Urethral Anatomy

Urinary Incontinence


Dr. Stepp believes that women should not have to live with urinary incontinence.

Overactive Bladder

Patients with overactive bladder may benefit from behavior modification, pelvic floor physical therapy, biofeedback, exercises or medications. Dr. Stepp has a team of certified nurse practitioners/physicians assistants specializing in incontinence and pelvic floor therapy. In difficult cases, minimally invasive procedures such as bladder Botox injections or neuromodulation with Interstim therapy can help.

Stress Urinary Incontinence

Stress incontinence, often caused by pelvic trauma during pregnancy and childbirth, is a common issue. The primary treatment is pelvic floor physical therapy and exercises since medications aren't very effective. However, an injection therapy called Bulkamid offers effective results lasting at least 7 years.

After completing childbirth, many women can undergo a quick outpatient procedure involving a sling to support the urethra and control continence muscles. These procedures, requiring 15 minutes or less, are well-tolerated with high success rates. Patients can typically resume normal activities within two weeks. Developed in the 1990s, studies show that over 90% of patients remain satisfied with their slings.