POPULARITY
Dr. Rena Malik, board-certified urologist and sexual medicine expert, has the most frank conversation about female sexual health you'll hear anywhere. She covers pelvic floor dysfunction (incontinence affects 1 in 3 women), the genital urinary syndrome of menopause (80% of women will experience changes), and the orgasm gap—plus why same-sex couples don't have this problem. Dr. Malik breaks down low desire in midlife with actual treatment options, explains responsive vs. spontaneous desire, and tackles the hard conversations about pornography's impact on our kids. Whether you're dealing with changes yourself or supporting someone who is, this episode removes the shame and gives you actionable solutions for better sexual and pelvic health.Episode Overview (timestamps are approximate):(0:00) Intro/Teaser(4:00) Pelvic Floor 101: Anatomy and Function(8:00) Urinary Incontinence(14:00) Tight Pelvic Floor & Pelvic Floor Dysfunction(18:00) Strengthening Weak Pelvic Floor(21:00) Pelvic Organ Prolapse (POP)(29:00) Menopause & Genito-Urinary Changes(33:00) Female Arousal & Clitoral Anatomy(37:00) Responsive Desire & Maintaining Sexual Connection(44:00) The Orgasm Gap(49:00) Pornography & Realistic Expectations(55:00) Pornography Use & Sexual Function(1:00:00) Types of Orgasms(1:03:00) Semen Retention & Orgasm Frequency(1:08:00) Low Desire in Women(1:16:00) Arousal vs. Desire(1:19:00) UTIs & Bladder Health(1:23:00) BONUS: After-Party with Dr. StephanieResources mentioned in this episode can be found at https://drstephanieestima.com/podcasts/ep447We couldn't do it without our sponsors:BIOPTIMIZERS - Magnesium Breakthrough contains multiple types of magnesium plus cofactors like B6 to enhance absorption. Visit https://bioptimizers.com/better and use code BETTER to save 15%.ONESKIN - Harness the power of peptides for fuller hair and glowing skin. Save 15% at https://oneskin.co/better with code BETTER.BON CHARGE - Achieve glowing skin, gain more energy, and uplevel your recovery practice with a suite of red light products. Get 15% off at https://boncharge.com/better with code BETTER.AG1 - I take my AG1 Omega 3s first thing in the morning once I'm home from the gym. Subscribe today to get a 1-month supply of AG Omega-3 with your first AG1 order! You'll also get their Welcome Kit with everything you need to get you started. Get it now at https://drinkag1.com/stephanie. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Send us a textHoliday errands, crowded stores, long lines… and not always a restroom in sight. For millions of women over 50, urinary incontinence can make the season more stressful than joyful. This encore episode revisits an important conversation with Dr. Briana Walton — pelvic health specialist, surgeon, and advocate for women's intimate wellness. She's also known as "The Vagina Whisperer."We break down why urinary incontinence becomes more common with age, what's actually happening in the pelvic floor, and the emotional toll many women quietly carry. Dr. Walton offers practical steps you can take right now, from lifestyle shifts and pelvic floor support to knowing when it's time to seek professional care.If you've ever dealt with sudden urgency, leakage when you laugh or sneeze, or anxiety about leaving the house… you are not alone — and there are solutions.CHEERS to Healthy Aging and Joyful Living, Luvvies.ABOUT OUR GUEST — Dr. Briana Walton Dr. Walton has spent nearly 20 years specializing in Female Pelvic Medicine and Reconstructive Surgery. She is passionate about helping women understand their bodies, reclaim their confidence, and access compassionate, evidence-based care. Through the Center for Feminine Wellness and Surgery, she empowers women to address intimate wellness with dignity and confidence.Learn more:https://briwaltonmd.com/RESOURCES Hopkins Medicine — Urinary Incontinence in Women: https://www.hopkinsmedicine.org/health/conditions-and-diseases/urinary-incontinence/urinary-incontinence-in-womenSupport the show https://buymeacoffee.com/agelessglamourgirls www.linkedin.com/in/marqueetacurtishaynes www.agelessglamourgirls.com https://www.shopltk.com/explore/AgelessGlamourGirls https://www.youtube.com/@agelessglamourgirls Instagram @agelessglamourgirls Facebook: https://www.facebook.com/agelessglamourgirls Private (AGG) FB Group: The Ageless Café: https://www.facebook.com/groups/theagelesscafe TikTok: @agelessglamourgirls Podcast Producers: Ageless Glamour Girls and Purple Tulip Media, LLC
Dr. K explains how bladder and prostate changes affect urination in older men, and what to do if you're having bothersome urinary symptoms or leaks.
Send us a text25-50% of women suffer from some form of Urinary Incontinence but fail to report their symptoms to their health care team. UI is highly treatable without surgery in many cases and is not a normal part of aging.nafc.orgsimonfoundcation.orgSupport the showSeniorSupportStrategies.com when you need guidance navigating senior care or how to create your own Aging in Place strategy.
Dr. K explains 5 types of incontinence that affect women and the best ways to treat bladder leaks. Learn when to consider medication, kegels, estrogen, pessaries and more.
Melissa Kaufman and Tufan Tarcan revisit unanswered audience questions from the ICS Masterclass “The Role of Urodynamics in Female Urinary Incontinence” (Nov 2024), offering expert insights in an informal, conversational style.At a few points, urodynamic traces are referred to and discussed. If you would like to see these traces and graphics, you can find them in the video version of this discussion at www.ics.org/urodynamicsunderthelens.The ‘Urodynamics Under the Lens' series explores the role, benefits and optimal usage of urodynamics from the personal perspectives of a range of experts in the field. Production of this episode has been funded by Laborie. The views and opinions expressed are those of the featured experts and not necessarily those of the ICS or Laborie. Disclosures are available in each expert's ICS profile: Melissa KaufmanTufan Tarcan Chapters00:00 Introduction01:18 Module 1: Definitions And Overview10:38 Module 2: Specific Diagnostic Considerations 20:29 Module 3: Implications for Management and Special Populations 34:49 Module 4: Best Practice Considerations Through its annual meeting and journal, the International Continence Society (ICS) has been advancing multidisciplinary continence research and education worldwide since 1971. Over 3,000 Urologists, Uro-gynaecologists, Physiotherapists, Nurses and Research Scientists make up ICS, a thriving society dedicated to incontinence and pelvic floor disorders. The Society is growing every day and welcomes you to join us. If you join today, you'll enjoy substantial discounts on ICS Annual Meeting registrations and free journal submissions. Joining ICS is like being welcomed into a big family. Get to know the members and become involved in a vibrant, supportive community of healthcare professionals, dedicated to making a real difference to the lives of people with incontinence.
