Overflow Incontinence Treatment in NYC

Overflow incontinence occurs in patients when the body can’t sense when the bladder is full, resulting in unexpected urine leakage. In those with overflow incontinence, it is also common for the bladder to not become completely empty after urination.

If you are experiencing symptoms of overflow incontinence and are seeking treatment, contact Dr. Robert Valenzuela to discuss the treatment options that best fit your lifestyle. To schedule a consultation at our urology clinics in NYC, please call (212) 781-9696 or request an appointment through our secure online form. Dr. Valenzuela has extensive experience diagnosing and treating symptoms of incontinence in patients.

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What Are the Symptoms of Overflow Incontinence?

Besides sudden and unexpected leaks, patients with overflow incontinence typically exhibit the following symptoms:

• Weak urine stream – Many sufferers of overflow incontinence have issues starting to urinate and may experience only a small amount at a time.
• Urinating during the night – While sleeping, many people wake up and feel the need to urinate several times throughout the night.
• Urinary tract infections – Because the bladder may not be emptying completely, bacteria can grow and infect the urinary tract.

What Causes Overflow Incontinence?

Overflow incontinence is seen in male patients more often than females. In most cases, overflow incontinence is caused by a weakness in the bladder muscles that can develop over time. Other possible causes include:

• Bladder stones
• Previous injury to the pelvis or hip area
• Prolapse of the uterus or bladder

How is Overflow Incontinence Diagnosed?

Patients may be asked to keep a diary of any urinary incidents they have over a set period of time. This may help the doctor find any patterns or potential causes of incontinence. In addition, the following tests may be performed:

• Urine Volume Test. After urinating, the doctor will determine the amount of leftover urine in the bladder.
• Bladder Pressure Test. The doctor will slowly fill the bladder with warm water and use a pressure sensor to measure changes in the patient’s bladder pressure.
• Bladder Examination. A cystoscope, a small device that can provide images to the doctor, will be inserted into the bladder so that the physician can examine the bladder and urethra.

How is Overflow Incontinence Treated?

Behavioral modifications such as bladder training and Kegel exercises may be recommended. Medication, including alpha-blockers and anticholinergics, may also be prescribed to help control symptoms. If these options don’t help, devices or surgery may be recommended.

What Devices Treat Overflow Incontinence?

• Pessary. A ring is placed on each side of the urethra that helps support the bladder.
• Urethral Inserts. A disposable device is worn at various times throughout the day to act as a barrier against leakage. It is mostly recommended for what a patient is going to be performing physical activity.

How is Overflow Incontinence Treated Surgically?

Surgery intervention to treat stress incontinence is typically the last resort when behavior therapies and devices don’t provide adequate relief from symptoms. The goal of the surgery will be to provide the bladder and urethral muscles with adequate support.