The Urology Group
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Bladder Control Center

Dr. Roedersheimer with patient

Complete care for a variety of bladder control and incontinence issues.

An estimated 12 million Americans experience urinary incontinence and for many, it's more than just a medical problem. Bladder control can affect emotional, psychological and social well-being and directly impact quality of life, from daily activities to special events.

The Urology Group helps patients with a variety of bladder control and incontinence issues, providing a broad spectrum of care and diagnostic testing.

Services and treatments offered:

  • Urodynamics: Diagnostic testing to measure bladder function.
    This diagnostic study tests the ability of the bladder to store and dispose of urine by measuring bladder pressure and urine flow. It is typically recommended when the patient is experiencing symptoms of incontinence or urinary retention.
    The Urology Group performs urodynamic procedures on an outpatient basis.
    The Procedure:
    A typical urodynamic test takes about 60 minutes to perform and involves the use of a catheter to fill the bladder. It usually involves two steps.
    The first step is called uroflowmetry, which requires the patient to urinate into a special device that measures the urine flow and volume. Doing so helps to identify the reasons for difficulty in voiding, such as bladder muscle weakness or obstruction of the bladder outflow.
    The second step is called a cystometrogram. In this step, a catheter is inserted into the bladder. The bladder is then filled with sterile water. The volume at which the patient experiences urgency and fullness are recorded. The pressures of the bladder and urethra are measured and the patient is asked to cough or bear down to cause leakage. This is important information that may assist the surgeon in selecting the correct type of surgery.
    What To Expect Afterward:
    Diagnostic results are often available immediately after the test. You should be able to go home shortly after the procedure, though you may feel mild discomfort for a few hours when urinating. Drinking water may help to reduce the discomfort.
    An antibiotic may be prescribed to prevent infection. If you detect any signs of infection, including pain, chills or fever, call your physician immediately.
  • Biofeedback: Retraining of pelvic muscles for treatment of incontinence and overactive bladder.
    Biofeedback is a practice designed to help you better understand how your body normally behaves. In the case of urge incontinence, biofeedback can help you recognize when your bladder is overactive and help you contract the proper muscles to stop the urgency to urinate. Oftentimes, a sensor is used to monitor muscle activity in the vagina, rectum or on the pelvic floor.
  • Kegel exercise therapy: Exercises that strengthen the pelvic support muscles.
    These simple strengthening exercises help to reinforce the muscles that control the flow of urine and can tighten the muscles of the pelvic floor. They may be prescribed for both men and women with incontinence or women with pelvic floor prolapse.
    The exercise involves strongly contracting the pelvic muscles that you use to hold back urine – many women with children may be familiar with the exercise from their childbirth classes. These exercises should be performed as a regiment, meaning as many as 20 sets three times a day – but not during urination – in order to work.
  • Posterior Tibial Nerve Stimulation (PTNS): Stimulation of the posterior tibial nerve.
    PTNS is a non-invasive form of neuromodulation used to treat overactive bladder and incontinence. The nursing staff performs periodic stimulation of the posterior tibial nerve, which is near the ankle, on a weekly, outpatient basis.
    In this procedure, the nurse inserts an acupuncture needle/electrode near the post-tibial nerve behind the ankle bone. A skin pad/electrode is adhered to the foot. These two electrodes are then connected to the pulse generator, which delivers an electrical signal that travels along the tibial nerve up to the sacral plexus in the pelvis.

Conditions treated: 

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  • The Urology Group named a Center of Excellence by NAFC
    February 13, 2019
    The Urology Group was recently designated a Center of Excellence by the National Association for Continence. The COE designation is based on evidence of training, clinical experience, resources and patient satisfaction statistics that meet established standards. These rigorous standards ensure that each center that is designated a COE is truly exceptional at providing care for patients with pelvic floor dysfunction and incontinence. MORE...