Avery Center for Obstetrics & Gynecology

Appointments: (203) 227-5125

Services & Procedures

Urogynecology / Bladder Dysfunction

Avery Center For Obstetrics and Gynecology Bladder Dysfunction Program
Adam A. Ofer, M.D.

What is urinary incontinence?

Urinary incontinence - the uncontrolled loss of urine - is more than just a physical problem.It can have emotional consequences, too. Whether you leak only a few drops when you laugh or cough, dribble constantly, or your entire bladder empties without warning,incontinence can be so embarrassing it interferes with living a normal, full life. Fortunately, today something can be done about it.

Incontinence is Common

If you have trouble controlling your bladder, you may feel alone. Nothing could be further from the truth. Loss of bladder control is a common problem. Incontinence can leave you exhausted, robbed of a good night's sleep; or make travel uncomfortable or troublesome; or keep the benefits of physical activity out of reach. Despite these frustrations and limitations, only 1 out of 12 people with incontinence seek help, often because of embarrassment, or because they don't realize that help is available.

Incontinence is Treatable

The successful treatment of incontinence begins with an accurate diagnosis. Treatment options include pelvic muscle exercises, medication, and surgery. With your participation, incontinence can be treated, and in many cases cured.

Types of Incontinence

You may not realize it, but there are different types of incontinence. You may have stress incontinence, urge incontinence, or overflow incontinence. Some people have several types of incontinence coexisting. Although all people with incontinence experience a loss of bladder control, each type of incontinence has its own pattern of signs and symptoms. You will be able to identify your own particular type by comparing these patterns:

People with Stress Incontinence may…

  • Leak when they cough, laugh, or sneeze.
  • Go to the bathroom more frequently in order to avoid accidents.
  • Avoid exercise because they are afraid this will cause leaks.
  • Sleep through the night, but leak upon getting up from bed in the morning.
  • Sometimes be incontinent when they get up from a chair.

People with Urge Incontinence may…

  • Leak if they don't get to the bathroom immediately.
  • Get up frequently during the night to urinate.
  • Go to the bathroom at least every two hours.
  • Wet the bed at night.
  • Feel they have a weak bladder and that each drink seems to cause urination out of proportion to the amount they actually drink.

People with Overflow Incontinence may…

  • Get up frequently during the night to urinate.
  • Take a long time to urinate and have a weak, dribbling stream with no force.
  • Urinate a small amount and not feel completely empty afterwards.
  • Dribble urine throughout the day.
  • Feel the urge to urinate, but sometimes can't.

The Medical Evaluation

Since there are different types, degrees, and combinations of incontinence, every individual’s condition is different. A careful, accurate diagnosis is the essential step in successful treatment. Your evaluation will consist of a medical history and thorough physical exam. As a further aid in diagnosis, we will ask you to fill in a daily diary of how many times you pass urine and when you have any significant symptoms. A pelvic exam, urine culture, and at times a specialized test called urodynamics testing will be necessary.

Urodynamics Evaluation

At the Avery Center we have a state of the art urodynamics laboratory for evaluation of bladder function. This painless exam uses a special computer system to evaluate many aspects of your bladder’s function, including the strength and timing of bladder, urethral, and pelvic muscle contractions. The exam lasts approximately fifteen minutes and is followed immediately with a consultation with Dr. Ofer to discuss the test results and therapeutic options.

Dr. Ofer specializes in treating female gynecological disorders, including overactive bladder and incontinence, through medical and minimally invasive surgical techniques.

Please call for a consultation:
Avery Center for Obstetrics & Gynecology

*Prior to your appointment, it is helpful to fill out a 2-day bladder diary. Roughly estimate how much you are drinking, when you are drinking and your symptoms.

Additional information about bladder dysfunction: