Our Network
Search:  
Chesapeake Continence Center

The Chesapeake Center for Continence provides complete, state-of-the-art treatment for all forms of female and male incontinence, pelvic prolapse, and voiding dysfunction, as well as for special neurological causes of urinary problems.

Living with urinary incontinence is a thing of the past. Many effective treatments are widely available.

We offer patients a comprehensive evaluation in a comfortable and discrete setting. Each patient is given individualized and personal attention including:

  • A complete diagnostic work-up
  • Pertinent education on your condition
  • A treatment plan tailored to your individual needs
  • We have a wide variety of services and treatment options, including the latest medications, minimally invasive outpatient procedures and surgical options.

The Facts about Urinary Incontinence

  • Urinary incontinence is due to an involuntary loss of urine, which varies from occasional leakage to complete lack of control.
  • A cough, a sneeze or even a little laugh is all it takes to trigger it in many people.
  • Urgency, frequency of urination and not getting to the bathroom on time are associated with it.
  • Although it is common as one gets older, it occurs in both men and women of all ages.
  • Approximately one out of every six women ages 45 and older lives with some degree of urinary incontinence.
  • It may lead to emotional, psychological and social problems, such as depression.

Diagnostic Techniques


Voiding Questionnaire and Diary: Provides pertinent information regarding behavioral characteristics and voiding patterns.

Urinalysis & Urine Culture: Determines any existing abnormalities such as urinary tract infections, blood in your urine and early detection of damage to your kidneys.

Radiological Studies: Identifies the presence of abnormalities by X-raying the genitourinary tract.

Uroflow: Measures the flow of the urine stream and helps assess the ability of the bladder to empty.

Bladder Scan: Non-invasive ultrasound test that assesses the ability of the bladder to empty.

Cystoscopy: Utilization of a small telescope to look inside the bladder. This is a minimally invasive outpatient procedure which lasts less than five minutes. It allows us to assess your bladder for stones, tumors, signs of obstruction or other abnormalities that may cause your symptoms.

Urodynamics: Outpatient procedure which involves placing a small catheter into the bladder and another catheter in to the rectum. Bladder pressure is measured as the bladder is filled and emptied. This minimally invasive test helps to determine the cause of your symptoms and allows us to recommend the appropriate therapy for each individual. We offer state-of-the-art equipment with the highest diagnostic accuracy. We can prepare a report to send to your referring gynecologist to help him/her choose the best treatment for you.



Difficulty Emptying Your Bladder

Many people have trouble emptying their bladders. You may find it difficult to start your stream, or you may have to strain or push to begin urinating. You may also leave the bathroom feeling as though you still have not emptied your bladder. There are patients who retain a significant amount of urine in their bladders or who may not be able to empty them at all.

Potential Causes


Women:

  • Cystocele (dropped bladder)
  • Previous surgery (bladder, urethra, vagina)
  • Neurologic problems (diabetes, multiple sclerosis, Parkinson?s disease, etc.)
  • Inability to relax your urethral sphincter
  • Back surgery or injury
  • Urethral cancer (rare)

Men:

  • Enlarge prostate
  • Urethral stricture (scar)
  • Neurologic problems (diabetes, spinal cord injury, Parkinson?s disease, etc.)
  • Urethral or prostate cancer
  • Back surgery or injury
  • Following major surgery (usually temporary)

Evaluation

As with any medical problem, it is important to perform a complete history and physical examination. Frequently, the cause of your symptoms can be found based on this evaluation. In addition, we may recommend some specialized testing for further evaluation of your condition. Below are some additional tests we may recommend.

Bladder scan: A noninvasive ultrasound that uses a small probe placed on your abdomen. It allows us to determine how much urine you retain after you urinate.

Voiding Diary: We may ask you to write down your symptoms at home for two or three days. This includes how frequently you urinate and whether you experience any difficulty urinating or incontinence.

Cystoscopy: A small telescope is used to view inside your bladder. This minimally invasive, outpatient procedure lasts less than five minutes. It allows us to look into your bladder for stones, tumors, signs of obstruction or other abnormalities which may cause your symptoms.

Urodynamics: This outpatient procedure involves placing a small catheter into the bladder and another catheter into the rectum. Bladder pressure is measures as the bladder is filled and emptied. This minimally invasive test helps to determine the cause of your symptoms and allows us to recommend the appropriate therapy for each person.

We offer state-of-the-art equipment with the highest diagnostic accuracy. If you have a referring gynecologist, we can prepare and send a report to help him/her choose the best treatment for you.

Treatment

Each patient is evaluated and treated based on his or her unique problem. We will discuss all potential options with you and find one which best suits you as an individual. We take your age, medical problems and desires into account when we make recommendations to you.

Medication: Frequently difficulty urinating is caused by problems with the patient?s prostate or bladder neck. Mediations such as Flomax or Uroztral can help alleviate some of your symptoms.

Prostate treatments: Many men suffer from benign (not cancer) enlargement of their prostate. Often, men complain of difficulty starting their stream, decreased force of stream or going to the bathroom frequently especially at night. For these men, we offer multiple minimally invasive treatment options. We can perform new technologies using laser or microwave therapy to shrink the prostate.

Prolapse Management: Women who suffer from a dropped bladder frequently have difficulty emptying their bladders. This often results in going to the bathroom frequently and urgently. Re-supporting the bladder can significantly help with these symptoms. We offer either pessary management or minimally invasive surgical options for these women.

Sacral Nerve Stimulation: A small implant placed into the hollow of your bone which can help to reduce the amount of urine you retain. This procedure is performed on an outpatient basis and is a minimally invasive option to help patients who have failed conservative treatment options.