Incontinence and Voiding Dysfunction
Under the leadership of Neil Grafstein, MD, Director of Reconstructive Urology, Female Urology, and Voiding Dysfunction, Mount Sinai’s Department of Urology’s Continence team provides exceptional care for a broad spectrum of neurologic and non-neurologic voiding dysfunction disorders affecting both men and women.
According to the National Association for Continence, 25 million Americans suffer from overactive bladder and more than half experience severe and bothersome symptoms. Yet, two-thirds of men and women ages 30 to 70 have never discussed bladder health with their doctor. Men are less likely to be diagnosed than women (between 75 to 80 percent of those experiencing incontinence are women), but men are also less likely to talk about it with friends and family and are more likely to be uninformed.
There are effective treatments available for the various types of incontinence, including voiding dysfunction resulting from prostate cancer surgery. Dr. Grafstein was one of the first surgeons to perform an AdVance Sling implantation for men suffering from post-prostatectomy stress incontinence, and he is one of the few urologists in the country with advanced training in the reconstruction of the male urethra.
Women experience urinary incontinence more than twice as often as men. Pregnancy, childbirth, menopause, and the female anatomy account for this difference. In addition, women can be affected by the same neurological conditions that cause incontinence as men. Women can suffer from both stress or urge incontinence (or a combination of both, referred to as mixed incontinence). Read more
Neurogenic Bladder – Spinal Cord Injury
Neurogenic bladder is a condition in which a person lacks bladder control due to a brain, spinal cord, or nerve condition. Alzheimer’s disease, cerebral palsy, multiple sclerosis, damage from spinal cord injury, and recovery from stroke can cause neurogenic bladder as well as nerve disorders, such as diabetic or alcoholic neuropathy. Symptoms of neurogenic bladder can include frequency, urgency, and urinary retention. Read more
Almost half of men who undergo a radical prostatectomy experience incontinence after surgery. This is due to damage of the urinary sphincter muscle, which becomes too weak to function adequately. For most men, this condition resolves quickly (within six months), but for others it persists beyond a year. Fortunately, there are effective treatments available. Read more
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