Central Maine Medical Center
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300 Main Street, Lewiston, ME 04240 | 207-795-0111
Women's Health - For everyday in a woman's life...

Bladder Control Center

CMMC Offers Comprehensive Services at Bladder Control Center

Bladder control problems are more common among Americans than Alzheimer's disease or osteoporosis. Women are twice as likely as men to experience them.

Bladder control conditions cause quality-of-life issues. Even though urinary incontinence is fairly common, many people are reluctant to seek help because of embarrassment. They may also be unaware that effective treatment is available.

As a result, people with bladder control problems may be afraid to socialize because they fear venturing too far from a bathroom. Others are forced to limit physical activities. People lose sleep or experience unpleasant, even painful, symptoms. Common urinary complaints include:

  • Leakage of urine with exercise, laughter, sneezing, coughing, etc. This is known as stress urinary incontinence.
  • The need to hurry to the bathroom after feeling the urge to urinate. This is called urgency/urge incontinence.
  • Chronic urinary tract infections
  • Post-prostatectomy incontinence
  • Urinary retention (the inability to void)
  • Difficulty voiding
  • Painful urination
  • Frequent urination during the daytime (voiding more than seven times per day)
  • Frequent nighttime urination
  • The inability to start the stream of urination
  • Straining in order to urinate
Women with -- and without -- voiding dysfunction may also have a variety of pelvic anatomical problems. They include:
  • Cystocele: When the bladder drops into the vaginal canal
  • Rectocele: When the rectum drops into the vaginal canal
  • Enterocele: When the small bowel drops into the vaginal canal
  • Uterine prolapse: When the uterus drops into the vaginal canal
  • Vaginal vault prolapse: When the uterus has been removed and the cuff of the vagina drops into the vaginal canal.
Diagnostic tests include:
  • Physical and neurologic examination of the pelvic area
  • Cystoscopy: looking inside the bladder
  • Urethroscopy: looking inside the water channel (urethra)
  • Urodynamic testing: bladder function testing, as well as electromyography of the muscles around the water channel
  • Bladder instillations: Used to help in diagnosing interstitial cystitis
Treatment options include:
  • Biofeedback
  • Collagen injections
  • Pubovaginal slings/TVT/TOT
  • Neuromodulation
  • Pelvic reconstructive procedures to correct prolapse and other anatomical defects
FMI: Call the Bladder Control Center at 207-795-2121 or toll-free at 1-877-836-3900.

The compassionate and skilled medical professionals at the Bladder Control Center look forward to helping you improve your quality of life.

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