Urinary incontinence affects millions of women, yet many continue to suffer in silence due to stigma or the misconception that it's just a normal part of aging. Bladder control issues can impact women of all ages, and they are highly treatable, and there are real solutions that can help. On this episode of the Healthier You Podcast, Dr. Ashlee Williams welcomes Dr. Nwamaka Fadahunsi, a board-certified urologist at Kaiser Permanente, to discuss the causes of urinary incontinence and the many tools available to treat it. Dr. Fadahunsi explains the differences between stress and urge incontinence, debunks common myths, and offers practical guidance on what women can do at home. She also outlines the full range of treatment options, including physical therapy, medications, and outpatient procedures, helping women regain control and confidence without relying on pads or assuming surgery is the only answer. Learn more about Nwamaka Fadahunsi, MD
Today's Guest Deanna has an extensive 30 year background in healthcare and healthcare sales management. Deanna is the national sales manager for Seni, a premium brand of adult incontinence products. She and her Seni teammates are on a quest to shift the mindset in the United States from adult incontinence products being viewed as a disposable commodity to high performing incontinence products being viewed as a critical component to the continuum of care. https://seni-usa.com Deanna on LinkedIn About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices
Not sure where to start with bladder leaks? In this episode, I break down the first steps for tackling stress urinary incontinence, which is leaks that occur with coughing, sneezing, laughing, or exercise. You'll learn why pelvic floor strengthening is the gold standard, how to make sure you're doing Kegels correctly, and what over-the-counter options like vaginal weights, peri-trainers, urethral seals, and pessaries can do to help. Plus, I share the #1 technique that can stop leaks in their tracks. Free resources:Vagina CoachHow to stay dry - MyPFMTimeline:00:45 Introduction to Tackling Urinary Incontinence01:24 Understanding Stress Urinary Incontinence01:55 Pelvic Floor Strengthening Basics03:49 Advanced Pelvic Floor Strengthening Techniques05:56 Using Devices for Pelvic Floor Strengthening13:38 Exploring Over-the-Counter Devices15:49 Final Tips and Resources
Steve Bollinger is the Founder & CEO of Ovala, Inc. They are the creator of the Revive Reusable Bladder Support, a new solution for Stress Urinary Incontinence (SUI). Stress urinary incontinence occurs when physical activity or movement exerts pressure on the bladder, leading to urine leakage. SUI is common, and is estimated to occur in one out of three women. To learn more, check out the Revive website: https://userevive.com/
In this episode, we review the high-yield topic of Urinary Incontinence from the Renal section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Stress urinary incontinence is a condition that can affect up to 1 in 2 women at some stage in their lives. Experts say that for some women who are severely affected, the best treatment option can be vaginal mesh surgery, but this has been on pause in Ireland in 2018. Our reporter Una Kelly has been speaking to women affected.
Emily Lukacz, M.D., M.A.S. presents research from two national networks focused on female pelvic floor disorders. One project studies bladder health in over 3,000 women to identify factors that support wellness rather than disease. Another conducts large-scale clinical trials, including a randomized study comparing two minimally invasive treatments for stress urinary incontinence. Additional trials include the TULIP study, which evaluates postpartum urinary symptom treatments using an app-based device, physical therapy, or educational materials, and a new study testing prescribed physical activity after pelvic surgery. These studies emphasize patient-centered outcomes and generate data available for further research and analysis. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40769]
Emily Lukacz, M.D., M.A.S. presents research from two national networks focused on female pelvic floor disorders. One project studies bladder health in over 3,000 women to identify factors that support wellness rather than disease. Another conducts large-scale clinical trials, including a randomized study comparing two minimally invasive treatments for stress urinary incontinence. Additional trials include the TULIP study, which evaluates postpartum urinary symptom treatments using an app-based device, physical therapy, or educational materials, and a new study testing prescribed physical activity after pelvic surgery. These studies emphasize patient-centered outcomes and generate data available for further research and analysis. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40769]
Emily Lukacz, M.D., M.A.S. presents research from two national networks focused on female pelvic floor disorders. One project studies bladder health in over 3,000 women to identify factors that support wellness rather than disease. Another conducts large-scale clinical trials, including a randomized study comparing two minimally invasive treatments for stress urinary incontinence. Additional trials include the TULIP study, which evaluates postpartum urinary symptom treatments using an app-based device, physical therapy, or educational materials, and a new study testing prescribed physical activity after pelvic surgery. These studies emphasize patient-centered outcomes and generate data available for further research and analysis. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40769]
Emily Lukacz, M.D., M.A.S. presents research from two national networks focused on female pelvic floor disorders. One project studies bladder health in over 3,000 women to identify factors that support wellness rather than disease. Another conducts large-scale clinical trials, including a randomized study comparing two minimally invasive treatments for stress urinary incontinence. Additional trials include the TULIP study, which evaluates postpartum urinary symptom treatments using an app-based device, physical therapy, or educational materials, and a new study testing prescribed physical activity after pelvic surgery. These studies emphasize patient-centered outcomes and generate data available for further research and analysis. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40769]
Emily Lukacz, M.D., M.A.S. presents research from two national networks focused on female pelvic floor disorders. One project studies bladder health in over 3,000 women to identify factors that support wellness rather than disease. Another conducts large-scale clinical trials, including a randomized study comparing two minimally invasive treatments for stress urinary incontinence. Additional trials include the TULIP study, which evaluates postpartum urinary symptom treatments using an app-based device, physical therapy, or educational materials, and a new study testing prescribed physical activity after pelvic surgery. These studies emphasize patient-centered outcomes and generate data available for further research and analysis. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40769]
Emily Lukacz, M.D., M.A.S. presents research from two national networks focused on female pelvic floor disorders. One project studies bladder health in over 3,000 women to identify factors that support wellness rather than disease. Another conducts large-scale clinical trials, including a randomized study comparing two minimally invasive treatments for stress urinary incontinence. Additional trials include the TULIP study, which evaluates postpartum urinary symptom treatments using an app-based device, physical therapy, or educational materials, and a new study testing prescribed physical activity after pelvic surgery. These studies emphasize patient-centered outcomes and generate data available for further research and analysis. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40769]
Did you know that fighting the urge to pee could rewire your brain, and not in a good way? A neuro-urologist and pelvic reconstruction specialist explains. Read the full story on Health Lab.Episode TranscriptLinks for resources mentioned in the episode:Society of Urodynamics Female Pelvic Medicine and Urogenital Reconstruction patient resourcesAmerican Urological Association Urology Care FoundationBladder Training Modules for Urinary Incontinence, created and validated by Janis Miller, Ph.D., from University of MichiganFor more on this story and for others like it, visit the Health Lab website where you can subscribe to our Health Lab newsletters to receive the latest in health research and information to your inbox each week. Health Lab is a part of the Michigan Medicine Podcast Network, and is produced by the Michigan Medicine Department of Communication. You can listen to Health Lab wherever you get your podcasts.All Health Lab content including health news, best practices and research insights are for informational purposes only and are not a substitute for professional medical guidance. Always seek the advice of a health care provider for questions about your health and treatment options. Hosted on Acast. See acast.com/privacy for more information.
