Incontinence is the loss of control over one’s bladder or bowels that results in the loss of urine, gas, or stool. An estimated one out of three women will experience incontinence during their lifetime. Incontinence can make daily life difficult, altering a patient’s ability to leave their home for fear of an embarrassing accident. Even minor cases, such as not being able to jump or run due to urinary leakage, can be frustrating. Loss of bowel or bladder control can be devastating and many women falsely believe that they simply have to live with this condition. If you’ve experienced either urinary or fecal incontinence, contact North Dallas Urogynecology in Frisco, TX (also serving Plano, Allen & McKinney) to schedule an appointment with Dr. Aimee Nguyen. There are treatment options available so that you can return to living a full and active life.
Incontinence Treatment Reviews
"The bladder sling surgery was the best thing ever! I wish I'd had it done years ago. I feel like I have a 20 year old bladder at 72. Dr. Nguyen and her staff are absolutely wonderful! They really took care of me and I highly recommend them. Don't hesitate. My life has changed dramatically for the better."- JE / Office Visit / Apr 21, 2021
"I am so thankful to Dr. Nguyen and her staff for restoring me back to normal life! As a distance runner, I was not able to participate in the sport I love because of leakage. Dr. Nguyen was kind and understanding. My surgery and recovery were much easier than I anticipated. I am so excited to be able to be active again and return to marathoning! I highly recommend the office of Dr. Nguyen!"- DS / Office Visit / Jul 01, 2021
"So happy that she was able to fix my stress incontinence - I’m 4 weeks post op. Had a hysterectomy, urethral sling and labiaplasty. Can not thank Dr Nguyen and office staff for being so kind and meticulous. No stone left unturned. Chandler sends an email with step by step instructions. Dr Nguyen takes her time explaining the entire process. She allows plenty of time for questions. You never feel rushed. Day of surgery Dr Nguyen reviews the game plan again. She took the time to call my family while I was in recovery. I do not have a high pain tolerance, pretty wimpy really. During my recovery I’ve needed ice packs, ibuprofen and very minimal hydrocodone. I think the worse pain was from the laparoscopic hysterectomy. I required gas-X. The labiaplasty pain is dull. I’m still wearing a panty liner and have sutures. I know I’m not fully healed but I definitely like what I see so far. I thought about this surgery for a year. Man what a wasted year! The recovery has been easy. Struck gold finding Dr Nguyen. I’m so happy that she was able to fix my stress incontinence and make my lady look young and pretty again. Don’t have to cross my legs to sneeze!!! Can’t wait for the sutures to dissolve and see the final results. Money well spent. Self care self love."- R. / RealSelf / Sep 30, 2022
"As a mature woman of 69 with three deliveries of big lads, urine leakage and rectal issues are normal and come with the aging process. . . NOT! My doctor, Dr. Ruby John (excellent) referred me to Dr. Aimee Nguyen. After the first exam with the PA, my next appointment with Dr. Nguyen was very informative and reassuring. My issues were easily fixed! Surgery was scheduled, what a great experience at Presbyterian Plano from admission to discharge the next day! 4 weeks post op, the bowel issues are completely resolved! oh my! Did not know how badly the repair was needed! some tweaking for the bladder issues will be addressed in January with a day surgery procedure. Dr. Aimee! thank you so much!"- A.M. / Yelp / Dec 23, 2022
"Dr. Nguyen and her staff are amazing. Before surgery, I was in so much emotional and physical pain. After surgery, I feel amazing. The recovery was fairly easy and short. I honestly don't know why people wait or post-pone this surgery if they don't have too. I have my life back and can go to the bathroom when I choose not to every hour like I used too. I highly recommend it."- LC / Office Visit / May 19, 2021
There are two common forms of incontinence: stress incontinence and urge incontinence. With stress incontinence, you might experience urine leakage when you sneeze, cough, laugh, or exercise. A patient experiencing urge incontinence feels a sudden and urgent need to urinate, but is often not able to make it to the bathroom on time. Less common are overflow and functional incontinence. Overflow incontinence is a term given for patients that have a frequent or constant leakage. Functional incontinence occurs when a person cannot reach the bathroom in time due to physical impairment.
Incontinence strikes women of all ages, and affects 6.5 million Americans. The causes of incontinence include:
- Pregnancy and/or Childbirth
- Pelvic Organ Prolapse
- Obstruction (Blockage in the Urinary Tract)
- Medical Conditions (Cancer or Neurological Disorders)
- Chronic Cough
- Urinary Tract Infections
Commonly known as pelvic floor exercises, Kegels are very effective if done correctly for strengthening the muscles that support your pelvic organs to relieve urinary and fecal incontinence. Kegel exercises involve contracting and relaxing the pelvic floor muscles. The more these moves are performed, the stronger the muscles get.
Very similar to a diaphragm and fitted by the doctor, this removable device is worn in the vagina to support the bladder, rectum, or uterus as necessary and to relieve the symptoms of stress urinary incontinence. Dr. Nguyen will fit and place the pessary into the vagina during an in-office appointment.
An excellent option for urge incontinence and overactive bladder is bladder training. This involves the patient urinating on a specified schedule and learning to use the pelvic muscles to suppress symptoms. As bladder control improves, the time between scheduled restroom breaks increases.
There is an extensive list of foods and beverages known to irritate the bladder. The bladder diet entails identifying these foods to help alleviate symptoms of incontinence.
Several prescription medications are available to relieve the symptoms of urinary and fecal incontinence.
Tension Free Midurethral Sling
This is the surgical placement of a small strip of synthetic mesh that is inserted through an incision in the vagina and placed beneath the urethra to treat stress incontinence. This is an outpatient procedure that can be done under local or general anesthesia. The Midurethral Sling has a great success rate and is effective in helping to control urine loss associated with activity.
This is an FDA-approved treatment for urinary incontinence. The InterStim is a small device that is implanted under the skin of one of the upper buttocks. It works by gently stimulating the sacral nerves to help treat bladder symptoms. This is an outpatient procedure performed under local anesthesia.
Plan Your Procedure
- Procedure Recovery Location
During the initial consultation with Dr. Nguyen, numerous tests will be performed, as well as a complete physical examination so that a proper diagnosis can be made. With a proper diagnosis, urinary and fecal incontinence can be controlled through nonsurgical and surgical treatments. Nonsurgical treatments include:
Incontinence is usually associated with the elderly, but it can happen to males and females of all ages. Incontinence is one of the top reasons seniors are put in assisted living centers, but treatment can improve the quality of life for the patient and caregiver. For women, it is common after childbirth or after a massive weight loss.
Is Bed-Wetting Related?
Bed-wetting or leaking urine while sleeping can be a sign of incontinence and other problems in adults and children. A consultation with Dr. Nguyen can help determine the cause of bed-wetting and an appropriate treatment approach
Certain lifestyle changes can minimize problems with incontinence. Some of these include:
- Maintain a healthy weight
- Do not smoke
- Avoid caffeine
- Limit alcohol
- Avoid acidic foods
- Do not try to hold the urge to urinate or have a bowel movement
- Ensure easy access to bathroom at home
- Stay active to avoid functional incontinence