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Incontinence Specialist

S. Adam Ramin, MD

Urologist & Urological Oncologist located in Century City, Los Angeles, CA

The unexpected loss of urine (incontinence) can be embarrassing and often signals an underlying problem that needs medical attention. S. Adam Ramin, MD, is a board-certified urologist and surgeon with a busy practice in the Century City neighborhood of Los Angeles. He provides expert care for problems that cause urinary incontinence in a welcoming environment that makes it easy to discuss even this frustrating condition. To receive treatment for your urinary incontinence, schedule a visit with Dr. Ramin. Call the office or make your appointment online.

Incontinence Q & A

What is urinary incontinence?

Urinary incontinence describes a loss of bladder control that causes unexpected urinary leakage. You may occasionally leak urine when you cough or sneeze, or you may have a sudden urge to urinate that's so strong you can’t reach the toilet in time. Urinary incontinence is not a disease. Rather, it’s a symptom of an underlying medical condition.

What are the symptoms of urinary incontinence?

There are several types of urinary incontinence and each has unique symptoms, including:

  • Stress incontinence: loss of urine when you cough, sneeze, laugh, exercise, or otherwise engage in activity that puts pressure on your bladder
  • Urge incontinence: an intense urge to urinate that’s followed by an involuntary loss of urine
  • Overflow incontinence: frequent or constant dribbling of urine due to a bladder that doesn't empty completely
  • Functional incontinence: happens when a physical or mental impairment prevents you from reaching the toilet in time, such as arthritis that makes it hard to unfasten your pants quickly
  • Mixed incontinence: occurs when you experience more than one type of incontinence

What causes incontinence?

Underlying causes of incontinence can range from urinary tract infections to structural changes due to a shift in the position (prolapse) of pelvic organs. For men, incontinence might be due to prostatic enlargement. Women might experience incontinence due to changes associated with menopause.

Other common causes include:

  • The natural aging process, which can cause weakening of bladder muscles
  • Muscle spasms affecting the bladder, which also increase in frequency and intensity as you age
  • Nerve and muscle damage related to childbirth and vaginal delivery
  • Obesity, especially carrying excess weight in the abdomen that puts additional stress on the bladder
  • Neurological disorders, including stroke or spinal injury, that interfere with nerve signals associated with bladder control

Certain foods, beverages, and medications can also act as diuretics and stimulate increased urine production.

What is the treatment for urinary incontinence?

Treatment for urinary incontinence depends on the issue causing your symptoms. Dr. Ramin may recommend changes in your diet, medications to treat an infection, or surgery to repair stretched and weakened pelvic floor muscles.

He might also recommend BotoxⓇ injections to relax overactive bladder muscles responsible for the loss of bladder control.

Regardless of the cause of your urinary incontinence, Dr. Ramin has the medical expertise and skills required for an accurate diagnosis and effective treatment. Schedule a visit today.