Urinary Incontinence Specialist

Advanced Care for Women

Gynecology & Urogynecology located in Sanford, NC

Urinary incontinence, or the loss of bladder control, may be embarrassing, but it’s more common than you think. Board-certified OB/GYN and female urology specialist Paul Heimbecker, MD, FACOG, treats urinary incontinence at Advanced Care for Women in Sanford, North Carolina. If urinary incontinence is interfering with your quality of life, call or book an appointment online today.

Urinary Incontinence Q & A

What is urinary incontinence?

Urinary incontinence happens when urine leaks unintentionally from the bladder. This can range from only a few drops of urine to the full volume of your bladder. There are three main types of urinary incontinence:

Stress urinary incontinence (SUI)

This type of incontinence involves leaking urine when you do certain activities, like cough, sneeze, or laugh. SUI can also cause leaks during physical activities such as exercise.

Urgency urinary incontinence

This type causes an overwhelming urge to urinate that’s hard to stop. Urgency urinary incontinence may cause your bladder to leak before you can reach a bathroom.

Mixed incontinence

Mixed incontinence involves symptoms of both stress and urgency urinary incontinence.

What causes urinary incontinence?

Urinary incontinence isn’t a disease in and of itself. It’s a symptom that may result from lifestyle habits or indicate an underlying medical condition. Conditions that may cause urinary incontinence include:

  • Urinary tract infection (UTI)
  • Pelvic floor disorders such as pelvic prolapse
  • Constipation
  • Pregnancy
  • Menopause


Beverages containing alcohol and caffeine cause your body to make more urine and therefore may cause temporary urinary incontinence.

How do you diagnose and treat urinary incontinence?

Dr. Heimbecker has specialized expertise in female urology and works with you to discover the cause and best treatment for your particular type of urinary incontinence.

He begins with a thorough physical exam and review of your medical history. Advanced Care for Women offers convenient, in-office ultrasound imaging tests and urodynamic testing if Dr. Heimbecker needs more information about your condition.

Once he diagnoses the cause of your urinary incontinence, Dr. Heimbecker recommends the best treatment. For mild urinary incontinence, treatment may be as simple as making some lifestyle changes, such as avoiding caffeine and alcohol.

If your incontinence symptoms persist despite conservative treatment, Dr. Heimbecker may recommend a procedure such as:

MonaLisa Touch®

This cutting-edge vaginal wellness treatment uses gentle laser energy to relieve urinary incontinence without surgery. The laser causes your vaginal muscles to tighten naturally, improving your bladder control.

Suburethral sling

This is a surgical procedure in which Dr. Heimbecker inserts a mesh sling beneath your urethra. The sling helps keep your urethra closed, preventing urine leakage when you cough or sneeze.

To free yourself from the burdens of urinary incontinence, call Advanced Care for Women or book an appointment online.