URINARY LEAKAGE STINKS. WE CAN HELP

If you struggle with urinary leakage or urinary incontinence. WE CAN HELP. 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!

DON’T STRUGGLE WITH URINARY LEAKAGE OR INCONTINENCE

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.

I’M READY TO IMPROVE MY QUALITY OF LIFE

6 REASONS TO COME TO ADVANCED

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3 STEP JOURNEY TO SUCCESS

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.

TESTING

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

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.

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 IncontinenceThis 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.

I’M READY TO IMPROVE MY QUALITY OF LIFE

GENERAL TREATMENT OVERVIEW

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.

MEDICINES

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

MINOR PROCEDURES

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

I’M READY TO IMPROVE MY QUALITY OF LIFE

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.

Learn More – 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.

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.

MALE 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.

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.

Artificial Urinary Sphincter Implantation by Dr. Vishal Bhalani

Artificial Urinary Sphincter Implantation by Dr. Vishal Bhalani

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.

learn more – Advanced Nervestim

A WINNING TEAM COMMITTED TO YOU

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.

URINARY LEAKAGE DOCTORS

Vishal Bhalani M.D.
Vishal Bhalani M.D.Urologist / Urologic Surgeon
Dr. Bhalani specializes in General Urology, Robotic Surgery, BPH and OAB.
Chirag Dave M.D.
Chirag Dave M.D.Urologist / Urologic Surgeon
Dr. Dave specializes in Men’s Health, Infertility, Erectile Dysfunction, BPH and OAB.
Dhruti Patel M.D.
Dhruti Patel M.D.Urologist / Urologic Surgeon
Dr. Dhruti Patel specializes in Female Urology and Robotic Surgery.
Vik Sabarwal M.D.
Vik Sabarwal M.D.Urologist / Urologic Surgeon
Dr. Sabarwal specializes in Interstitial Cystitis, BPH, and OAB.
Jitesh Patel M.D.
Jitesh Patel M.D.Urologist / Urologic Surgeon
Dr. Patel specializes in Interstitial cystitis, BPH and OAB.
David Qi M.D.
David Qi M.D.Urologist / Urologic Surgeon
Dr. Qi specializes in Genitourinary reconstruction, female urology, erectile dysfunction, and Implant surgery.

URINARY LEAKAGE DOCTORS

Vishal Bhalani M.D.
Vishal Bhalani M.D.Urologist / Urologic Surgeon
Dr. Bhalani specializes in General Urology, Robotic Surgery, BPH and OAB.
Chirag Dave M.D.
Chirag Dave M.D.Urologist / Urologic Surgeon
Dr. Dave specializes in Men’s Health, Infertility, Erectile Dysfunction, BPH and OAB.
Dhruti Patel M.D.
Dhruti Patel M.D.Urologist / Urologic Surgeon
Dr. Dhruti Patel specializes in Female Urology and Robotic Surgery.
Vik Sabarwal M.D.
Vik Sabarwal M.D.Urologist / Urologic Surgeon
Dr. Sabarwal specializes in Interstitial Cystitis, BPH, and OAB.
Jitesh Patel M.D.
Jitesh Patel M.D.Urologist / Urologic Surgeon
Dr. Patel specializes in Interstitial cystitis, BPH and OAB.
David Qi M.D.
David Qi M.D.Urologist / Urologic Surgeon
Dr. Qi specializes in Genitourinary reconstruction, female urology, erectile dysfunction, and Implant surgery.