Health in Focus Series | Managing Urinary Incontinence | Jordan J. Hirsch, MD
Dr. Jordan J. Hirsch, a skilled obstetrician-gynecologist, sees patients at Yonkers, New York's Westmed Medical Group. Dr. Hirsch has 35 years of experience and speaks English, Spanish, and French to better assist his patients. From 1989 through 2008, Dr. Hirsch worked as a private practitioner with Associates for Women's... more
Understanding Urinary Incontinence: A Comprehensive Approach by OBGYNs
Urinary incontinence, the involuntary loss of bladder control, affects millions, posing challenges to daily life. Obstetricians and Gynecologists (OBGYNs) play a crucial role in its understanding and treatment.
Types and Symptoms: OBGYNs recognize various types of urinary incontinence, from stress and urge incontinence to overflow and functional incontinence. They address symptoms such as sudden urges, leakage during activities, or constant dribbling, tailoring their approach to each patient's unique situation.
Causes and Evaluation: OBGYNs conduct thorough evaluations, considering factors like lifestyle, medical history, and potential underlying conditions. Temporary causes, like certain foods or medications, require a different approach than persistent conditions related to pregnancy, childbirth, aging, or neurological disorders.
Treatment Strategies: OBGYNs employ a range of treatments. Lifestyle modifications, pelvic floor exercises, and behavioral strategies form the foundation. Medications tailored to specific symptoms offer relief. In more severe cases, advanced interventions like minimally invasive procedures or surgeries may be recommended.
Surgical Interventions: When conservative methods aren't sufficient, OBGYNs discuss advanced interventions. Procedures such as sling placement, bladder neck suspension, and colposuspension provide additional support. Bulking injections and sacral nerve stimulation address specific issues, while the artificial urinary sphincter offers control for severe stress incontinence.
Medications and Therapies: OBGYNs prescribe medications considering individual symptoms, utilizing therapeutic options like pelvic floor exercises and behavioral strategies. Medications may relax bladder muscles, control overactive bladder, or support urethral function. Personalized plans ensure effective and well-tolerated treatment, extending to biofeedback, electrical stimulation, or acupuncture for enhanced pelvic floor strength.
Comprehensive Care: Personalized plans consider lifestyle, preferences, and medical history, ensuring not only effective treatment but also improved quality of life. Regular follow-ups allow for adjustments and optimization of results.
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