Have you ever laughed, coughed, sneezed, or exercised and leaked urine before you could stop it? Bladder problems are common for women, but that does not make them any less frustrating when they start affecting your sleep, work, social life, or confidence.
Bladder control procedures can help identify the cause of urinary leaks, urgency, frequency, bladder pain, and pelvic support problems. The Endometriosis Treatment Center of America provides discreet in-office testing and treatment for bladder control concerns, pelvic pain, overactive bladder, urinary incontinence, and painful bladder syndrome. Led by Jonathan Zaidan, MD, FACOG, the practice offers specialized women’s health care in Lake Orion and Bloomfield Hills, with advanced options for endometriosis, robotic surgery, and bladder control treatment.
What Are Bladder Control Problems?
Bladder control problems occur when the bladder, pelvic floor muscles, nerves, or nearby organs do not work together as they should. Some women leak urine with pressure, such as laughing or coughing. Others feel sudden urges to urinate, go to the bathroom often, or feel bladder pain and burning.
Common bladder control concerns include:
- Overactive bladder
- Urinary incontinence
- Bladder prolapse
- Urinary tract infections
- Interstitial cystitis, also called painful bladder syndrome
- Urinary urgency or frequency
- Leaking with coughing, sneezing, laughing, or exercise
These symptoms can overlap with pelvic pain, pelvic organ prolapse, endometriosis, menopause changes, or past pelvic surgery. A full evaluation helps your provider choose the right treatment plan.
What Causes Bladder Leakage?
As women age, the muscles that support the bladder may weaken. This can make it harder to control urine flow, especially during movement or when pressure is applied to the abdomen.
Bladder leakage may also be linked to:
- Pregnancy
- Childbirth
- Menopause
- Hysterectomy
- Urinary tract infections
- Pelvic floor weakness
- Bladder prolapse
- Nerve changes affecting bladder control
Because there are several possible causes, treating bladder symptoms without testing can lead to missed answers. The team at ETCA focuses on identifying the cause of the leaks before recommending care.
How Bladder Control Problems Are Diagnosed
A clear diagnosis starts with a detailed history, a full physical exam, and testing when needed. The Endometriosis Treatment Center of America performs discreet in-office testing to evaluate symptoms and determine the severity of your condition.
Testing may include:
- Cystoscopy to look inside the bladder
- Urodynamic bladder testing to measure bladder function
- Potassium sensitivity testing to assess bladder irritation
- Ultrasonography to view pelvic and bladder structures
These tests help the care team understand whether symptoms are caused by muscle weakness, bladder irritation, prolapse, nerve signaling issues, or another concern.
Bladder Control Treatment Options
Bladder control treatment is based on your diagnosis, symptoms, health history, and goals. Some patients need nonsurgical support, while others may benefit from in-office procedures or minimally invasive surgery.
Treatment options may include:
- Bladder instillation treatments for interstitial cystitis or painful bladder syndrome
- BOTOX® for overactive bladder treatment
- Axonics Therapy for sacral neuromodulation
- Minimally invasive surgical options
- Pelvic floor physical therapy
- Prolapse treatment, such as anterior or posterior colporrhaphy
Your provider will explain which options may be appropriate for your condition and what each treatment involves.
Bladder instillation therapy may be recommended for painful bladder syndrome or interstitial cystitis. During treatment, medication is placed directly into the bladder to help calm irritation, burning, urgency, and discomfort.
This option may be part of a larger plan for patients with bladder pain, urinary frequency, or symptoms that are not caused by an active infection.
BOTOX may help patients with an overactive bladder by relaxing muscles that contract too often. This can reduce sudden urges, frequency, and leakage for the right candidates.
The team may recommend BOTOX when bladder symptoms have not improved enough with conservative care. Results are temporary, so repeat treatment may be needed.
Axonics Therapy uses gentle nerve stimulation to help improve communication between the bladder, bowel, and brain. It may be used for overactive bladder, urinary urgency, incontinence, fecal incontinence, urinary frequency, or nonobstructive urinary retention.
Before long-term treatment, patients complete an evaluation period to see whether therapy may help their symptoms.
Bladder control can be closely tied to pelvic floor strength and pelvic organ support. If the bladder has shifted into the vagina, a condition called bladder prolapse, surgical repair such as anterior colporrhaphy may be considered.
For some patients, pelvic floor physical therapy or EMSELLA may be discussed to strengthen pelvic support. If prolapse is more advanced, the team may review additional pelvic organ prolapse procedures.
Why Choose the Endometriosis Treatment Center of America for Bladder Control Procedures in Lake Orion, MI?
The Endometriosis Treatment Center of America specializes in pelvic pain, bladder control concerns, endometriosis, robotic surgery, and complex women’s health conditions. That focus is important because bladder symptoms may be connected to pelvic floor weakness, prolapse, endometriosis, prior surgery, or inflammation.
Dr. Jonathan Zaidan, MD, FACOG, is the President and Founder of the Endometriosis Treatment Center of America. He is a board-certified OB/GYN who specializes in minimally invasive surgery and is recognized for his work with da Vinci robotic surgery for endometriosis and pelvic pain.
Take Back Control of Your Bladder Health
Bladder leaks, urgency, painful bladder symptoms, and frequent bathroom trips can affect your comfort and confidence, but treatment options are available. With discreet testing and a range of bladder control procedures, the right plan can help reduce symptoms and support your daily life.
The Endometriosis Treatment Center of America provides bladder control procedures in Lake Orion, MI, with additional care available in Bloomfield Hills, MI. Contact us at (248) 731-2141.
