Urinary incontinence affects over 25 million Americans, and it’s a condition that can significantly impact quality of life. For many women, incontinence may feel like an uncomfortable topic to discuss, but it’s important to recognize that this condition is both treatable and manageable. Whether caused by aging, pregnancy, childbirth, surgery, or other health conditions, urinary incontinence can vary in severity and type. At Women’s Health Services of Central Virginia in Lynchburg, we specialize in the care, diagnosis and treatment of urinary incontinence, helping you regain control over your health and confidence.
What is Urinary Incontinence?
Urinary incontinence is the unintentional release of urine. This can range from small leaks, such as those that occur when sneezing or laughing (stress incontinence), to a complete loss of bladder control. Although it’s a common issue, incontinence is often underreported, and many women live with the condition for years without seeking help. The good news is that urinary incontinence is treatable, and at Women’s Health Services of Central Virginia, we’re dedicated to offering effective treatments that can help you take control.
Getting Started: Speak with Your Doctor
The first step in addressing urinary incontinence is having an open conversation with your healthcare provider. Women’s Health Services of Central Virginia encourages all women to discuss any bladder issues during their visits. This may include occasional leaks, frequent urges to urinate, or more persistent bladder problems. By sharing your experiences and concerns, you provide essential information that helps us identify the best course of action for your care.
Urinary incontinence has many possible causes, and it is crucial to get an accurate diagnosis. By working with your healthcare provider, you can explore the specific causes of your symptoms and understand the treatment options available. A customized treatment plan will be designed to help you regain bladder control and improve your quality of life.
How We Diagnose Urinary Incontinence: Urodynamic Testing
At Women’s Health Services of Central Virginia, we use advanced diagnostics to determine the cause of urinary incontinence. One of the most effective tools in diagnosing the issue is a series of tests called urodynamics. These tests evaluate the function of the bladder, sphincters and urethra to determine how well they hold and release urine.
Our providers may recommend urodynamics if you are experiencing any of the following symptoms:
- Leaking urine when coughing, sneezing, or laughing
- Frequent urination, especially at night
- Recurrent urinary tract infections
- Weak or slow urine stream
- Incomplete bladder emptying
By assessing your symptoms and performing these tests, we can identify the underlying cause of your incontinence and develop an effective treatment plan.
What Happens During Urodynamic Testing?
Urodynamic testing involves several procedures that help evaluate how well the lower urinary tract functions. These tests vary from non-invasive methods, such as measuring urine flow, to more detailed procedures that use advanced diagnostic instruments. While urodynamics may sound intimidating, most of these tests are painless and do not require anesthesia.
Some of the key urodynamic tests we may perform include:
- Cystometry: Measures how well your bladder stores urine and how it reacts as it fills.
- Urethral Pressure Profile: Assesses the strength of the urethra and sphincter muscles.
- Uroflowmetry: Records the rate of urine flow and the amount of urine voided.
- Electromyography (EMG): Measures the electrical activity of the bladder and sphincter muscles.
During these tests, a small catheter containing a sensor is inserted into the urethra to collect precise data. This helps us measure important factors like:
- The volume of urine remaining in the bladder after urination
- The pressure and volume within the bladder during the urge to urinate
- How well you control your sphincter muscles
- Any bladder spasms or abnormal contractions
With this valuable information, we can create a personalized treatment plan that targets the specific cause of your incontinence.
Treatment Options for Urinary Incontinence
After identifying the cause of your urinary incontinence, your doctor will work with you to develop a treatment plan. In many cases, incontinence can be managed through non-invasive methods, such as:
- Pelvic Floor Exercises: Strengthening the muscles that control bladder function through physical therapy can help improve symptoms.
- Bladder Training: Slowly extending the intervals between trips to the restroom can assist in bladder retraining.
- Medications: Certain medications may help control an overactive bladder or reduce symptoms of urgency.
- Surgical Options: In more severe cases, surgical treatments such as sling procedures or botox injections may be considered to provide long-term relief.
Our goal is to work with you to find the most effective solution for your symptoms, whether that’s through lifestyle changes, therapy, medications, or surgical procedures.
Meet Your Providers
At Women’s Health Services of Central Virginia in Lynchburg, our team of dedicated OB/GYNs specializes in treating women’s health concerns, including urinary incontinence. Dr. J. Stuart May, Dr. Lynett Schindler and Dr. Bradley Lane offer expert care and treatment for urinary incontinence, tailoring each patient’s care plan to their specific needs. With years of experience and a compassionate approach, our team is committed to helping you manage your symptoms and improve your quality of life.
Get the Help You Need Today
If you’re experiencing urinary incontinence, it’s time to take the next step and seek treatment. At Women’s Health Services of Central Virginia, we’re here to provide the education, diagnosis and treatments you need to regain control.
Request Your Appointment in Lynchburg, VA Today
At Women’s Health Services of Central Virginia in Lynchburg, we proudly serve women in Lynchburg, Campbell County and the surrounding areas. Request your appointment today and take the first step toward better bladder health.

