Incontinence, Neurourology and Female Urology

Our Urology Department physicians have extensive experience in evaluating and treating patients with urinary incontinence and complex voiding disorders. We have a comprehensive Urodynamic Laboratory for in-depth evaluation of neurogenic voiding disorders resulting from conditions such as spinal cord injury, multiple sclerosis, diabetes mellitus, cerebrovascular disorders and other neurologic conditions. Resources include fiber optic cystometry and video flourourodynamic capabilities for simultaneous detrusor and external sphincter function and behavior.

Another important area is the long-term care of people with neurological diseases or injuries because these conditions often affect urinary tract function. Our Neurourology team follows a large group of patients who have spinal cord injury, multiple sclerosis, diabetes mellitus, cerebrovascular disorders and other neurologic conditions. Our objective is to prevent all urologic complications associated with a neurogenic bladder.

Our Urology Department physicians have very extensive experience in reconstructive urologic surgery. This includes bladder enlargement or replacement procedures, and urethral repair and reconstruction. Lower urinary tract reconstruction can be very complicated and multistaged (completed in several stages). We can rebuild bladders and strengthen or replace urethra continence with a neourethra. This requires precise diagnosis and careful planning of the staged reconstructive procedure(s). Our Urology Clinic has the right equipment and personnel to do this surgery, and to carry out a comprehensive treatment plan.

Our Urology Department physicians have a primary interest in urologic disorders affecting women, including urinary incontinence and voiding dysfunction, pelvic prolapse, urinary tract infection, sacral neuromodulation and other bladder disorders. We often deal with pelvic organ and vaginal prolapse conditions often associated with stress incontinence symptoms. These conditions may require gynecologic assistance that is readily available in our multidisciplinary clinic setting and our operating room. Our treatment for complicated incontinence starts with a thorough fluorodynamic evaluation and may include medical therapy or various surgical procedures, from outpatient collagen injection to sophisticated reconstructive operations. Occasionally, urinary leakage is the result of an abnormal connection or fistula, but our physicians have extensive knowledge and experience in diagnosing and treating this somewhat rare condition.