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September 2011: Can a 15 Minute Outpatient Procedure Cure Your Urinary Incontinence?

31 Aug 2011

Dr. Charles Feinstein is a fellowship-trained urologist and urogynecologist at Weiss Memorial Hospital. His clinical specialty is treatment of urinary incontinence in women. Additional areas of expertise include rehabilitation of the female pelvic floor, erectile dysfunction and laser prostate treatments for men, and laser liposuction.

Charles Feinstein, M.D.
Weiss Memorial Hospital
(847) 291-9058

Thirty million women in the United States suffer from urinary incontinence, the involuntary loss of bladder control causing leakage of urine. They wet their underwear, and soak through their clothes on a daily basis.

Causes of urinary incontinence
Several medical conditions can increase a woman’s risk of developing incontinence, such as multiple pregnancies, hysterectomy, obesity and age. Another common cause of incontinence is the "overactive bladder,” which is loss of bladder control following a strong urge to urinate—that feeling of gotta go, gotta go, gotta go RIGHT NOW.

Millions of women have been treated with medicines for the overactive bladder, but often without success, because their problem was not correctly diagnosed, or their condition is a combination of problems happening simultaneously.

Urinary incontinence: a big problem
Many women wear absorbent pads and adult diapers because of urinary incontinence. It affects women across all ages, cultures and socio-economic backgrounds. Most people think urinary incontinence is a problem of senior citizens—those in their seventies and eighties. Not true. All of my patients are between the ages of 25 and 60 years old.

Think urinary incontinence is a small problem? The amount of money spent in the U.S. every year on panty liners and adult diapers for urinary incontinence comes to six billion dollars. Absorbent pads and adult diapers take up at least one full aisle at every drug store in the U.S. Movie star Whoopi Goldberg endorses panty liners for urinary incontinence in television commercials.

And if you still think urinary incontinence isn’t a big deal, consider this: Urinary incontinence is the leading cause of the elderly being put into nursing homes.

Evaluating and curing incontinence
Many women with incontinence have never met with a specialist to evaluate their condition. And, what they don’t know is that they can possibly be treated and cured with a simple 15-minute procedure known as TOT (Trans Obtorator Tape). These women don’t even realize incontinence is a treatable condition, because their doctors give them wrong or outdated advice: “Incontinence has no cure,” “You just have to learn to live with it,” “That’s the price you pay for having children!”

Obviously, such advice is nonsense. Especially, since in many cases, incontinence can be easily repaired in 15 minutes.

To find out if your incontinence is the type that can be treated with the 15-minute procedure, please proceed to our website at and take the Five Minute Test.

After completing this simple test, you will be able to determine which type of incontinence you have, and the best approach for the problem. Print out the Five Minute Test in its entirety and bring it to our office in the medical office building connected to Weiss Memorial Hospital, and we will go over it together in order to decide which therapeutic regimen is best for your type of urinary incontinence.

For more information
If you would like more information about treating and curing urinary incontinence, or would like an appointment, please call Dr. Feinstein’s office at (847) 291-9058.