Urinary symptoms include difficulty urinating, urinating too frequently, urinary leakage, and needing to wake up from sleep to urinate. These symptoms are common and can lead to social anxiety, decreased quality of life and even health problems.
Some urinary issues are unique to men (such as an enlarged prostate) and others are unique to women (such as pelvic organ prolapse). However, both men and women may experience problems with the bladder (such as OAB) or problems with the pelvic floor or urethra. Nearly all patients with urinary dysfunction can find relief, but in severe cases, patients may need to try one or more therapies before the optimal treatment is identified. At MetroWest Urology we aim to get to the root cause of your problems and offer you effective and personalized treatment.
- Frequent Urination
- Urinary Urgency
- Leakage of Urine (Urinary Incontinence)
- Weak stream or Sense of Incomplete Emptying
- Waking from sleep to urinate (Nocturia)
- Urinary Tract Infections (UTI)
- Painful urination (Dysuria)
Enlarged Prostate / BPH
Enlarged prostate a common cause of urinary symptoms in men over 50 years old. We offer all medical, office-based, and surgical therapies.
An overactive bladder may lead to urinary frequency and urgency in both men and women, particularly those with diabetes or other health problems. We offer several safe and effective.
Female Urology/Pelvic Organ Prolapse
Weakness of the tissues underlying the urethra or supporting the pelvic organs can cause urinary symptoms in women. Menopausal changes can also worsen urinary symptoms.
Both men and women may produce a large volume of urine at night due to aging or other health problems. Getting up more than twice per night to urinate can lead to decrease in quality of life and increased risk of health problems.
Urethral stricture (scar tissue), pelvic floor dysfunction, obesity, diabetes, and other health problems can also contribute to urinary symptoms.
Evaluating Urinary Problems
The first step in evaluating urinary problems is thorough interview and physical exam in order to better understand your urinary symptoms. We may identify medications, habits, or other health problems that are contributing to your symptoms. In some cases, we may advise changes in behavior or medications on the first visit. For more severe problems, or problems which require further investigation, your urologist may recommend further evaluation including:
- Ultrasound - We offer convenient in-office ultrasonography in the office on Mondays and Tuesdays.
- Cystoscopy – We are able to examine the bladder for both men and women in a comfortable, office-based setting. We offer several forms of anesthesia which allow patients to undergo this procedure without pain.
- Urodynamics – We offer state-of-the-art urodynamics in the clinic. Urodynamics is the most complete, “gold-standard” workup for severe or complicated urinary symptoms.