Specialized Women's Urology
Women face unique urological challenges that require specialized expertise. From urinary incontinence to pelvic floor disorders, Dr. Russell P. Libby provides evidence-based, compassionate care.
Many women suffer in silence, believing bladder leaking or urgency is normal. It's not. Effective treatments exist, from simple lifestyle modifications to advanced surgical options. We'll work with you to find the right solution.
The Female Urological System
Bladder
Stores urine. Overactivity or weakness can cause urgency, frequency, or leaking.
Urethra
Tube through which urine exits. Shorter than in men, making infection risk higher.
Kidneys
Filter waste and produce urine. Infections or stones can affect kidney function.
Pelvic Floor
Muscle support for bladder and urethra. Weakness or dysfunction causes incontinence.
Common Women's Health Concerns
Leaking Urine
With coughing, laughing, sneezing, or exercise. Often due to pelvic floor weakness.
Sudden Urges
Sudden, uncontrollable need to urinate. Overactive bladder is highly treatable.
Frequent Bathroom Trips
Going more than 8 times daily or multiple times at night. Affects sleep and daily life.
Pain or Burning
Dysuria during urination. May indicate UTI or interstitial cystitis.
Pelvic Pressure
Heavy sensation in pelvis. May indicate pelvic organ prolapse or other structural issue.
Recurrent UTIs
Repeated infections disrupting quality of life. May require specialized evaluation.
Treatment Approach: From Conservative to Advanced
Tier 1: Lifestyle & Behavioral
- Pelvic floor physical therapy
- Bladder training
- Dietary modifications
- Fluid management
- Weight management
Tier 2: Medications
- Antimuscarinics for overactive bladder
- Beta-3 agonists
- Vaginal estrogen (for postmenopausal women)
- Antibiotics (for UTI)
- Pain management
Tier 3: Office Procedures
- Intravesical Botox for overactive bladder
- Percutaneous tibial nerve stimulation (PTNS)
- Bladder injection therapy
- Cystoscopy for diagnosis
- Urodynamic testing
Tier 4: Surgical Options
- Mid-urethral sling for stress incontinence
- Prolapse repair
- Bladder augmentation (rare)
- Sacral neuromodulation implant
- Robotic-assisted procedures
You Don't Have to Live with Bladder Problems
Dr. Libby works with you to find the right treatment plan for your specific condition.
Schedule Your Consultation