Bladder Leakage Specialist

Urology Health Center

Urologists located in Fremont, NE

Urinary incontinence, or bladder leakage, is a common problem for older people, but it’s understandable to find it frustrating and embarrassing. The team at Urology Health Center in Fremont, Nebraska, treats bladder leakage both by addressing underlying conditions and using innovative procedures such as Botox®, pubovaginal sling, periurethral bulking, and interstim implant. To learn more about ways to treat your bladder leakage, schedule an appointment at Urology Health Center online or by phone today.

Bladder Leakage Q&A

What is urinary incontinence?

Urinary incontinence means you have difficulty controlling when you urinate. Incontinence can be mild, meaning your bladder leaks some urine, or severe, meaning you often have trouble making it to the bathroom in time.

The types of incontinence include:

  • Overflow incontinence: Leaking or dribbling urine because your bladder can’t fully empty
  • Functional incontinence: Difficulty making it to the bathroom on time because another medical condition gets in the way
  • Stress incontinence: Releasing small amounts of urine from “stress,” or pressure on your bladder, by doing things like heavy lifting, laughing, coughing, or sneezing
  • Urge incontinence: Needing to go to the bathroom all the time without warning


You may only have one type of incontinence, but it’s common to have mixed incontinence, where you have multiple types. For example, many people have both urge incontinence and functional incontinence.

Urinary incontinence is a symptom, not a condition. Treatment requires addressing the cause. Though urinary incontinence affects many older adults, it doesn’t have to be a part of the aging process.

How does incontinence affect men and women differently?

Incontinence affects both men and women, though it’s more common in women. Sometimes,  incontinence has different underlying causes for men and women.

When men have urinary incontinence, it’s often related to a prostate issue. Many men with an enlarged prostate, also known as benign prostatic hyperplasia or BPH, have overflow incontinence. This happens because the enlarged prostate blocks the flow of urine, and over time, the bladder also becomes weaker. Treating BPH, through medication or a procedure, usually improves overflow incontinence in men.

Women are more prone to stress incontinence, or bladder leakage, than men. This form of incontinence is especially common in women who have had children because childbirth can weaken the muscles around the bladder. Women who have experienced menopause may have urge incontinence because of a drop in estrogen, which regulates urination.

What treatments are available for bladder leakage?

Bladder leakage and urinary incontinence often respond to medication, changes in behavior, and addressing underlying conditions. However, when this doesn’t improve symptoms, the team at Urology Health Center offers procedures to treat bladder leakage, including:

Pubovaginal sling

This minimally invasive procedure for women with stress incontinence involves placing a mesh sling, similar to a hammock, to prevent bladder leakage in response to straining.


Injections of Botox into your bladder can help reduce the activity of overactive bladder muscles.

Periurethral bulking

To treat stress incontinence, your doctor injects a “bulking agent” around your urethra so it can close more easily, preventing leakages.

Interstim implant

An interstim implant is a device that uses mild electric impulses to improve the communication between your sacral nerve and brain to help you regain control over bladder function. The device is placed under your skin and you control it with a remote stimulator.

To learn more about treatment options for bladder leakage, schedule an appointment at Urology Health Center online or by phone today.