Urology and Incontinence Services

Urology Outpatient Clinic at Shepherd Center

Shepherd Center offers diagnostic, surgical and bladder management services to men and women with disabilities and those without disabilities. We treat patients in an outpatient setting to improve their quality of life when experiencing incontinence and other urological conditions.

What Causes Incontinence?

A variety of conditions cause incontinence, including nerve damage from a spinal cord injury or neuromuscular disorders. Women often experience incontinence after pregnancy and multiple deliveries, frequent urinary tract infections, pelvic surgery or hormonal changes, such as those that occur during menopause. Men may experience incontinence as a result of prostate problems.

Common Types of Incontinence

  • Stress incontinence is an involuntary loss of urine not caused by obstruction or injury. Small amounts of urine leak from the bladder when a person coughs, laughs, sneezes, jogs or performs some type of physical activity.
  • Overflow incontinence is a condition that occurs when the bladder is too full and spills over. A blockage or obstruction of the bladder may be the cause.
  • Urge incontinence is the result of an overactive bladder or unwanted bladder contractions.

Outpatient Urology Services at Shepherd Center

After a patient contacts Shepherd Center about a bladder-control problem, a consulting urologist conducts an initial exam and performs other tests as necessary. The physician discusses treatment options, conducts a brief flow study and gets the patient's history. Patients are asked to record intake and output of fluid for two days in a voiding diary.

Common Urological Diagnostic and Treatment Procedures

At Shepherd Center’s outpatient Urology Clinic, our physicians and specialists perform diagnostic procedures to treat common urology conditions and disorders. These procedures and treatments include:

  • Videourodynamics, a combination X-ray and bladder function test, shows how the bladder works and how well it stores urine.
  • Electrical stimulation/pelvic floor exercises, an exercise program with biofeedback, increases the strength of the pelvic floor muscles and returns bladder control.
  • Water urodynamics, a diagnostic test, shows how the bladder works and how well it stores urine.
  • Intermittent catheterization (I.C.) instruction provides training on inserting a catheter into the bladder to empty urine.

In most cases, incontinence is controllable without surgery. Shepherd Center urologists may prescribe pelvic floor exercises, medication, urethral balking agents, behavioral techniques or biofeedback. In some cases, surgery is necessary to remove an obstruction or to mend weakened muscle or tissue.

Treatment of incontinence is covered by most private insurers, Medicaid and Medicare. Our staff assists Shepherd Center patients to determine and understand their medical coverage.

Make an appointment or get more information about Shepherd Center’s outpatient Urology Clinic by calling 404-355-1144.