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Urinary Incontinence Treatment in Brockton, MA

Diagnosis & Treatment of Urinary Incontinence. Visit Doctor Vikas Merchia, MD & Staff Today. We Look Forward to Treating You!

Urinary Incontinence Treatment Brockton MA

What is Urinary Incontinence?

Having urinary control relies on the intricate coordination of the muscle tissue of the bladder and urethra, skeletal muscle, voluntary inhibition and the autonomic nervous system. When the system is disturbed, urinary incontinence is the result.

Incontinence is classified into two basic groups, and can be caused by a number of factors, including diseases of an anatomical, pathological, or physiological manner. It can also be caused by diseases such as spinal bifida or multiple sclerosis, which are muscular innervation disorders.

The first classification group is known as acute and temporary incontinence, which is most often caused by the following:

  • Limited mobility
  • Childbirth
  • Injuries to the brain or spinal cord
  • Weak bladder or pelvic floor muscles
  • Vaginal prolapsed
  • Hormonal changes following menopause
  • Neurological disorders
  • Stress incontinence

The second is known as chronic incontinence, which is most often caused be the following:

  • Injuries to the brain or spinal cord
  • Weak bladder or pelvic floor muscles
  • UTI (Urinary Tract Infection)
  • Excessive consumption of caffeine or alcohol
  • Constipation
  • Vaginal prolapse
  • Hormonal changes following menopause
  • Interstitial cystitis
  • urge incontinence
  • Neurological disorders

Types of incontinence:

  • Stress – loss of bladder control upon sneezing, coughing, laughing, etc.
  • Urge – loss of urine with a feeling of urgency to do so. Also, involuntary contraction of the bladder occurs.
  • Mixed – a combination of the aforementioned two.
  • Overflow – the bladder never completely empties – it constantly drips urine.
  • Nocturnal enuresis – nighttime bed-wetting.


There are many treatments for incontinence. An examination of the urine may help identify causes and conditions. Specialized tests, such as urodynamic, endoscopic and imaging will provide more extensive evaluation and insight into further treatment. You may be asked to keep a diary for a period of time, keeping track of what you drink and when your body voids it. There are injections, medications, surgical and non-surgical treatments, and self-catheterization.

Incontinence may also be managed by making changes to your lifestyle. Your doctor may recommend you do Kegel exercises daily, integrate foods into your diet to avoid constipation, stop smoking, as nicotine can irritate the bladder, avoid overconsumption of certain types of medications, and forcing yourself to urinate only every three to six hours, which ‘retrains’ your bladder or on the opposite end of the spectrum, to practice a technique known as double voiding, in which you urinate, wait a few seconds and then urinate again.

What is Bowel or Fecal Incontinence?

Also known as fecal incontinence, bowel incontinence is the involuntary loss of bowel control. A number of following situations are considered fecal incontinence:

  • stool leaks out when passing gas
  • stool leaks out due to daily live exertions/physical activity
  • the feeling of having go, but not able to make it to th bathroom in time
  • stool is seen in the underwear after a normal bowel movement
  • complete loss of bowel control
  • Bowel incontinence is too often a problem that causes embarassment, keeping a person from finding out about treatment options. Bowel incontinence occurs in 7 percent of adults. It is more common in women than men, and prevalence raises with age as well (particularly after menopause).

Causes of Bowel Incontinence

A variety of causes are to blame for bowel incontinence, no matter how minor or severe. improper diet

  • vaginal delivery — obstetrical trauma, pudendal nerve injury
  • natural muscle weakening with age
  • anal surgery for another condition
  • radiation or chemotherapy
  • spinal cord injury
  • stroke
  • conditions associated with chronic diarrhea or constipation
  • systemic (whole body) disease such as diabetes or scleroderma

Treatment Options for Bowel Incontinence

Through our Advanced Continence Center, several visits working closely with a specially trained nurse practitioner can determine treatment options to improve bowel control. Comprehensive testing may be indicated to learn more about each patient’s specific needs, including anorectal manometry and ultrasound.

Treatment begins with behavioral modifications such as dietary and fluid modification, pelvic floor therapy, bowel habit retraining; pharmacotherapy, education and treatment. Medication and other treatment options, including Interstim, may also be recommended.

What is an Overactive Bladder?

Signs and symptoms include:

  • a strong and sudden urge to urinate
  • frequent urination, eight or more time in a day
  • getting up two or more times at night to go


  • dietary changes
  • medications
  • pelvic floor rehabilitation
  • tibial nerve stimulation
  • sacral nerve neuromodulation (Interstim)


830 Oak St #102w,
Brockton, MA 02301