What Is Women with Urinary Incontinence? The Answer Might Surprise You

By Dr. Ritha Belizaire

Quick Insights

Women with urinary incontinence experience involuntary leakage of urine due to weakened bladder control. This common condition affects nearly two out of every three women, often arising from factors like childbirth, aging, and medical conditions. Prompt medical evaluation improves long-term health and daily independence.

Key Takeaways

• Overflow incontinence in females involves bladder overfilling and often goes unrecognized until uncomfortable symptoms develop.
• During pregnancy, hormonal shifts and increased abdominal pressure raise the risk for incontinence.
• Early symptoms may include sudden urges, urine leakage with sneezing or activity, and interrupted sleep due to nighttime urination.
• Feelings of stigma or isolation often keep women from seeking timely treatment, delaying relief and recovery.

Why It Matters

Addressing women with urinary incontinence means more than managing urine leakage—it restores confidence, enables full participation in life, and relieves the stress of hiding symptoms. Awareness and timely care spare women unnecessary embarrassment, empower informed decisions, and safeguard overall well-being for years to come.

Introduction

As a board-certified colorectal surgeon, I've seen firsthand how women with urinary incontinence struggle with symptoms that disrupt both comfort and confidence.

Women with urinary incontinence experience involuntary leakage of urine—often the result of weakened bladder muscles, hormonal fluctuations, or the physical toll of childbirth and aging.

For so many in Houston, this diagnosis feels both medical and personal, affecting not just physical health but daily routines, social life, and self-esteem.

Nearly 62% of women will face this issue at some point, making it a common—though rarely discussed—condition. According to leading published research, prompt diagnosis and compassionate, specialty-driven care dramatically improve long-term independence and peace of mind.

Many women feel alone, but you're in good company—and there are proven, minimally invasive treatments that help you reclaim your life.

What Is Urinary Incontinence?

Urinary incontinence is the involuntary leakage of urine—meaning you can't always control when or how much you urinate. For women, this can show up as a sudden urge to go, leaking when you laugh or sneeze, or waking up at night to use the bathroom.

The International Continence Association defines it as any unintentional loss of urine, and it's more common than most people realize. In my surgical practice, I often see women of all ages who are surprised to learn just how many others share this experience.

There are several types, including stress incontinence (leakage with activity), urge incontinence (sudden, strong need to urinate), overflow incontinence (bladder overfills and leaks), and mixed incontinence (a combination of types). Each type has its own causes and treatment options, but all can impact daily life and confidence.

Prevalence and Types of Urinary Incontinence in Women

Urinary incontinence affects nearly 62% of women at some point, with stress and mixed types being the most common. According to research, stress incontinence accounts for about 37.5% of cases, while mixed incontinence makes up 31%. The risk increases with age, childbirth, and menopause.

From my perspective as a board-certified colorectal surgeon, accurate diagnosis is critical. Rectal prolapse can sometimes be misdiagnosed as hemorrhoids due to overlapping symptoms.

Women may experience pelvic floor disorders, such as rectocele, particularly after childbirth or pelvic surgeries. Different types of pelvic floor exercises are effective for older women, helping them maintain quality of life.

Overflow Incontinence in Females

Overflow incontinence (when the bladder overfills and leaks) is less common but often overlooked. Women may not notice symptoms until they experience frequent dribbling or a constant feeling of incomplete emptying.

I always remind patients that this type can be subtle—sometimes showing up as nighttime wetting or frequent small leaks. It's important to recognize these signs early, as untreated overflow incontinence may increase the risk of urinary tract infections.

Incontinence in Pregnancy

Pregnancy brings its own set of challenges. Hormonal changes and increased abdominal pressure can weaken the pelvic floor, making incontinence more likely. Many women notice leakage during the third trimester or after delivery.

I reassure my patients that this is common, but persistent symptoms after childbirth deserve attention. Pelvic floor exercises during and after pregnancy can help reduce the risk and severity of incontinence.

Emotional and Psychosocial Impact

Urinary incontinence isn't just a physical issue—it can take a real emotional toll. Many women feel embarrassed, isolated, or even ashamed, which often keeps them from seeking help.

Having treated hundreds of patients with fecal incontinence, I know that restoring bowel control goes beyond physical function—it's about giving patients their freedom and dignity back. I've had countless patients tell me they avoid social events, exercise, or even laughing too hard for fear of leaking.

