Center for Urogynecology and Advanced Laparoscopic Surgery
Rafael J. Perez, MD, FACOG
Urogynecologist & Advanced Laparoscopic Surgeon located in South Miami, FL
Incontinence is a source of discomfort and embarrassment to many women, but there are treatments that can help. As a leading Urogynecologist in South Miami, FL, Dr. Rafael Perez is skilled in the treatment of incontinence, using advanced approaches for patients at the Center for Urogynecology and Advanced Laparoscopic Surgery.
Why does incontinence occur?
Both urinary and bowel incontinence typically occur when the pelvic floor muscles become damaged or weakened over time, often as a result of multiple pregnancies, vaginal childbirth, obesity, or age- and hormone-related changes. Smoking can also increase the chances of developing incontinence, and women who have had hysterectomies or some other types of pelvic surgery can also be at an increased risk. Sometimes, incontinence can be caused by traumatic injury or by conditions that affect the nerves and muscles, like multiple sclerosis.
What are the types of urinary incontinence?
Urinary incontinence is usually divided into three primary types:
- stress incontinence that results in leakage when sneezing, laughing, coughing, or performing strenuous physical activities like exercise or sexual intercourse
- urge incontinence that causes women to feel the urge to urinate very often (also called overactive bladder)
- mixed incontinence that's a combination of both stress and urge incontinence
How is incontinence diagnosed?
Diagnosis of incontinence involves determining the type of incontinence that's occurring as well as the underlying cause of symptoms. The diagnostic process begins with a complete medical history to look for risk factors for incontinence followed by blood tests and diagnostic imaging using ultrasound, CT scans or similar procedures to evaluate the structure and function of the bladder and other structures. Minimally-invasive diagnostic evaluations also may be performed to assess the structure of the bladder, how well the bladder retains urine, how much fluid the bladder can hold, the strength of the bladder muscles, and other factors that can cause or contribute to incontinence.
What treatments are available for incontinence?
Once accepted as part of the “natural” course of aging, today there are state-of-the-art methods to treat urinary incontinence so women feel more comfortable and more confident. Medications can be helpful in mild to moderate incontinence, especially if combined with pelvic floor muscle exercises. When conservative approaches aren't enough, minimally-invasive surgery including highly-accurate robot-assisted da Vinci® surgery can be performed to repair or strengthen muscles and other structures to reduce or eliminate incontinence symptoms. The approach used will depend on the cause of incontinence and other factors.
We accept most major insurance plans. If you have questions about your elegibility or coverage, please call our office. We are happy to help you.
Words from our patients
"Excellent. Loved him and his staff, he spent almost 30 minutes talking to me about my medical history and how we were going to proceed."
"Dr. Perez is the best. He remains on point with his responsibilities, he cares for his patients, and asks various questions and listens well."
"He's professional, well mannered. His staff is great! All very sweet and offer exceptional service. I'm glad that I have FINALLY found a good doctor that CARES!"
"He has delivered both of my children via C-section and helped me through an ectopic pregnancy. He gives all your possible options and allows you to make the decisions"
"I have been going to Dr. Perez for about 7 years and he is a excellent Doctor. The office nurse is very friendly and reassuring."
"I have recommended him to all my friends and he excels in specialized cases if you have complicated issues."
"He is an amazing doctor, he is super nice and does a thorough, detail assessment on all his new patients."
"I have now been with Dr. Perez for 9 years. He is easy to talk to and always has a professional demeanor and has a smile on his face."
"My first experience with the doctor was extremely helpful, the doctor answered all my questions and took his time with me."