Barbra S. Hanna, D.O.
Heather A. Cushing, M.D.
Urinary Incontinence

Urinary incontinence is the involuntary loss of urine. Many women suffer from urinary incontinence but are embarrassed and reluctant to discuss this problem with their doctor. It can be a cause of anxiety, social embarrassment and can even limit one’s social and daily activities.

Stress incontinence is the loss of urine with physical stress, such as cough or movement. Urge incontinence is the sudden loss of urine associated with an uncomfortable urge. Urinary incontinence can be treated with medications, physical therapy, devices or minimally invasive surgery that is performed in the outpatient setting.

Before a treatment plan can be determined for you, you should have a comprehensive history and physical examination, which emphasizes the woman’s urogenital tract. This includes a focused physical examination that assesses the vaginal tissue and pelvic organ support. You may be asked to undergo urodynamic testing to obtain more information on how your bladder and urethra function storing urine and voiding. Urodynamics is helpful in determining the right treatment for problems such as incontinence or leaking urine, frequent urination, or the feeling of not emptying your bladder completely.

Dr. Hanna and Dr. Cushing perform urodynamics in the comfort of our office. They will identify what type of incontinence you suffer from and develop a treatment plan to improve your quality of life.

Urodynamic Testing
Urodynamic testing involves placing a small tube with sensors in the bladder and a second in the vagina or rectum. The bladder is then filled with sterile water. While your bladder is filling you will be asked a series of questions to assess your urinary symptoms. You may be asked to cough, bear down, stand or bounce to evaluate any amount of leakage of urine and how the bladder muscle functions. Most patients consider urodynamic testing painless. The entire test takes approximately 20-30 minutes.
Associates in Gynecology, Ltd.
1604 North Main Street  •  Wheaton, Illinois 60187
630-260-1818