All Home Care Matters and our host, Lance A. Slatton were honored to welcome Kimberly Anderson Director of Business Development at UI Medical & QuickChange Wrap. About Kimberly Anderson: Kimberly Anderson is the Director of Business Development at UI Medical, makers of the QuickChange® Wrap—a urine management device for men. With over 20 years in the medical field, she spent the last eight traveling nationwide to educate healthcare providers on QuickChange, previously serving as UI Medical's Director of Clinical Education. Kimberly is passionate about restoring dignity for men with incontinence and supporting caregivers through education on alternatives to traditional devices, helping to prevent UTIs, dermatitis, and pressure injuries. About UI Medical & QuickChange Wrap: UI Medical LLC is a California-based company dedicated to improving the lives of less mobile individuals through innovative, easy-to-use solutions. We manufacture the QuickChange® Wrap, a Class I medical device designed specifically for men who are wheelchair users, bed-bound, or have unique incontinence needs. Proudly made in the USA, the QuickChange Wrap is available through major distributors like Medline Industries, as well as online retailers including Amazon and Walmart. Our patented design serves a distinct yet underserved population—approximately 15% of incontinent men—and we're committed to supporting both users and caregivers with a product that brings comfort, dignity, and convenience. UI Medical holds international patents and complies with CE and UKCA standards. We are registered in the U.S., EU, UK, Australia, and many other countries. Our ISO 13485–certified manufacturing facility in California ensures high-quality production and minimizes supply chain risks. A list of our institutional clients can be found on our website at www.quickchange.com. Connect with QuickChange Wrap: Official Website: https://www.QuickChange.com
Send us a textThis week on the Hotflash inc Podcast, I'm talking with board-certified pelvic floor physical therapist Dr Sara Reardon, aka The Vagina Whisperer. With 650,000 followers on Instagram and 8 million TikTok views, Sara has become a trusted source for breaking down pelvic floor health in a way that's clear, empowering and, yes, even fun.Her upcoming book, FLOORED: A Woman's Guide to Pelvic Floor Health at Every Age and Stage (out June 10 from HarperCollins Park Row), is an honest, comprehensive guide to the often-ignored foundation of our bodies. In our conversation, we get into how stress, childbirth, perimenopause and menopause affect the pelvic floor — and how we can take back our strength and vitality at every age.From the perils of peeing too fast to disappearing orgasms, Dr Sara brings science, compassion and truth to a topic most of us were never taught about.Episode highlights:Understanding Stress and Pelvic Floor TensionIntro to the Hot Flash Ink PodcastPelvic Floor 101: Anatomy and FunctionPelvic Floor Health During PerimenopauseThe Role of Hormones and StressSponsor shoutout: Has your doctor told you that you're too young for peri/menopause, but you know you just don't feel like yourself? You're not alone – perimenopause can start earlier than you think. That's why MenoLabs is here, to support you with a range of products and the information you need to confidently speak up and get the care you deserve. They also offer science-backed solutions like their best-seller, MenoFit, a probiotic designed to help relieve symptoms like hot flashes and night sweats and more – all while supporting your overall health and wellness. Don't settle for less during this season of your life. Visit Menolabs.com and get the support you need today! Hotflash inc listeners get 20% off with code: HOTFLASH20This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.Where to find Dr Sara Preorder FLOORED by Dr Sara Reardon (HarperCollins, June 10) Instagram: @the.vagina.whispererWebsite: thevagwhisperer.comTikTok: @thevaginawhispererHalfway To Dead, A Midlife Spiritual JourneyMidlife is freaking hard. Let's flip the script. Listen on: Apple Podcasts SpotifyJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information
Dr. Hoffman continues his conversation with Dr. Sara Reardon, author of "FLOORED: A Woman's Guide to Pelvic Floor Health at Every Age and Stage."
Understanding Pelvic Floor Health: Dr. Sarah Reardon, a board-certified pelvic floor physical therapist and author of "FLOORED: A Woman's Guide to Pelvic Floor Health at Every Age and Stage," delves into pelvic floor disorders, highlighting their prevalence, symptoms, and the importance of proper diagnosis and treatment. Dr. Reardon explains the anatomy and function of the pelvic floor, common misconceptions about Kegels, and the impact of life events such as childbirth and menopause. She also touches on the relevance of pelvic floor health for men, particularly in relation to prostatitis and other urinary issues. Practical advice on addressing these issues, including biofeedback, exercises, and lifestyle modifications, is provided. The episode emphasizes the need for greater awareness and proactive measures to prevent and treat pelvic floor dysfunction.