This sense of isolation is powerful, but it's important to remember you're not alone. Research, like the one found here, shows that quality of life dramatically improves when women receive proper care and support. Addressing the emotional side is just as important as treating the physical symptoms.

In my practice, I make it a priority to create a safe, judgment-free space where women can talk openly about their experiences. Sometimes, just knowing that others share your struggles can be the first step toward relief.

Main Causes and Risk Factors in Women

Urinary incontinence can develop for many reasons, and understanding the root cause is key to finding the right solution. The most common culprits are weakened pelvic floor muscles, hormonal changes, and the physical effects of childbirth.

Age, Childbirth, and Hormones

Aging naturally leads to changes in muscle tone and hormone levels, especially after menopause. Childbirth—particularly vaginal deliveries—can stretch or injure the pelvic floor, making leakage more likely.

I often see women who notice symptoms worsen after multiple pregnancies or as they approach menopause. According to recent studies, these factors are the leading contributors to incontinence in women.

Lifestyle and Medical Conditions

Lifestyle choices and certain medical conditions can also play a role. Obesity, chronic coughing, diabetes, and even some medications can increase the risk. I always encourage my patients to look at the bigger picture—sometimes, small changes in daily habits can make a big difference.

Regular exercise, maintaining a healthy weight, and managing chronic conditions are all part of a comprehensive approach to prevention and management.

Symptoms and Diagnosis

Recognizing the symptoms of urinary incontinence is the first step toward getting help. Common signs include:

• Sudden, strong urges to urinate
• Leakage with coughing, sneezing, or activity
• Frequent urination, especially at night
• Feeling like you can't fully empty your bladder

If you notice any of these, it's time to talk to a physician. Diagnosis usually starts with a detailed history and physical exam. Diagnostic evaluations, such as urinalysis or urodynamic studies, can help identify the type and cause of incontinence.

Early diagnosis leads to better outcomes and helps tailor treatment to your specific needs. Improving the quality of incontinence care for women often begins with such personalized attention.

Self-Assessment and When to Seek Help

If you're leaking urine more than once a week, waking up at night to urinate, or avoiding activities you enjoy, it's time to see a physician. Don't wait for symptoms to become severe—early intervention makes a world of difference.

When to Seek Medical Attention

If you experience sudden, severe pelvic pain, blood in your urine, or can't urinate at all, contact a physician immediately. These may signal a more serious problem that needs urgent care.

Urinary Incontinence in Houston: Local Perspective

Living in Houston means access to world-class medical care, but I know that stigma and cultural barriers can still keep women from seeking help. In my practice, I see women from all backgrounds who have waited months—or even years—before reaching out. Research highlights that disparities in care exist, especially among minority and underserved populations.

That's why I offer same-day and next-day appointments, as well as virtual consultations, to make care as accessible as possible. Houston's diversity is a strength, but it also means we need to address unique challenges—like language barriers, transportation, and family responsibilities.

My goal is to provide compassionate, expert care that fits your life, no matter your background or schedule. Interventions to improve the quality of care are crucial in bridging these gaps.

Treatment Options for Women

There's no one-size-fits-all solution for urinary incontinence, but the good news is that effective treatments exist for every type and severity. I always start with the least invasive options and tailor the plan to each woman's needs and preferences.

Conservative Treatments

Conservative treatments are often the first step. These include:

• Pelvic floor muscle training (Kegel exercises)
• Bladder training (timed voiding)
• Lifestyle changes (weight loss, fluid management)
• Biofeedback and electrical stimulation

Research shows that biofeedback electrical stimulation is especially effective for stress urinary incontinence, often outperforming other conservative therapies. In my experience, combining pelvic floor exercises with biofeedback gives many women significant relief without surgery.

Advanced and Surgical Options

If conservative measures aren't enough, advanced treatments are available. These include:

• Medications (oral or topical)
• Minimally invasive procedures (bulking agents, sling surgery)
• OnabotulinumtoxinA injections (for urgency or mixed incontinence)
• Sacral nerve stimulation (a device that helps control bladder function)

Guidelines recommend tailoring these options to each patient's symptoms and goals. I offer in-office procedures with options to enhance patient comfort, and for women with overactive bladder or urge incontinence, sacral neuromodulation can improve quality of life.

Studies show that both onabotulinumtoxinA injections and sling surgery are effective for mixed urinary incontinence, with no significant difference in outcomes. My approach is always to prioritize comfort, dignity, and the fastest possible return to normal life. Consensus guidelines support these diverse options to ensure comprehensive care tailored to each patient.

