Continence Center
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Understanding Bladder Problems


The Myths of Bladder Function:


Myth: Incontinence (bladder leaking) is a consequence of normal aging.

Fact: The risk for developing incontinence rises with age but it is not a normal consequence of aging. If your bladder is leaking it is a sign of a physical condition that may respond to treatment.


Myth: After having babies, women leak some urine with a cough, sneeze, or when exercising.

Fact: Not all women who have had babies experience this problem. Not only do women have this problem, but men can also experience incontinence.


Myth: There isn't much that can be done about bladder leakage except to wear a pad or diaper.

Fact: Many nonsurgical and surgical remedies exist to treat incontinence. Depending on the incontinence cause, it can often be cured. All types of incontinence can be improved with the proper individual diagnosis and treatment.


There are more than 10 million men, women, and children of all ages in this country who experience loss of bladder control. Because it is embarrassing, people often suffer in silence, limit physical/social activities and companionship. For some, living with an incontinence problem takes over their lives.


Approximately 15 to 30 percent of older people living at home and at least one-half of all nursing home residents experience urinary incontinence. The psychological, social, and financial burden of urinary incontinence is enormous.

Services:

The Continence Center is dedicated to the diagnosis and management of urinary incontinence. We are here to assist you.

Types of Incontinence:

Stress Incontinence: The leakage of urine during exercise, coughing, sneezing, laughing, lifting heavy objects, or other physical movements that put pressure on the bladder.

Urge Incontinence: The inability to hold urine long enough to reach a toilet. Frequency (going to the toilet every hour) and fear of urine loss can accompany this type of incontinence.

Overflow Incontinence: The leakage of small amounts of urine from the bladder because it is always full. There may or may not be periods of dryness.

Functional Incontinence: Occurs in people who have normal urine control but may have difficulty reaching a toilet in time because of arthritis or other crippling disorders.


Treatment and Management:

If you are experiencing any of the above problems, investigation and treatment of the underlying cause can result in a return to normal activities and independence. Approximately 90% of incontinence patients show improvement from nonsurgical means such as medication, re-education and/or behavioral changes.


What does an Incontinence Investigation include?

An investigation includes a complete review of urological history, urination habits and patterns, that include:

  • A history of the problem
  • A review of all medications
  • A focused physical examination
  • Special studies that reproduce urine storage and emptying from the bladder
  • Special studies of the pelvic floor muscles
  • Urine and blood studies
Who is involved in the Incontinence Evaluation?

The assessment is conducted by an Advanced Practice Registered Nurse with a special interest in incontinence diagnosis and management.

The HealthCare Midwest Continence Center is supervised by a team of urologists, physicians who have received advanced training in the diagnosis and treatment of conditions affecting the urinary system.

 

Providers:

Sue Creager, APRN, CS.

Donna Pennington, APRN, BC

Contact Us:

601 John St Suite M283
Kalamazoo, MI 49007

General Phone: 269-488-2191
Fax: 269-488-8313
Insurance/Billing: 269-343-8800

Office Hours:

Monday - Friday: 8:00am to 12:00pm and 1:00pm to 5:00pm

Emergent on-call service available 24 hours a day by HealthCare Midwest Urology

Insurance:

Our office participates with a variety of insurance carriers. Since these arrangements change from time to time, we will review our participation status at the time of your registration appointment. If you have a question about pre-authorization, please contact your insurance carrier prior to your appointment.

You must bring your insurance card(s) to each appointment to help us provide the most efficient and trouble-free processing of your claim. If you are not insured, we request payment at the time of service.

If your insurance changes, please be sure to notify us as soon as possible. Having accurate information enables us to contact you promptly and submit claims accurately.

HealthCare Midwest has many physicians and service locations. For your convenience you will receive one statement for all HealthCare Midwest services. Any payment made after the time of service will be applied to your oldest balance.

Emergencies:

If you have an emergency that requires immediate attention, call 911, or proceed directly to the hospital emergency room.

If you call our office for emergency problems after regular business hours or on holidays, you will be given an opportunity to speak to our message center. The operator will ask you a few questions and will contact the physician on call.

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