Program notes:0:40 Covid and flu vaccine1:40 More immunogenic response2:40 Female urinary incontinence treatment3:40 Mid urethral sling or botox4:40 Doesn't require surgery5:40 Combined therapy group6:10 Large language models and discharge summaries7:10 100 hospital encounters 8:10 Maybe provides a draft9:00 AI and diagnosing diabetic kidney disease10:01 Large number of retinal images to train11:01 Can actually see blood vessels12:29 End
Editor's Summary by Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, and Anne R. Cappola, MD, ScM, Senior Editor at JAMA, for articles published from May 3-9, 2025.
Send us a textIn this episode of MedStar Health DocTalk, host Debra Schindler tackles a topic that many women face but few discuss: urinary incontinence. With an estimated 25 million American women affected, it's time to break the silence. Joined by MedStar Health urogynecologist Dr. Abigail Davenport, they delve into the myths surrounding incontinence, the different types, and the various treatment options available. From urgency incontinence to stress urinary incontinence, Dr. Davenport provides invaluable insights into how lifestyle changes, physical therapy, and advanced therapies can help women regain control over their lives. Tune in to learn why this common issue shouldn't be a source of shame and how empowering conversations can lead to effective solutions.For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.
In this episode, I address the common questions I'm asked about the risk of urinary incontinence following surgery, specifically focusing on hysterectomy, prolapse repairs, and hip replacement. I discuss several key studies, including a 2000meta-analysis by Jeanette Brown and a 2023 paper in the American Journal of Obstetrics and Gynecology, which highlights the significant risks associated with these surgeries. I also provide tips on pelvic floor strengthening and the benefits of different surgical approaches to help minimize incontinence. I discuss how hip replacement surgery can have varying impacts on bladder function and the importance of a holistic view of the body's interconnectedness.https://pubmed.ncbi.nlm.nih.gov/10950229/https://www.nejm.org/doi/full/10.1056/NEJMoa054208https://pubmed.ncbi.nlm.nih.gov/24408744/https://pubmed.ncbi.nlm.nih.gov/36300551/Timeline:00:30 Introduction to Urinary Incontinence Risks00:59 Hysterectomy and Urinary Incontinence04:17 Prolapse Repairs and Bladder Leaking06:15 Hip Replacement and Bladder Function08:59 Conclusion and Key Takeaways
Strength isn't the key to fixing urinary incontinence.Welcome back to another episode from the Rising Vault—where we bring back some of our most impactful episodes to highlight The Missing Piece in common pelvic health conditions.Today, we're tackling urinary incontinence—and the one thing that's often overlooked:
This episode tackles a common concern: urinary incontinence after childbirth. This can affect about a third of women, so you're not alone. I dive into what you can do to minimize urinary leaks after your first delivery with insights from a major 2020 Cochrane Review. The big takeaway? Pelvic floor muscle training, like Kegels, can make a huge difference! I'll cover how to do these exercises, why they work, and the benefits they offer, including reducing the risk of severe tears during childbirth. I'll discuss risk factors such as multiple pregnancies, higher maternal weight, and age, as well as why maintaining a healthy weight and understanding your delivery options are essential. I also talk about how long recovery might take and what to expect. Importantly, if you're experiencing symptoms, there are strategies that can help. Join me for a friendly, informative chat about keeping those leaks at bay and feeling your best postpartum! https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007471.pub4/fullTimeline:00:28 Introduction and Podcast Series Overview 00:43 Understanding Urinary Incontinence Post-Delivery 01:03 Pelvic Floor Muscle Training: Evidence and Benefits 02:41 How Pelvic Floor Muscle Training Works 03:45 Theories Behind Pelvic Floor Muscle Training Benefits06:41 Risk Factors for Postpartum Urinary Incontinence 07:35 Prevention and Management Strategies 08:58 Post-Delivery Incontinence: What to Expect and Do 11:04 Conclusion and Key Takeaways
Dr Lizzie Moriarty, Consultant Geriatrician at King's Mill Hospital, Mansfield, takes us through all things related to urinary incontinence today.Here are links to the previous episode referenced on Anticholinergic Burden:SpotifyPodomaticApple PodcastsFollow us on Instagram!Join our Discord server or follow our podcast via our Linktree!
In the second part of our series on urinary incontinence, we explore the medical options available to improve its impact on daily life. From behavioral changes and medications to Botox treatments for overactive bladder, pessary usage, nerve stimulation, and even surgical options — we cover a range of effective solutions.Dr. Denise Poulos, a trusted expert with over 30 years of experience in the urogynecology field, shares insights from her extensive practice, having cared for thousands of women dealing with urinary incontinence. With her guidance, we learn that there are many treatment options out there to help manage and improve the condition.Check out Understanding Urinary Incontinence with Dr. Denise Poulos (Part 1)here To learn more about Dr. Denise Poulos and her practice, Women's Health Institute of Illinois, click here
Urinary incontinence is one of the most common yet least talked about issues affecting women's health. More than 1 in 3 women will experience an overactive bladder in their lifetime, and by the age of 70, that number jumps significantly. But here's the real question—does aging have to mean bladder issues? Or have we been misled into believing this is just “part of getting older”? In this episode, Shelley Craft sits down with Dr. Kelly Casperson to debunk the myths, break down the science, and—most importantly—explore real, effective solutions to improve bladder health at any age. What You'll Learn in This Episode:
How can we streamline the proper diagnosis and treatment of female urinary incontinence? The solution often lies in bridging comprehensive patient workup to pelvic floor physical therapy. Learn more in this BackTable OBGYN brief with Dr. Sarah Boyles and host Dr. Suzette Sutherland! Key topics include what to look for during a pelvic exam, the importance of external skin inspection, prolapse evaluation, urethra assessment, and pelvic floor muscle strength testing. The doctors also address effective treatment options, the necessity (or lack thereof) of specific diagnostic tests, the significant role of bladder diaries, and the benefits of pelvic floor physical therapy. Practical advice for behavioral management, therapy for stress and urgency incontinence, and the reasons for structured evaluation methodologies are also highlighted. TIMESTAMPS 00:00 - Introduction 00:30 - Conducting a Thorough Pelvic Exam 02:45 - Evaluating Pelvic Floor Muscle Strength 04:28 - Initial Diagnostic Workup 06:07 - The Role of Bladder Diaries 09:49 - Treatment Algorithms for Urinary Incontinence 15:03 - Conclusion CHECK OUT THE FULL EPISODE OBGYN Ep. 61: Evaluating Female Urinary Incontinence: Essential Steps for the Generalist https://www.backtable.com/shows/obgyn/podcasts/61/evaluating-female-urinary-incontinence-essential-steps-for-the-generalist
Val sits down with Dr. Poulos to tackle the often-overlooked topic of incontinence.Together, they explore what incontinence is, breaking down the difference between urge and stress incontinence, and offering a clear understanding of how they impact daily life. Dr. Poulos shares expert insights on the potential causes of incontinence, from lifestyle factors to medical conditions.This is part one of a series of two episodes on Incontinence.