If you are considering advanced treatment options like Axonics sacral neuromodulation for fecal incontinence, be assured that it is a cutting-edge solution that promises significant improvement in quality of life.

How Dr. Ritha Belizaire Helps Women with Incontinence

As a dual board-certified colorectal and general surgeon, I bring a unique perspective to treating urinary incontinence. My focus is on compassionate, patient-centered care—whether you need conservative management, advanced procedures, or just a safe space to talk about your symptoms.

I offer same-day and next-day appointments at Houston Community Surgical, as well as virtual second opinions for those outside the area. My approach includes everything from pelvic floor therapy to sacral nerve stimulator trials, and I'm committed to finding the right solution for each woman.

I believe that every patient deserves to feel comfortable, confident, and cared for—no matter how sensitive the issue. If you're ready to take the next step, I'm here to help you reclaim your life.

What Our Patients Say on Google

Patient experiences are at the heart of everything I do—there's nothing more rewarding than hearing how compassionate care makes a difference.

I recently received feedback that captures what we aim to provide for every woman who walks through our doors. This review from Sarah highlights the importance of trust, skill, and genuine connection in the treatment journey:

"Dr Belizaire is awesome. I recommend her 100% because of her excellent bedside manner, operative skills, and experience. She is also just a top notch human being. Thank you for taking care of me, Dr Belizaire!!!" — Sarah

You can Read this Houston patient's review on Google.

Stories like Sarah's remind me why it's so important to create a safe, welcoming space for women with urinary incontinence—because every patient deserves to feel heard, respected, and cared for.

Women with Urinary Incontinence Care in Houston

If you're a woman in Houston dealing with urinary incontinence, you're not alone—and you have access to some of the most advanced care in the country right here in our city.

Houston's vibrant, diverse community means I see women from all walks of life, each with unique challenges and needs. The city's fast pace, cultural diversity, and sometimes overwhelming schedules can make it tough to prioritize your own health, especially when symptoms feel embarrassing or isolating.

That's why I offer same-day and next-day appointments, as well as virtual consultations, to make expert care accessible no matter your background or daily demands.

At Houston Community Surgical, I'm committed to providing personalized, minimally invasive solutions for women with urinary incontinence. Whether you're navigating postpartum changes, menopause, or simply want to regain confidence in your daily life, you'll find support and expertise tailored to Houston's unique needs.

If you're ready to take the next step, schedule a same-day consultation in Houston—or visit www.2ndscope.com for a virtual second opinion, wherever you are.

Conclusion

Women with urinary incontinence deserve more than just a quick fix—they deserve understanding, dignity, and real solutions. In summary, this condition is common, but it doesn't have to control your life. With the right diagnosis and a personalized treatment plan, you can regain comfort and confidence.

As a board-certified general and colorectal surgeon, I specialize in advanced therapies like sacral neuromodulation, minimally invasive procedures, and in-office treatments under nitrous oxide for those who feel anxious. My approach is always compassionate, focused on restoring your quality of life and helping you feel at ease—even when discussing sensitive topics.

If you're ready to stop missing out on life's moments, call 832-979-5670 for a same-day or next-day appointment in Houston. Not local? I also offer virtual second opinions at www.2ndscope.com—so expert help is always within reach. Don't let embarrassment or uncertainty keep you from the care you deserve.

Stay informed by subscribing to my colorectal health newsletter for regular updates on managing urinary incontinence and maintaining pelvic health.

This article is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment options. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.

Frequently Asked Questions

What are the best treatments for women with urinary incontinence?

The most effective treatments depend on the type and severity of incontinence. Many women benefit from pelvic floor muscle training, biofeedback, or electrical stimulation. For more complex cases, options like onabotulinumtoxinA injections or sling surgery are available. These therapies are supported by clinical research and can significantly improve daily comfort and confidence.

Where can I find specialized care for urinary incontinence in Houston?

You can find expert care for urinary incontinence at my practice, Houston Community Surgical. I offer same-day and next-day appointments, as well as virtual consultations for those outside Houston. My focus is on compassionate, minimally invasive solutions tailored to your needs, so you can get back to living life without worry.

How do you help patients feel comfortable discussing sensitive symptoms?

I understand that talking about urinary incontinence can feel awkward or embarrassing. My goal is to create a safe, judgment-free space where you can share your concerns openly. I use clear explanations, gentle exams, and offer in-office procedures with options to enhance patient comfort to help you feel as comfortable and supported as possible.