary Incontinence Treatment: What to Expect

A complete evaluation will allow your doctor to offer you the right solution for your care. You can expect the diagnostic process to include:

  • A complete medical history and physical, which may include a brief neurological exam to assess any nerve damage. If you have had treatment or surgery in the past, your doctor may also review your medical records.
  • Urine sample, to test for infection or other pathology that may cause incontinence.
  • Urodynamic tests or a urinary stress test, where your doctor may assess urine loss with stress, such as exercise, sneezing, coughing or laughing, may be recommended.

Following your evaluation, we will review treatment options with you to develop a care plan that best meets your needs. Nonsurgical treatment, such as Botox injections of the bladder in women with overactive bladder, can be performed at any of our medical offices.

If you choose surgery, our team will recommend procedures that best treat your symptoms. A common option is the insertion of a bladder sling, a minimally invasive procedure in which a small strip of mesh is implanted to support the bladder opening to prevent leakage.

Our Specialists

Pelvic health team poses in white coatsThe Pelvic Health & Reconstructive Surgery Center Team.

Our team of urogynecologists partners with a multidisciplinary team of urologists, nurse practitioners and physical therapists, who work together to ensure that you are restored to wellness and a greater quality of life using the least invasive interventions available. To make an appointment with our urogynecology team, please call us at 443-997-0400.

Urogynecology Experts

Grace Chen, M.D.
Victoria Handa, M.D.
Danielle Patterson, M.D.
Catherine Wehner, N.P.

Partnering Specialists

Urology

Edward James Wright, M.D.
Marisa Clifton, M.D.

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