In this episode, I dive into various non-surgical treatments for stress urinary incontinence. The show features clips from four different interviews. We start with Mandy Pulliam, CMO of Leva Health, who explains how their device assists in strengthening the pelvic floor. Next, Lauren Barker, CEO of Uresta, discusses her company's over-the-counter pessary. Allison Watkins, CEO of YoniFit, explains the benefits and study results of their prescription-only pessary. Finally, we hear from a woman named Jane, who shares her positive experience with a urethral bulking procedure known as Bulkamid. This comprehensive episode provides valuable insights and options for women dealing with stress urinary incontinence, offering them the tools to make informed decisions about their treatment options.Looking for more information on these episodes and treatments:S2E10:Leva Device with Mandy Pulliamhttps://www.buzzsprout.com/2112419/episodes/14690011S2E40: Uresta CEO Lauren Barker on the Transition to Over-the-Counter Availabilityhttps://www.buzzsprout.com/2112419/episodes/16185663S2E38: Innovating Women's Health: The Story Behind Yoni Fithttps://www.buzzsprout.com/2112419/episodes/16093774S2E13: Jane's Decision - The Urethral Bulking Procedurehttps://www.buzzsprout.com/2112419/episodes/14799586Timeline:00:28 Introduction to Stress Urinary Incontinence01:06 Overview of the Episode Structure02:21 Interview with Mandy Pulliam on Leva Health08:08 Interview with Lauren Barker on Uresta 113:17 Interview with Allison Watkins on YoniFit19:54 Personal Experience with Urethral Bulking28:07 Conclusion and Encouragement
Did you know that stress and anxiety can impact incontinence and overall pelvic health? Well listen up, ya'll! In this episode I'll guide you through the different types of incontinence, how pelvic floor muscles react to stress, and ways to regain control over your body. Plus, I'm sharing details on a special buy one, get one free sale on resources in my shop to support you on your pelvic health journey. Listen in to learn how to empower yourself with education and practical tools to improve your pelvic floor health and confidence! Let's get into it! BOSS OF MY BLADDER Workshop for Urinary Incontinence: https://www.vaginarehabdoctor.com/at-home-treatment-for-vaginismus/Our 8 Week 1 on 1 Programs for Vaginismus, Painful Sex, & Vulvodynia Resolution: https://www.vaginarehabdoctor.com/our-services/If you're tired of suffering with intimacy blocks or self esteem issues due to chronic sexual pain or vaginismus, I'd love to talk to see if we can help you overcome this inside our 8 week remote, 1 on 1 coaching program. To schedule a free call with me, just click here: :https://www.vaginarehabdoctor.com/our-services/ Or email me with any questions you have about our coaching program: janelle@vaginarehabdoctor.com Follow me on social media @vaginarehabdoctor Join my private email club: https://www.vaginarehabdoctor.com/join-my-private-pelvic-floor-email-club/ Produced by Light On Creative Productions
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-405 Overview: It's estimated that between 40%-60% of women report some degree of sexual dysfunction, which can have a significant impact on an individual's quality of life and personal relationships. Even though most clinicians understand the importance and relevance of female sexual dysfunction (FSD), they may not be aware of its prevalence, effective treatments, or how best to inquire about it. Join us as we discuss this condition, its impact on women, and evidence on effective treatments. Episode resource links: Cristine Homsi Jorge, Kari Bø, Camila Chiazuto Catai, Luiz Gustavo Oliveira Brito, Patricia Driusso, Merete Kolberg Tennfjord. Pelvic floor muscle training as treatment for female sexual dysfunction: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology. Volume 231, Issue 1, 2024,Pages 51-66.e1,ISSN 0002-9378, https://doi.org/10.1016/j.ajog.2024.01.001.(https://www.sciencedirect.com/science/article/pii/S0002937824000061) Davis, SR. Sexual dysfunction in women. New England Journal of Medicine. V 391. N 8; P 736-745. https://www.nejm.org/doi/full/10.1056/NEJMcp2313307 Johnson, Isabella MS; Thurman, Andrea Ries MD; Cornell, Katherine A. BS; Hatheway, Jessica MBA; Dart, Clint MS; Brainard, C. Paige MD; Friend, David R. PhD; Goldstein, Andrew MD. Preliminary Efficacy of Topical Sildenafil Cream for the Treatment of Female Sexual Arousal Disorder: A Randomized Controlled Trial. Obstetrics & Gynecology ():10.1097/AOG.0000000000005648, June 18, 2024. | DOI: 10.1097/AOG.0000000000005648 Kamrul-Hasan, A.B.M, Hannan, M A A, Muhammad S, M, Aalpona, Fatema, T Z, Nagendra, L., Selim, S, Dutta, D, D. Role of flibanserin in managing hypoactive sexual desire disorder in women: A systematic review and meta-analysis. Medicine 103(25):p e38592, June 21, 2024. | DOI: 10.1097/MD.0000000000038592 Yao H, Zhang X, Sun F, Tang G, Wu J, Zhou Z. The efficacy of intravaginal electrical stimulation (IVES) in treating female with urinary incontinence symptom from meta-analysis of nine randomized controlled trials. Front Neurol. 2022;13:933679. Published 2022 Sep 13. doi:10.3389/fneur.2022.933679 Huang H, Ding G, Li M, Deng Y, Cheng Y, Jin H.(2023) Menopause and stress urinary incontinence: The risk factors of stress urinary incontinence in perimenopausal and postmenopausal women. J Obstet Gynaecol Res. 49(10): 2509–2518. https://doi.org/10.1111/jog.15742 Tunn, R., Baessler, K., Knüpfer, S., & Hampel, C. (2023). Urinary Incontinence and Pelvic Organ Prolapse in Women. Deutsches Arzteblatt international, 120(5), 71–80. https://doi.org/10.3238/arztebl.m2022.0406 Guest: Susan Feeney, DNP, FNP-BC, NP-C, Jill M. Terrien, PhD, ANP-BC Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-405 Overview: It's estimated that between 40%-60% of women report some degree of sexual dysfunction, which can have a significant impact on an individual's quality of life and personal relationships. Even though most clinicians understand the importance and relevance of female sexual dysfunction (FSD), they may not be aware of its prevalence, effective treatments, or how best to inquire about it. Join us as we discuss this condition, its impact on women, and evidence on effective treatments. Episode resource links: Cristine Homsi Jorge, Kari Bø, Camila Chiazuto Catai, Luiz Gustavo Oliveira Brito, Patricia Driusso, Merete Kolberg Tennfjord. Pelvic floor muscle training as treatment for female sexual dysfunction: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology. Volume 231, Issue 1, 2024,Pages 51-66.e1,ISSN 0002-9378, https://doi.org/10.1016/j.ajog.2024.01.001.