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Dr. Elias Mualin | Gynecologist | Miami
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Urinary Incontinence Treatment Miami
  Urinary Incontinence Treatment Miami
View facts about Urinary Incontinence

Urinary Incontinence is a very common condition. It occurs in as many as one out of four women over forty years old. However it can be successfully treated and or cured in most cases. This uncomfortable condition can be easily corrected.  On the patients in which surgery is recommended, this can be done in our office or at an outpatient center with a minimally invasive surgical approach.

Take the Incontinence Quiz

Do you know the signs of urinary incontinence?

  • Do you lose urine when you cough, sneeze, laugh, lift, jump or run?
  • Do you have to hurry to the bathroom to empty your bladder when it's full?
  • Do you sometimes have difficulty making it to the bathroom in time?
  • Do you find it necessary to use some kind of protection, i.e. pads, panty liners, diapers, etc?
  • Do the sight and sound of running water cause you to lose urine?

At our institute patients are evaluated only by our board certified gynecologist, who is proficient in the latest treatments for urinary incontinence Elias Mualin M.D., F.A.C.O.G.. Dr Mualin has treated a very large number of patients with excellent results. He is experienced in the latest surgical procedures for the treatment of stress urinary incontinence including the mini arc, the transoburator tape- T.O.T. and the tension free vaginal tape.

For the treatment of stress urinary incontinence the mini arc and transoburator approach to placement of a sling have proven extremely effective. In addition to a speedy recovery, risk is minimized with these techniques. The patient can see results immediately after the surgery. The surgery as mentioned before can be performed in office or at an outpatient surgical center with minimal postoperative pain. The surgery can also be combined with other procedures. At our center the transoburator - T.O.T. sling and the mini arc have an efficacy of 90% in cure rate.

The mini arc is the most recent and least invasive technique available to date with an impressive cure rate. Insurances ordinarily cover this completely. In the event you do not have insurance you can have this done in office under local for as little as $ per month for those who qualify.

Urinary Incontinence Facts

Urinary Incontinence in Women

  • 25 million Americans suffer from urinary incontinence.
  • 1 in 4 women experience incontinence in their lifetime.
  • 80% of those affected are women.
  • 2/3 of women with incontinence fail to tell their doctors about urine loss.
  • The right doctor using the right treatments can solve your problem.

Possible Consequences of Urinary Incontinence

  • Psychological symptoms such as insecurity, anger, guilt, shame or embarrassment.
  • Loss of self confidence or self-esteem.
  • Reduction in social activities.

Risk Factors

  • Childbirth
  • Menopause
  • Smoking
  • Obesity

Helpful Questions

  • Do you leak urine when you cough, sneeze or laugh?
  • Do you ever have a strong urge to urinate or that if you do not reach the toilet you will leak?
  • How many times do you void during the night?
  • Have you wet the bed in the past year?
  • Do you find it necessary to wear a pad because of your leaking?
  • Do you develop an urgent need to urinate when you are under stress, nervous or in a hurry?

Urinary Diary

  • Patient is instructed to record volume and frequency of fluid intake and or voiding, usually for a 3 day period.
  • Incontinence episodes are noted.
  • Helps determine bladder capacity and whether there is excessive fluid intake.
  • Objectively evaluates the effectiveness of any therapy.

Physical Examination

  • Gynecologic exam.
  • Neurologic exam.


  • Urodynamic test that measures pressure and volume relationship of the bladder.
  • Assesses bladder compliance, sensation and stability.
  • To help determine the type of incontinence.

Treatment Options

  • Dietary change.
  • Kegel exercises.
    • Developed in 1948 by Arnold Kegel.
    • After appropriate training, most women learn to contract the pelvic muscles correctly.
    • Daily exercises essential in recovery of pelvic muscles.
  • Medications.
  • Bladder training and behavioral modification.
  • Biofeedback/Electrical simulation.
  • Surgery.


  • Avoid caffeine.
  • Avoid alcohol.
  • Avoid spicy foods.
  • Avoid carbonated beverages.


  • Primarily used in the treatment of urge incontinence.

Bladder Training

  • To manage urge and stress incontinence.
  • Patient education and scheduled voiding.
  • Voiding schedule is derived from urinary diary.
  • Progressively longer voiding intervals.

Biofeedback and Electrical Stimulation

  • The patient actively learns to: 
    • Quickly recruit the correct muscle group.
    • Isolate the pelvic floor musculature.
    • Increase the endurance and strength of pelvic floor muscle contraction.

Electrical Stimulation

  • Delivered via a sensor to induce pelvic floor contraction.
  • Frequency delivered depends upon the type of incontinence.
  • Pain free procedure.

Biofeedback and Electrical Stimulation Treatments

  • Once a week for 6-8 weeks.
  • 30 minute sessions.
  • Monitor progress.
  • Home exercise programs.


  • Indicated for stress incontinence.
  • 90% cure rate.
  • Outpatient procedure.
  • Short recovery period.

Urinary Incontinence

  • Not a normal result of aging.
  • Affects the quality of life of millions of women in the United States today.
  • Treatments available with extremely high cure rates.
  • Non-surgical methods available.



Facts provided by the Laser Vaginal Institute of South Florida.

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