Urinary Incontinence
Urinary incontinence can disrupt your day, your confidence, and your comfort. Whether leakage happens with activity (like coughing or exercising) or you’re dealing with urgency, our Kissimmee team offers a discreet, personalized plan designed to help you regain control—without the “clinical” feel.
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Address: 1056 E Osceola Pkwy, Kissimmee, FL 34744 • Phone: (407) 766-6080
Stress vs. Urge vs. Mixed
Your treatment depends on the type of leakage you’re experiencing. We help you identify the pattern and choose the most effective approach.
Leakage with pressure on the bladder—coughing, sneezing, laughing, lifting, or exercise.
Sudden urgency, frequency, and leakage before reaching the restroom.
Why leakage happens
Stress incontinence occurs when the closure/support around the urethra is weakened, so pressure on the bladder can trigger leakage. Common triggers include coughing, sneezing, laughing, or exercise.
Coughing • sneezing • laughing • lifting • movement/exercise
Pregnancy/childbirth, aging, weight changes, smoking, pelvic surgery, and pelvic floor weakness.
Factors that may weaken support
- Weight loss or excess weight
- Age
- Poor diet
- Smoking
- Pregnancy
- Vaginal delivery in childbirth
- After having a hysterectomy
- Physical activity that puts stress or pressure on the pelvic area
- Other medical conditions and medications
A refined, step-by-step plan
We offer a range of options for stress urinary incontinence—from lifestyle coaching to minimally invasive procedures and surgery when needed. Your plan is selected based on the type of incontinence, severity, and your goals.
Nutrition support, weight optimization, fluid timing, and bladder training routines.
Kegels/pelvic floor PT, biofeedback or stimulation options when appropriate.
Pessaries and other supportive devices can help some women reduce stress leakage.
Urethral bulking agents (stress) and bladder Botox (urge/OAB) may be considered based on diagnosis.
Mid-urethral sling procedures and related repairs are established options for stress urinary incontinence.
Sacral nerve stimulation may help some patients with urge incontinence who haven’t responded to conservative options.
Your visit feels calm, private, and thorough
We start with a detailed history and symptom pattern review, then select testing as needed to clarify the type of incontinence and guide treatment.
Physical exam • urinalysis • bladder diary • cough stress test • post-void residual measurement (as needed)
Conservative steps first, followed by devices/procedures if you need more support.
Frequently asked questions
What is stress urinary incontinence?
Stress urinary incontinence is leakage that occurs when pressure on the bladder increases—such as with coughing, sneezing, laughing, lifting, or exercise.
How do I know if it’s stress vs urge incontinence?
Stress leakage is tied to movement/pressure. Urge incontinence is driven by sudden urgency and frequency. Many patients have “mixed” symptoms, and we tailor treatment accordingly.
Do Kegel exercises actually help?
Pelvic floor muscle training (Kegels) can strengthen the pelvic floor muscles that support bladder control and may reduce leakage—especially for stress incontinence when done consistently and correctly.
Can a pessary help with leakage?
For some women, a pessary can support pelvic structures and reduce stress leakage. We can discuss whether you’re a good candidate and fit options.
What are urethral bulking injections?
Bulking agents can be injected around the urethra to improve closure and reduce stress leakage. They may be less invasive than surgery and sometimes require repeat treatments.
When is surgery considered?
If conservative measures aren’t sufficient, mid-urethral sling surgery is a well-established option for stress urinary incontinence. We’ll review risks/benefits and what’s appropriate for you.
Is Botox used for urinary incontinence?
Botox injections into the bladder are generally used for overactive bladder/urge incontinence when other treatments haven’t worked. It’s not typically the first-line approach for stress incontinence.
What is sacral neuromodulation?
Sacral nerve stimulation is an implantable therapy that can help some patients with urge incontinence/overactive bladder who have not responded to more conservative options.
References
- Mayo Clinic — Stress incontinence (symptoms & causes): mayoclinic.org/.../stress-incontinence
- Mayo Clinic — Urinary incontinence (diagnosis & treatment; pessary, bulking agents, Botox, nerve stimulation): mayoclinic.org/.../urinary-incontinence
- NIDDK — Kegel exercises (pelvic floor muscle training): niddk.nih.gov/.../kegel-exercises
- ACOG — Surgery for stress urinary incontinence: acog.org/.../stress-urinary-incontinence
- FDA — Stress urinary incontinence (sling surgery options, mesh overview): fda.gov/.../stress-urinary-incontinence-sui