A CONSERVATIVE PHILOSOPHY

Because our treatment philosophy is conservative, many of our patients are
successfully treated using only the following non-invasive treatment methods:

Computer-Assisted biofeedback
Bladder retraining
Behavior modification
Medications
Nerve Stimulation

More about non-surgical treatment — excerpts from our book,
The Incontinence Solution (Simon and Schuster, 2002)

When conservative methods of treatment are not satisfactory, we offer several
surgical alternatives, such as:

Injection of supportive materials under the bladder neck
Replacing sphincter muscles with prosthetics
Repairing weakened bladder supports
Laparoscopic and minimally invasive surgery for prolapse and incontinence.

More about surgical treatment — excerpts from our book,
The Incontinence Solution (Simon and Schuster, 2002)

NEW NON-SURGICAL THERAPIES IN INCONTINENCE
For patients with mild to moderate symptoms, or for those who are not surgical
candidates, there are several effective modalities of therapy which are provided
by our board certified and nationally recognized continence nurse practitioner.
These methods of treatment are effective in 70% of patients and include:

BIOFEEDBACK: Working with specialized equipment to facilitate pelvic floor
muscle training. This can be used in stress incontinence, urge incontinence,
mixed incontinence and urgency/frequency.

BLADDER TRAINING: A supervised program which, among with pelvic floor
strengthening, can improve frequency and urgency.

NEW MEDICATIONS: The growing demand for treatments for incontinence has
lead to the development of two new medications.

• DITROPAN XL is a formulation of a standard medication that can be taken
by mouth once a day and appears to be well tolerated.

• DETROL LA is a new medication for treatment of overactive bladder. It selectively
treats the bladder and, thus, causes fewer side effects, like dry mouth or
constipation. It is also taken by mouth once a day.

• OXYTROL A new patch form of medication for overactive bladder that appears
to have fewer side-effects than the oral forms. The patch is placed on the
abdomen or thighs and is changed twice a week