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Urinary Incontinence Treatment in Atlanta

Don't Struggle With Urinary Leakage

Fight cancer with the best team, amazing technology, & great outcomes

We have a proven proprietary algorithm to help reduce urinary leakage. This involves establishing your goals for treatment, root cause analysis, lifestyle modification, and minor surgery if needed in our state of the art surgery centers. We care, we listen, and we cure. Call today to see one of our experts!

We can restore urinary control. Urine leakage is detrimental to your health and quality of life. We can restore normalcy to your bladder. We are experts in urinary leakage and can fix the root cause. We can find a long term and permanent solution to improve your quality of life.

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Types Of Urinary Leakage

  1. Urge Incontinence - This is leakage caused by overactive bladder muscle or nerves. This leads to urinary urgency followed by uncontrollable leakage of urine. Many patients may also have urine leakage without prior urgency.
  2. Stress Incontinence - This is due to leakage from a weak sphincter. Typical symptoms include leakage with coughing, laughing, running, standing, or jumping.
  3. Overflow Incontinence - Overflow incontinence is from retention of urine. The bladder is so full urine is leaking out constantly. This may be due to bladder nerve dysfunction, muscle dysfunction, or constipation.
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3 Step Journey To Success

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Initial Visit

Our goal is to provide you personalized and innovative health care. We are professional, discreet, and empathetic. Our first visit in our clean, modern offices is to establish a relationship and understand your treatment goals. Meet us online or in person.
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Testing 

Urine is sent for urine culture to look bacteria. Imaging of the kidneys and bladder is performed via ultrasound.
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Minor Procedure

You are sedated through an IV in our surgery center. Our proprietary algorithm is performed to clean your bladder and improve your symptoms. The procedure typically takes 30 minutes and you are sent home the same day.
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Treatment Options

Advanced Interstim For Urge Incontinence

Advanced Nervestim is a proprietary technique utilizing Medtronic’s Sacral Nerve Stimulation (or Interstim) technology that provides the best outcomes with minimal side effects for urgency and urge incontinence.

This is similar to implanting a small pacemaker or nerve stimulator for the bladder. We utilize Advanced technology with 3D fluoroscopic mapping to precisely fix the root cause of overactive bladder. This targeted millimeter accuracy improves outcomes and minimizes side effects. Urologists from around the world come to Advanced to learn from our talented team.

Advanced Nervestim

Advanced Botox For Urge Incontinence

Advanced Botox is used for urge incontinence. Botox blocks nerve signals from reaching the bladder muscle and as a result it reduces urgency and urge incontinence. Botox is injected through an endoscope in the bladder every 6 months in any of our 9 Atlanta surgery centers. There are no cuts or incisions and the procedure typically takes about 10 minutes.
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Female Midurethral Slings For Stress Incontinence

Slings are used to treat stress incontinence. Slings can be autologous (your own body tissue) or mesh (synthetic). Slings provide instant relief from stress incontinence. They are generally performed through a tiny vaginal incision as an outpatient in our amazing state of the art surgery centers.

You are sent home the same day after a short 30 minute procedure. Your leakage is immediately fixed after the procedure.

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Male Midurethral Slings For Stress Incontinence

Male Slings are used to treat stress incontinence in men. Men generally only develop stress incontinence after surgery on the prostate or from radiation. Slings provide instant relief from stress incontinence.

They are generally performed through a small perineal incision as an outpatient in our amazing state of the art surgery centers. You are sent home the same day after a short 45 minute procedure. Generally a catheter is required for 3 to 5 days post procedure.

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Artificial Urinary Sphincter

Artificial sphincters are mechanical devices placed around the urethra to stop stress incontinence. They act similar to a blood pressure cuff around the urethra. Normally they stay closed (as your sphincter would) and when you release the valve the cuff relaxes and urine can flow out of the urethra.

Artificial sphincters are a great way to fix male stress incontinence. They are very rarely placed in females since female midurethral slings work so well.

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General Treatment Overview

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Lifestyle Changes

Lifestyle changes include a plant based diet, water (avoid coffee, tea, and soda), stress reduction (yoga and meditation), sleep improvement (treat sleep apnea and monitor REM sleep), exercise modification and weight loss.
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Medicines

Medications are sometimes an option for urge incontinence. They include oxybutynin, vesicare, and myrbetriq.
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Minor Procedures

Most procedures are done under sedation in our surgery center as an outpatient.

Overflow Incontinence & Urinary Retention

Urinary retention generally results from underactive bladder nerves or muscle. The short term solution is intermittent catheterization of the bladder. Patients are generally sent to rule out neurologic causes of urinary retention (inability to urinate or fully empty) to ensure no significant diseases are undiagnosed such as multiple sclerosis.

The best long term solution is a nerve stimulator with Advanced Nervestim to stimulate the bladder nerves and bladder muscle to contract.

Nerve Stimulation
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6 Reasons To Come To Advanced

Our award winning team will collaborate with you, your family, and the other providers involved in your care. The most important thing to know is that we are here for you.
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Care Navigators

We care about your experience and want to ensure a pleasant and pain free experience. Our care navigators will follow up with you to ensure the best experience and outcome.
Experience

More Experience

We have more experience with nerve stimulation, botox, and sling placement which results in better outcomes. Our personable doctors will tailor an individual treatment plan based on your unique needs.
Problem Solving

Advanced Techniques

Advanced Urology offers the latest with Advanced Nervestim and Advanced Botox. This precision allows for targeted millimeter accuracy, minimizing side effects.
Outcome

Best In Class Outcomes

We are the only Center of Excellence in the World. We continuously track quality measures and ensure the absolute best outcome. Results matter.
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Patient Education

We focus on educating you on your condition to ensure you are informed and engaged in your care.
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Expert Doctors

Our bladder specialists are board certified with Advanced training in bladder disease. This super-specialization leads to more experience, greater expertise, and a better outcome.