Women's Intimate Health
Involuntary urine leakage during activity, with urgency, or with everyday movement.
Physician-led assessment · individualized care · Vancouver clinic
Understanding Urinary Incontinence & Bladder Leakage
Maybe you cross your legs before a sneeze, skip the trampoline at your kid's birthday party, or always know where the nearest washroom is. Bladder leakage is incredibly common, and so many people put up with it quietly. You don't have to, because it's very treatable.
Leakage usually comes in two main types. Stress leakage happens with coughing, laughing, lifting or exercise. Urge leakage comes with a sudden need to go that's hard to put off. Lots of people have a bit of both. Knowing your type is what points to the right treatment, and we also check for things like infection, medication effects and bladder conditions first. From pelvic-floor rehabilitation onwards, there's a lot of well-established care that can help you feel confident again.
Causes and Contributing Factors
Incontinence is usually grouped into types with different causes. Stress incontinence, leakage with coughing, laughing, exercise or lifting, often relates to weakened pelvic-floor support, commonly after childbirth or with aging and lower estrogen. Urge incontinence, leakage with a sudden strong need to urinate, is typically linked to an overactive bladder. Many people have a mixed picture. Other contributors include urinary infections, constipation, certain medications, neurological conditions and, in some cases, restricted mobility. Knowing the type matters because treatments differ.
Signs and Symptoms
Assessment
At your consultation, we ask when and how leakage happens, how much you drink (including coffee and tea), your pregnancy and menopause history, medications and general health, and we may ask you to keep a short bladder diary. An examination of the pelvic floor and a urine test for infection or blood are common, and we may suggest pelvic-floor physiotherapy or further bladder testing. Together this shows whether your leakage is stress, urge or mixed, and we put together a private plan that fits your type of leakage, your daily routine and your budget.
Your consultation details, including any fee, are explained when you book.
Treatment Options
These are some of the options connected to this concern. The appropriate plan depends on assessment, suitability, and your goals.
Pelvic-floor physiotherapy is a well-established first step, especially for stress leakage, and bladder training plus small lifestyle changes (adjusting caffeine and fluids, easing constipation, managing weight) help many people. Depending on your type, bladder medications, treatment for menopause-related tissue changes or support devices may also be part of your plan. Reversible causes like infection are always treated first.
For selected patients, our Pink Intimate program may include the diVa vaginal laser or PRP. Pink Intimate treatments are provided by Paula, our Medical Department Manager, within our physician-led clinic under the medical direction of Dr. Gidon Frame, and PRP injections are performed by our experienced physicians. Evidence for device-based options for leakage is still developing, so we'll explain clearly where they might fit alongside the well-established care above.
For the fuller picture, explore the treatment pages above or discuss the options during a consultation.
Medical Assessment
Seek prompt medical assessment if leakage is accompanied by blood in the urine, pain, fever, or a sudden inability to urinate, or if it follows new neurological symptoms such as leg weakness, numbness or changes in bowel control, which need urgent assessment. Any new or rapidly worsening incontinence should also be assessed, as should incontinence that significantly affects daily life, since effective help is available.
Frequently Asked Questions
Yes. Stress incontinence is leakage with activity such as coughing or exercise, while urge incontinence is leakage with a sudden strong need to urinate, and many people have a mix. The type guides which treatments help, so we work it out with you at your consultation.
Often, yes. Pelvic-floor physiotherapy, bladder training and lifestyle changes help many people, particularly with stress or mixed symptoms. Medications and other options suit certain types, and surgery is usually considered only when it's suitable and other measures haven't been enough.
It's common, and it's also very treatable. Pelvic-floor and hormonal changes play a part, and many people do considerably better with the right care, so booking an assessment is well worth it.
Physician Assessment
An assessment can help clarify what may be contributing, which options may be appropriate, and what a reasonable next step could look like for you.
Visit Our Clinic
Anti-Aging Medical & Laser Clinic combines medical assessment, individualized planning, physician oversight, and a broad range of treatment options in its Vancouver clinic.
Bring your questions, treatment history, and goals. Your provider can help you understand appropriate options, expected recovery, and realistic outcomes.
Make an Appointment
Use our consultation form below and the clinic can guide you toward the appropriate starting point.
