The Urogynecology Center at VPFW

Urogynecologists Dr. Ramzi Aboujaoude and Dr. Boyd Clary have extensive training and experience in the evaluation and the treatment of patients with urinary incontinence ( leaky bladder) pelvic organ prolapse ( dropping of the vagina, uterus, cystocele, rectocele) and fecal incontinence.

Women’s Health A-Z

Urinary Incontinence

For many women, it’s common for the muscles that control holding and passing urine to weaken and change. When some women experience a leak, it is just a few drops. For others, it’s much more. And for all who experience it, urinary incontinence is a major concern.

Stress urinary incontinence, or leaky bladder, affects 1 in 3 women over age 45 and half of all women over age 65. The loss of urine typically occurs during activities that increase abdominal pressure, like exercising, sneezing, coughing, and laughing.

Pelvic floor disorders affect the set of muscles, ligaments, and connective tissue in the lowest part of the pelvis. Importantly, the pelvic floor supports a woman’s internal organs, including the bowel, bladder, uterus, vagina, and rectum. When these muscles tear or weaken, women may experience pain and urinary or bowel incontinence.

There are many causes of urinary incontinence. Childbirth and age can be factors as both may cause damage or deterioration to the supportive muscles and tissue around the bladder and pelvis. Women who have had hysterectomies may also experience damage to the pelvic floor, which can cause incontinence issues. A leaky bladder may also happen with pelvic prolapse.


  • Urine leaks with activities such as laughing, exercising, and sneezing
  • Sudden or frequent urge to urinate
  • Difficulty starting your urine stream
  • Frequent urinary tract infections
  • Feeling that you can’t completely empty your bladder, which may cause urine leaks

Urinary Incontinence Diagnosis & Treatment

Your urogynecologist may run several tests to check for the causes and type of urinary incontinence that you have. These test may include urinalysis, blood tests, ultrasound, physical examination, or urodynamics.

Treatment for urinary incontinence may vary based on the type and severity that you are experiencing, but it is important to note that relief is possible. Whether you need surgical intervention, or you can find relief with physical therapy, such as Kegel exercises, your provider will help find a solution that fits your needs.

We recognize that urinary incontinence can be a very uncomfortable topic to discuss and at times embarrassing. Together, we will focus on how to create a treatment that that best suits your personal goals.

I am fortunate to have helped so many women of all ages get back to their normal routines.

To schedule an appointment with a VPFW provider, you can call us at 804-897-2100 or set an appointment online.