Urinary Incontinence Specialist

Michelle Starke, MD

Gynecologist & Functional Medicine Specialist located in Coral Gables, FL

One out of every three women suffers from urinary incontinence, a condition that many people don’t talk about, even with their gynecologist. Dr. Michelle Starke effectively treats urinary incontinence, often without medication or surgery, through the use of pelvic floor muscle rehabilitation. To learn more about your treatment options for urinary incontinence, call the office in Coral Gables, Florida or book an appointment online.

Urinary Incontinence

What causes urinary incontinence?

Urinary incontinence occurs when you accidentally lose control of your bladder and leak urine. You can temporarily develop urinary incontinence when you have a urinary tract infection or from some foods, beverages, and medications.

However, when urinary incontinence is persistent, there may be a problem in the nerves that control your bladder or your pelvic floor muscles, which support the bladder and control the flow of urine.

What are the types of urinary incontinence?

You may have one or a combination of the three primary types of urinary incontinence:

Stress incontinence

Urine leaks when pressure is placed on your bladder, usually due to coughing, laughing, and sneezing. Stress incontinence also occurs when you lift a heavy object.

Urge incontinence or overactive bladder

If you have this type of incontinence, you experience frequent and powerful urges to urinate that makes it difficult to get to the bathroom in time.

Overflow incontinence

When your bladder doesn’t empty properly, it can quickly get too full, forcing urine to leak out even when you don’t feel like you need to use the bathroom.

What is pelvic floor muscle rehabilitation?

Although medications, urethral inserts, pessaries, and surgical intervention are all possible treatments for urinary incontinence, Dr. Starke helps 70-80% of women overcome the problem with pelvic floor muscle rehabilitation (PFMR).

Like other muscles in your body, you can strengthen and retrain your pelvic floor muscles, which support the bladder and control the flow of urine.

PFMR is especially beneficial for stress incontinence and urge incontinence. Other health conditions that improve from PFMR include:

  • Urinary frequency
  • Frequent night urination
  • Fecal incontinence
  • Painful sexual intercourse
  • Inability to have an orgasm
  • Constipation

PFMR combines treatment in the office with home exercises. Pelvic floor stimulation is done in the office using a vaginal or rectal sensor to deliver a mild electrical current that contracts the pelvic floor muscles.

You’ll have one session weekly for about 6-8 sessions. Most women notice an improvement after the first 3-4 sessions.

Don’t continue to suffer from urinary incontinence when effective treatment is available: Call Dr. Starke or use online booking to schedule an appointment.