Urinary Incontinence And Vaginal Prolapse Specialist

James J. Bendell, MD, PhD -  - OBGYN

The Women's Center

James J. Bendell, MD, PhD

OBGYN located in Lagrange, GA

If you’re embarrassed by sudden leaks of urine or experience complications from vaginal prolapse, don’t delay a diagnostic evaluation at The Women’s Center. James Bendell, MD, PhD, offers the latest diagnostic technologies, including urodynamic studies on-site at the LaGrange, Georgia, office. In addition to conservative treatments to address urinary incontinence and vaginal prolapse, Dr. Bendell is highly experienced in minimally invasive and robot-assisted surgeries to provide you with long-term relief of your symptoms. Schedule a consultation to learn more about treatments available for urinary incontinence and vaginal prolapse by calling the office or requesting an appointment online now.

Urinary Incontinence and Vaginal Prolapse Q & A

What causes urinary incontinence?

Urinary incontinence is a condition that causes you to unexpectedly leak urine, especially when stress is put on your bladder. This is stress urinary incontinence (SUI) and occurs when you laugh, cough, or sneeze.

SUI develops due to a weakening of the pelvic muscles that support your bladder and is very common during and after pregnancy. Your risk factors for SUI also increase as you get older.

You can also develop urinary incontinence due to an overactive bladder, a condition where your bladder muscles spasm abnormally. This causes you to feel a sudden, urgent need to urinate even if you just went and can lead to frequent urine leaks.

What is vaginal prolapse?

Vaginal prolapse is a condition where your pelvic organs begin to move out of their normal position and fall down into the vaginal canal. In some cases, pelvic organs can even protrude from the vaginal opening.

Prolapse is possible when your pelvic muscles are no longer able to support these organs and hold them in the right places. As a result of vaginal prolapse, you may find it difficult to have sex or use the bathroom without discomfort or persistent pain.

How are urinary incontinence and vaginal prolapse diagnosed?

In most cases, Dr. Bendell at The Women’s Center can diagnose urinary incontinence after reviewing your symptoms. He performs a pelvic exam to evaluate the severity of your vaginal prolapse.

To help him understand the extent of your urinary issues, Dr. Bendell may request a urodynamics study, which can confirm stress incontinence or determine if your urine leaks are the result of an underlying health condition. This test measures your bladder function and urine output during several noninvasive tests.

You may also need a cystoscopy, an in-office procedure that involves the insertion of a slender tube with an attached camera into your urinary tract. The camera sends real-time images of your inner structures to a monitor that Dr. Bendell evaluates when diagnosing incontinence or prolapse.

What treatments are available for urinary incontinence and vaginal prolapse?

Initially, you may benefit from regular pelvic floor exercises that strengthen your pelvic muscles and can prevent vaginal prolapse. These exercises can also reduce the frequency of your urine leaks.

In advanced cases of incontinence and prolapse, Dr. Bendell may recommend surgery to repair or tighten muscles that support your bladder and other pelvic organs. He uses several minimally invasive techniques with laparoscopic and robot-assisted technology that require only small incisions to reposition your organs and potentially construct a sling to hold them in place.  

Options include:

  • Sacrocolpopexy 
  • Vaginal pessaries
  • Vaginal suspension surgery
  • Vaginal hysterectomy for prolapse

During your evaluation, Dr. Bendell customizes your treatment to your specific needs to ensure the best possible outcome. He continues to monitor your progress to ensure long-term pelvic organ and vaginal health.

Dr. Bendell also has treatments for urine leaks caused by an overactive bladder. He can recommend lifestyle and diet changes, bladder training, and medications to prevent frequent bladder spasms.

To learn more about your options for treating urinary incontinence and vaginal prolapse, call The Women’s Center or request a consultation online now.