Stress Incontinence: Why Traditional Approaches May Fall Short

For many women, stress incontinence begins subtly—a small leak when sneezing, laughing, or exercising.

At first, it may seem like a minor inconvenience. However, over time, the episodes become more frequent and unpredictable, interfering with daily life and social activities.

Despite its prevalence, stress incontinence remains a topic many women hesitate to discuss, leading to frustration and feelings of isolation.

While conventional advice often attributes bladder leaks to weak pelvic floor muscles, this explanation does not fully address the issue.

Many women diligently perform pelvic floor exercises or invest in treatments without seeing meaningful improvement. That’s because the root cause of urinary incontinence is frequently more complex.

The Overlooked Factors in Bladder Leaks

Stress incontinence in women is often the result of multiple contributing factors, ranging from pelvic floor dysfunction to bladder instability, neurological conditions, and hormonal changes.

• Pelvic Floor Weakness
• Bladder Dysfunction
• Neurological Conditions
• Medications & Lifestyle
• Hormonal Changes
• Structural Issues

Because stress incontinence often has multiple underlying causes, an accurate diagnosis is key to effective treatment.

Why Traditional Approaches May Fall Short

Many women initially seek help from their gynecologist, who specializes in vaginal and reproductive health.

However, gynecologists do not have the advanced training required to fully evaluate and treat bladder-related conditions.

As a result, many women are advised to strengthen their pelvic floor or manage their symptoms rather than address the underlying structural issue.

A New Approach: The Specialized Expertise of Urogynecology

Urogynecologists have specialized training in Female Pelvic Medicine & Reconstructive Surgery, allowing them to diagnose and treat the full spectrum of conditions affecting the pelvic floor, vaginal wall, and bladder function.

Hi, I'm Dr. Elizabeth Kavaler, Medical Director at Total Urology Care of New York.

As a Board-Certified Urologist, Urogynecologist, and Surgeon. I’ve spent my career helping women find real, lasting solutions for stress incontinence, by understanding the integrated relationship between vaginal health and urinary control.

The good news is that stress incontinence can often be treated successfully without surgery or invasive procedures.

Many urinary incontinence treatments are often covered by insurance, but coverage varies depending on the plan and the specific treatment.

By addressing both vaginal and bladder health together, women can regain control, restore confidence, and return to daily activities without the constant worry of leaks.

If you’re struggling with bladder leaks, you don’t have to live with it. The first step to relief start with a consultation. Let’s find the right solution for you/

What To Expect During Your Initial Consultation:

1. First, I'll take time to really listen to the details of your urinary challenges.
2. I'll complete a thorough evaluation to understand the likely cause of your urinary incontinence.
3. We'll discuss which treatment options are best for your specific situation.
4. In rare cases, some women have other health related issues. If that happens to be you, then I promise to tell you and recommend another treatment option or specialist, if possible.

The initial consultation is a great way to get real answers and see how urogynecology can help address your stress incontinence.

OUR APPROACH

The culture of care at Total Urology Care of New York includes compassionate, evidence-based, and state-of-the-art medicine in our family-owned practice. We approach your unique situation with care to understand the underlying causes, before any recommendations are made.

BOOK TODAY

Click here to schedule your initial consultation and start your journey to stop stress incontinence.