Stress Urinary Incontinence Specialist
Dr. Daniel Stone, MD FACOG
Urogynecologist located in Phoenix, AZ
Dr. Daniel Stone, MD is one of the leading experts in the surgical and non-surgical management of urinary incontinence including stress urinary incontinence. Dr. Stone can diagnosis and provides management options for stress urinary incontinence to patients in the Phoenix, Scottsdale and surrounding Arizona areas.
Stress Urinary Incontinence (SUI) Q & A
What is Stress Urinary Incontinence (SUI)?
Stress urinary incontinence is urinary leakage that occurs during an increase in abdominal pressure. Typically this occurs during laughing, coughing, sneezing or exercising. This is in contrast to Urge urinary incontinence, which is leakage of urine associated with a sense of urgency.
How common is stress urinary incontinence?
This condition affects approximately one in three women over 45 years old.
What are the risk factors and causes for stress urinary incontinence?
The most common causes of stress urinary incontinence include:
- Pregnancy, labor, or childbirth
- Chronic cough
- Constipation and straining
- Repetitive heavy lifting
How is stress urinary incontinence diagnosed?
There are several different kinds of urine leakage. An evaluation that includes a detailed history and physical exam will help Dr. Stone diagnose this problem and rule out other problems that could be influencing the bladder including bladder prolapse or cystocele which is a type of pelvic organ prolapse, and urinary tract infections.
Additional tests may include:
- Urine analysis to check for urinary tract infection and blood in your urine
- Ultrasound of the bladder to check how much urine remains in your bladder
- Urodynamic testing to get more information regarding your urethra and bladder.
What are the conservative treatments for stress urinary incontinence?
- Keep your bladder empty by urinating every 2 hours.
- Maintain your weight in a normal range and lose weight if you are overweight.
- Quit smoking.
- Treat constipation.
- Treat any condition that causes a chronic cough.
- Avoid activities that cause leakage.
Pelvic Floor Physical Therapy: Most women find that doing pelvic floor muscle exercises (Kegels) help improve symptoms. There are several techniques that can be used to maximize the effects of the exercises including using a specialized pelvic floor physical therapist, using vaginal weights, or using specialized instruments that deliver a light electrical stimulation to engage these muscles. It may take 3-6 months of regular pelvic floor exercises to see a difference.
Vaginal Support devices: There are two types of devices that can be used to reduce urinary leakage. Both of these devices should push the urethra close to help control leakage. Some women wear a pessary only when they exercise. Others leave it in all the time.
- A pessary is a silicone device inserted into the vagina. It looks similar to a diaphragm. Pessaries for Stress Urinary Incontinence have a special knob that fits under the urethra and prevents leakage.
- Poise Impressa is a disposable device that is also inserted into the vagina.
Urethral Bulking (macroplastique): This is an office procedure where a substance is injected in the urethra to "bulk up" the walls of the urethra and helps the urethra stay closed. It is a low-risk procedure and is active immediately, but it tends to wear off after 1-2 years and the injections need to be repeated. Dr. Stone typically reserves this for patients that would like to avoid surgery, aren't good surgical candidates or are still planning on future pregnancies.
What are the surgical treatments of stress urinary incontinence?
Surgery addresses the weakened support around the urethra. There are several different surgeries that Dr. Stone performs including mid-urethral slings, Burch Procedures, and pubovaginal (fascial) slings. Surgery is typically low risk and very successful.
Major Insurance Providers Accepted
We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.
Phoenix, Arizona 85016-1302
Office Hours: Monday-Friday from 8 AM – 5 PM
Main: (602) 788-1521
Fax: (602) 688-5420
Conveniently located just off Highway 51 on Maryland Avenue just East of 16TH Street between East Bethany Home Road and East Glendale Avenue.