(https://www.sciencedirect.com/science/article/pii/S0002937824000061) Davis, SR. Sexual dysfunction in women. New England Journal of Medicine. V 391. N 8; P 736-745. https://www.nejm.org/doi/full/10.1056/NEJMcp2313307 Johnson, Isabella MS; Thurman, Andrea Ries MD; Cornell, Katherine A. BS; Hatheway, Jessica MBA; Dart, Clint MS; Brainard, C. Paige MD; Friend, David R. PhD; Goldstein, Andrew MD. Preliminary Efficacy of Topical Sildenafil Cream for the Treatment of Female Sexual Arousal Disorder: A Randomized Controlled Trial. Obstetrics & Gynecology ():10.1097/AOG.0000000000005648, June 18, 2024. | DOI: 10.1097/AOG.0000000000005648 Kamrul-Hasan, A.B.M, Hannan, M A A, Muhammad S, M, Aalpona, Fatema, T Z, Nagendra, L., Selim, S, Dutta, D, D. Role of flibanserin in managing hypoactive sexual desire disorder in women: A systematic review and meta-analysis. Medicine 103(25):p e38592, June 21, 2024. | DOI: 10.1097/MD.0000000000038592 Yao H, Zhang X, Sun F, Tang G, Wu J, Zhou Z. The efficacy of intravaginal electrical stimulation (IVES) in treating female with urinary incontinence symptom from meta-analysis of nine randomized controlled trials. Front Neurol. 2022;13:933679. Published 2022 Sep 13. doi:10.3389/fneur.2022.933679 Huang H, Ding G, Li M, Deng Y, Cheng Y, Jin H.(2023) Menopause and stress urinary incontinence: The risk factors of stress urinary incontinence in perimenopausal and postmenopausal women. J Obstet Gynaecol Res. 49(10): 2509–2518. https://doi.org/10.1111/jog.15742 Tunn, R., Baessler, K., Knüpfer, S., & Hampel, C. (2023). Urinary Incontinence and Pelvic Organ Prolapse in Women. Deutsches Arzteblatt international, 120(5), 71–80. https://doi.org/10.3238/arztebl.m2022.0406 Guest: Susan Feeney, DNP, FNP-BC, NP-C, Jill M. Terrien, PhD, ANP-BC Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com
Send us a textA super important topic on the Menu today! We're talking Urinary Incontinence. Approximately 30-50% of women over the age of 50 experience some form of urinary incontinence, a condition that tends to become more prevalent with age. Our guest, Dr. Briana Walton, aka - the "Vagina Whisperer" brings the facts on this condition. This podcast provides crucial information and can help all, whether you are experiencing this or someone you know - your mother, grandmother, favorite auntie, or whomever. Do kegels still help at our age? And did you know that there are apps to help you locate the nearest bathrooms on-the-go? 'So glad you're here! *************BIO: Briana Walton MD. I have been a specialist in Female Medicine and Pelvic Reconstructive Surgery for nearly 20 years.One thing I have learned, being on the giving and receiving end of medicine, is that we are continually changing. I chose this specialty because I enjoyed the spectrum of care provided over a woman's life time. And as I have seen my patients change and have changed myself, it has given me an appreciation for the mind, heart, and soul of a woman. As life evolves; having a baby, going through a divorce or surviving menopause, we begin to make choices about our care and appearance that we would never have considered in the past. Some of these choices are emotional and based on fear or concern about our medical health. However, many decisions we make are due to the natural phenomena that occur in a woman's body. These events push us to consider creating a new version of ourselves to address our intimate wellness. I would be happy and honored to help you ask critical questions, and begin to explore areas where you may not have had the courage to speak up. I have learned that women are hard on themselves and don't take time to take care of ourselves because we are always caring for others. I want to give women an opportunity to address their needs and their desires. At the Center for Feminine Wellness and Surgery, we will take the time to discover what's right for you and how to move forward in your renewal process. It's time for you to take the best care of YOU!https://briwaltonmd.com | https://www.instagram.com/briwaltonmd/ | https://www.instagram.com/thecfws/RESOURCES:https://www.hopkinsmedicine.org/health/conditions-and-diseases/urinary-incontinence/urinary-incontinence-in-women. https://www.webmd.com/a-to-z-guides/what-is-a-urogynecologist https://nafc.org/bSupport the showwww.linkedin.com/in/marqueetacurtishaynes www.agelessglamourgirls.com https://www.youtube.com/@agelessglamourgirls Instagram and Facebook: @agelessglamourgirlsFacebook: https://www.facebook.com/agelessglamourgirlsPrivate (AGG) FB Group: The Ageless Café: https://www.facebook.com/groups/theagelesscafeTikTok: @agelessglamourgirlsPodcast Producers: Purple Tulip Media, LLC and WEG Media Group, LLC
With Menopause Awareness Day around the corner, todays episode was the perfect opportunity to bring some essential attention to the often-overlooked topic of pelvic floor decline in menopause.Our pelvic organs and vaginal tissues contain a high Oestrogen receptor sites, and as we move into peri-menopause and menopause, the decline in Oestrogen can significantly impact these areas. This means that pelvic floor dysfunction becomes more common during this time and beyond.The statistics are alarming and they reflect the need for us to be better looking after our pelvic floors sooner rather than later. In this episode I share five key strategies to help prevent pelvic floor decline and maintain strength as we age, starting with getting to know all your pelvic floor muscles with my FREE Quick Guide fitfannyadams.com/quickguide Be sure to let me know if you found todays episode helpful... and please take a moment to rate and review this podcast, to help ensure it lands in the ears of those that need to hear it. Thank you for listening, and do connect with me @FitFannyAdamsor sarahjane@FItFannyAdams.com
