Urinary Problems
Incontinence
Urinary incontinence is extremely common in women and may result from childbirth, pelvic floor weakness, hormonal changes, aging, or prior surgeries. We carefully differentiate between:
Types of Incontinence
- Stress Incontinence – leakage with coughing, laughing, activity
- Urge Incontinence – sudden urge followed by leakage
- Mixed Incontinence – combination of stress + urge
Treatment Options
- Pelvic floor physical therapy
- Behavioral and bladder training
- Medications for urgency leakage
- Urethral bulking agents
- Pessary fitting
- Mid-urethral sling surgery
- Neuromodulation for refractory urgency
Every care plan is personalized to each woman’s anatomy and goals.
Overactive Bladder (OAB)
Overactive bladder causes urinary urgency, frequency, and strong uncontrollable urges—sometimes with incontinence. It can significantly impact confidence, daily activity, and sleep.
Our Tiered OAB Treatment Approach
- Lifestyle modifications and fluid timing
- Pelvic floor physical therapy
- Bladder medications
- Botox® bladder injections
Neuromodulation Expertise
For women with persistent, refractory symptoms, we offer Sacral Neuromodulation (InterStim®).
RoMIUS Urology is recognized as a Medtronic Center of Excellence for InterStim therapy, reflecting our high level of experience, surgical volume, and exceptional outcomes with neuromodulation.
This advanced therapy offers long-term bladder control for women whose symptoms have not responded to traditional treatments.
Nighttime Urination (Nocturia)
Nocturia disrupts sleep and overall well-being. Common causes include bladder irritation, overactive bladder, hormonal changes, fluid imbalance, and sleep apnea.
Evaluation includes bladder scans, urine testing, lifestyle assessment, and optional sleep or hormonal evaluation.
Treatment blends behavioral strategies, pelvic therapy, medications, and bladder-targeted interventions to reduce nighttime awakenings and restore restorative sleep.
Chronic Catheter Management
Some women require catheter support due to retention, neurologic conditions, bladder dysfunction, or surgical recovery.
RoMIUS Urology provides comprehensive catheter care, including:
- Foley catheter management
- Suprapubic catheter care and placement
- Intermittent self-catheterization training
- Regular catheter changes
- Skin and infection prevention guidance
- Evaluation for catheter-free alternatives
We focus on maximizing comfort, minimizing infections, and restoring independence.
Incontinence Management (Advanced Options)
For women with more severe or persistent leakage, we provide the full range of modern, minimally invasive interventions:
- Pelvic floor therapy
- Medications for urgency
- Neuromodulation (InterStim®)
- Mid-urethral sling surgery
- Urethral bulking procedures
Our objective is to restore confidence, comfort, and long-term bladder control.
Why Women Trust RoMIUS Urology
- Specialized expertise in female urinary disorders
- Gentle, thorough evaluation
- Strong integration with pelvic floor therapy
- Minimally invasive surgical options
- Recognized Center of Excellence for Medtronic InterStim neuromodulation
- Personalized, supportive care
- Long-term follow-up and symptom monitoring
