Involuntary loss of urine is socially embarrasing and debilitating.  Choose carefully a practitioner who will carefully workup the problem and counsel you on the (range of) solution(s) specifically designed to fit your needs.

Incontinence may be secondary to bladder spasms, low hormone levels, loss of pelvic support, "funneling" of the bladder neck, overflow from an improperly emptying bladder, etc.

In addition to being a careful diagnostitian, Dr. Goodman specializes in the two most up-to-date and cutting edge treatments not available in most other urology or GYN offices.

I.  The Athena^™ Pelvic Muscle Trainer

Featuring wireless technology, the Athena Pelvic Muscle Trainer represents a major breakthrough in the non-invasive treatment of urinary incontinence in women.

Much more than a biofeedback device, this easy-to-use comfortable small pelvic floor muscle trainer has dual-mode settings to treat stress, urge and mixed incontinence situations.

To find out MUCH more, click here:  www.athenaft.com

II.

In office procedure to lessen urinary incontinence by stabilizing the bladder neck.

III. The SURx^™ Treatment for Genuine Stress Incontinence

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Genuine Stress Incontinence: 

a medical term describing spontaneous urine leakage when sudden pressure ("stress") is placed on the bladder.

The sudden pressure is typically caused by a cough, laugh, sneeze, or strenuous physical activity (such as lifting, jumping or climbing stairs).

Who has it?

Women of all ages--from teenagers to seniors.  As many as 4 out of 10 women are afflicted with some degree of stress incontinence.

Symptoms range from mild to moderate to severe.  Regardless of the severity of your symptoms, your condition is treatable.

What is causing the problem:

The supporting tissue in your pelvic floor may have become stretched and lax.

Lax tissue is unable to stop urine flow under sudden pressure.

How is the procedure performed?

Under a short general anesthetic, an incision is made in the upper vagina, beneath the urethra going ~1-2 inches towards the top of the vagina (don't worry!  It will not upset your "G- spot").  We then "burrow" underneath the vaginal skin upwards and towards the upper sides of the vagina under the bladder, exposing the "endopelvic fascia," or "vesico-vaginal fascia."  It is this layer which hes become stretched, allowing the bladder to "sag" and incontinence to occur (and also loosening the vagina.)

Utilizing Radiofrequency Wave ("RF") Energy, through a sculpted-tip "wand" attached to a generator, a generous area of this loosened fascia is "treated" with RF energy, specially "heating" the tissue and, essentially, "SHRINK-WRAPPING" it, tightening and strengthening the "weave."  The same proceedure is continued in other areas of the upper vagina in "Vaginal Rejuvenation" proceedures.

Benefits are almost immediate.  Statistical success rates from the proceedure are ~ 80-90% cure rate after 1 year, remaining in the 75-80% success range after 5-7 years, comparing very favorably with far more risky and invasive incontinence proceedures.

What are the treatment options and how do they compare?

What happens after the procedure?