Learn more about incontinence in aging women with Dr. Zhina Sadeghi, a leading urology expert. Listen to hear about her key findings comparing bladder function, structure, and gene activity between young and older female mice. Dr. Sadeghi explains the significance of weakened bladder strength, tissue changes, and gene activity in aging, shedding light on how these factors impact bladder health in women as they age. Tune in to learn what these discoveries mean for future treatments and improving bladder health.
Dr. Jessica Gingerich // #ICEPelvic // www.ptonice.com In today's episode of the PT on ICE Daily Show, ICE Pelvic faculty member Jessica Gingerich discusses common challenges in addressing stress urinary incontinence in patients. She highlights three key points that can aid practitioners in understanding and treating this condition effectively. The first point focuses on confirming whether the leakage is indeed urine, with tips on how to differentiate it from sweat or discharge. Dr. Gingerch suggests practical methods for patients to verify the source of the fluid, including using an over-the-counter medication that turns urine bright orange. Once established that the leakage is urine, she emphasizes the importance of detailing when these incidents occur to provide better care. Tune in for valuable insights that could transform your approach to treating stress urinary incontinence. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter!
Urinary incontinence, bladder, vaginal and pelvic floor issues are common in women of all ages and having children isn't a prerequisite. Pelvic floor therapy awareness is on the rise but it's not the only thing you can do to support your bladder, vaginal area and pelvic floor. My podcast guests today are nurse practitioner pals of mine from Tacoma, Washington. Shannon Keenan and Kara Scanlan from Empowered Med Spa are all about helping women thrive at any age. In this episode of The Health Fix Podcast I interview Shannon and Kara on the InMode radio frequency devices they are using to transform bladder, vaginal and pelvic floor health for women of all ages. What You'll Learn In This Episode: How radio frequency devices are helping women reduce bathroom visits, incontinence and prolapse Why using Forma V and V Tone postpartum can prevent pelvic and bladder issues How my back pain and stress incontinence vanished after 2 sessions with Forma V and V Tone Why less bathroom visits, less urgency, sleeping through the night, reduced pain and improved orgasms are a few of the things InMode radio frequence device clients are raving about Resources From The Show: Empowered Med Spa InMode Devices and Practitioner Listing
Episode 177: Urinary Incontinence in Older AdultsFuture Dr. Nguyen explains the evaluation and treatment of older adults with urinary incontinence. Dr. Arreaza adds insights into the conservative management of urinary incontinence.Written by Vy Nguyen, MSIV, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific-Northwest. Editing and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Definition of urinary incontinence. The International Continence Society (ICS) defines it as any involuntary urine leakage. Epidemiology of urinary incontinence. Data analysis from the National Health and Nutrition Examination Survey (NHANES) from 2015 to 2018 shows that more than 60% of adult women which is equivalent to around 78,000,000 females living in the United States experience urinary incontinence with 32.4% reporting symptoms monthly. More data analysis shows the strongest association with urinary incontinence include age greater than 70, prior vaginal delivery, and BMI of 40 or greater. Despite urinary incontinence commonly affecting the senior population, this medical condition can also affect the quality of life of younger adult females and males. On top of that, urinary incontinence is often underestimated due to the low report level for various reasons and the obtained data might not accurately reflect the true prevalent rate. Types and etiology.Urinary incontinence is divided into 5 categories: stress, urge, mixed, overflow, and functional. Stress urinary incontinence has the highest prevalence of 37.5% followed by mixed urinary incontinence at 31.3%, urgency at 22%, and unspecified urinary incontinence at 9.2%. Due to time constraints, we will discuss the most prevalent type which is stress urinary incontinence.In females, stress urinary incontinence is often due to urethral sphincter hypermobility caused by weakened pelvic floor muscles. It can also be caused by dysfunction of the sphincter muscle that is exacerbated by increased intraabdominal pressure from coughing, sneezing, or physical exertion. This type of incontinence is commonly seen in pregnant women, those who experienced childbirth, and young women active in sports. In males, the most common etiology for stress urinary incontinence in males is prostate surgery such as radical prostatectomy which can damage the external urethral sphincter. Another cause is spinal cord injury or disease that can interfere with sphincter function. Evaluation. Urinary incontinence is first evaluated by a thorough history taking that includes inquiries about the type, severity, burden, and duration of incontinence. The initial evaluation includes a voiding diary that can provide clarity and help distinguish between the different types of incontinence or identify the dominating type in the case of mixed incontinence. Examples of voiding diary can be found on the websites of International Urogynecological Association (IUGA). Medical conditions such as COPD and asthma can induce cough; heart failure can cause volume overload; neurological disorders and musculoskeletal conditions can interfere with bladder emptying and urinary retention and thus should also be investigated. It is also helpful to ask about medication and substance use as the adverse effects can directly or indirectly contribute to urinary incontinence. For our female-identifying patients, a gynecological and obstetrical history such as birth history (vaginal versus c-section), current pregnancy as well as low estrogen (menopause) can contribute to reversible urinary incontinence. Management. There are various treatment modalities for stress urinary incontinence ranging from conservative to more invasive surgical management. Conservative treatment: -Initial treatment includes pelvic floor strengthening exercises and bladder training with scheduled void. -Pelvic floor muscle training (PFMT) is very effective, and it is proven to help achieve cure and improve the quality of life in women with ALL types of urinary incontinence. -For stress urinary incontinence, the median cure rate is around 58.8% for women after 12 months and 78.8% for men at 6 months of supervised pelvic floor muscle training (PFMT). -Certain behavioral modifications such as fluid intake management (
Join Dr. Geo as he sits down with Dr. Valery Raup, a top urologist specializing in male sexual health, to uncover the pros and cons of erectile dysfunction treatments, particularly after prostate cancer. In this episode, they discuss everything from penile implants and urinary incontinence solutions to the importance of patient-centered care. Dr. Raup shares her expert insights on the latest advancements and what men need to know to make informed decisions about their sexual health. Whether you're exploring treatment options or want to stay informed, this episode offers valuable takeaways to help you live better with age.Key Points:Erectile dysfunction post-prostate cancer.Penile implants vs. other treatments.Managing urinary incontinence.Patient-centered decision-making.Latest advancements in male sexual health.Tune in for an informative and engaging discussion that could change your approach to prostate journey.----------------Thank you to our August SponsorsThis month on The Dr. Geo podcast, we're diving into a special four-part series on Male Sexual Health, and we are excited to introduce our sponsorBoston Scientific- [EDCure]- As a leader in innovative medical solutions, Boston Scientific is dedicated to improving patient health globally. Erectile Dysfunction (ED) affects one in five American men, even as young as 20 years old, but it's important to know that ED is treatable. From lifestyle changes and natural solutions to medical treatments like medications, vacuum devices, injections, and penile implants, there are various options available. Boston Scientific's AMS 700 Inflatable Penile Prosthesis is a long-term solution designed to mimic a natural erection, offering both functionality and a natural appearance. For more information on ED treatment options, click HERE for more information. Mr. Happy -This episode is also brought to you by Mr. Happy products-formulated by Dr. Geo Espinosa, these products address age-related health concerns like BPH and declining sexual health. By boosting nitric oxide levels and providing antioxidant support, Mr. Happy products help improve cardiovascular health, energy levels, cellular health, sexual health, mood, and stress levels. Experience the benefits of Mr. Happy products and visit > IamMrHappy.com ----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo's Health Community.Improve your urological health with Dr. Geo's formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition:
With contemporary treatment options, your female patients don't have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence. Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com. --- TIMESTAMPS 00:00 - Introduction 02:35 - The Women's Bladder Doctor Initiative 07:03 - Types of Urinary Incontinence 11:49 - Diagnostic Approaches to Urinary Incontinence 28:39 - Treatment Algorithms for Urinary Incontinence 31:12 - Bladder Retraining and Pelvic Floor Therapy 40:00 - Urethral Seals and Vaginal Pessaries 50:47 - Treatment for Urgency 57:51 - Future Directions --- RESOURCES Pearson Ravitz https://pearsonravitz.com/ The Women's Bladder Doctor https://thewomensbladderdoctor.com/
With contemporary treatment options, your female patients don't have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence. Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com. --- TIMESTAMPS 00:00 - Introduction 02:35 - The Women's Bladder Doctor Initiative 07:03 - Types of Urinary Incontinence 11:49 - Diagnostic Approaches to Urinary Incontinence 28:39 - Treatment Algorithms for Urinary Incontinence 31:12 - Bladder Retraining and Pelvic Floor Therapy 40:00 - Urethral Seals and Vaginal Pessaries 50:47 - Treatment for Urgency 57:51 - Future Directions --- RESOURCES Pearson Ravitz https://pearsonravitz.com/ The Women's Bladder Doctor https://thewomensbladderdoctor.com/
In this episode, we review the high-yield topic of Urinary Incontinence from the Renal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets
I have to start with the song. On our last podcast about urinary incontinence the song request was, “Let it go.” This time around several suggestions were raised. Eric suggested, “Even Flow,” by Pearl Jam. Someone else suggested, “Under Pressure,” but we've done it already. We settled on, “Oops…I did it again,” by Britney Spears. In some ways the song title captures part of the issue with urinary incontinence. If only we lived in a world in which much of urinary incontinence was viewed as a natural part of aging, the normal response wasn't embarrassment and shame, but rather an ordinary, “Oops…I did it again.” And if only we lived in a world in which this issue, which affects half of older women and a third of older men, received the research and attention it deserves. We shouldn't have therapeutic nihilism about those who seek treatment, yet urinary incontinence is woefully understudied relative to its frequency and impact, and as we talk about on the podcast, basic questions about urinary incontinence have yet to be addressed. I don't see those perspectives as incompatible. Today we talk with George Kuchel and Alison Huang about: Urinary incontinence as a geriatric syndrome and relationship to frailty, disability, and cognitive decline Assessment of incontinence: the importance of a 48 hour voiding diary, when to send a UA (only for acute changes) How the assessment leads naturally to therapeutic approaches Non-pharmacologic approaches including distraction, scheduled voiding, and pelvic floor therapy “Last ditch” pharmacologic treatments. Landmark studies by Neil Resnick and Joe Ouslander. Enjoy! -@AlexSmithMD