Take back bladder control
Urinary incontinence in women is far more common than most realize — and far more treatable than most expect. Whether you’re dealing with leaks during exercise, sudden urgency, or constant dribbling, we offer the full spectrum of care: from pelvic floor therapy to Bulkamid, sling procedures, MonaLisa Touch, and access to clinical research.
It’s common — and you have options
Urinary incontinence refers to the involuntary leakage of urine. It can range from occasional leakage to a complete inability to control urination. While it affects people of all ages and genders, it’s particularly common in women — especially as they age. Despite how common it is, many women silently accept leaks as their “new normal.” You don’t have to. Effective treatments exist for every type and severity.
Five types
Identifying which type of incontinence you experience is the first step to the right treatment.
Stress Incontinence
Leakage during physical activities that pressure the bladder — coughing, sneezing, laughing, exercising
Urge Incontinence
Also known as overactive bladder. Sudden intense urge followed by involuntary leakage
Mixed Incontinence
A combination of stress and urge incontinence — very common in women
Overflow Incontinence
Bladder doesn’t empty completely, causing constant dribbling
Functional Incontinence
Physical or mental impairments prevent reaching the toilet in time
Common causes
Understanding the underlying cause guides the most effective treatment path.
Pelvic Floor Weakness
Weakness in muscles supporting the bladder and urethra
Pregnancy & Childbirth
Can weaken pelvic floor muscles and damage bladder nerves
Menopause
Hormonal changes during menopause can contribute
UTIs
Infections can irritate the bladder and cause leakage
Neurological Disorders
MS, Parkinson’s, stroke can affect nerve control of the bladder
How it’s diagnosed
Diagnosis typically includes a physical examination, medical history review, and urine tests — and may also involve urodynamic testing or imaging studies. A thorough evaluation determines which type of incontinence you have and what’s actually causing it, so the treatment plan can be tailored to you specifically.
From lifestyle to advanced procedures
We offer the full spectrum of treatments — starting with the least invasive option appropriate for your situation.
Lifestyle changes
Dietary modifications, weight management, and bladder training can meaningfully improve symptoms — often as a first-line approach alongside other treatments.
Pelvic floor exercises
Kegel exercises strengthen the pelvic floor muscles, improving bladder control. Often more powerful than people expect — especially when performed correctly with guidance.
Medications
Certain medications may be prescribed to relax the bladder or treat underlying conditions contributing to incontinence — particularly helpful for urge incontinence.
Medical devices
Devices such as pessaries or urethral inserts may be recommended to support the bladder or control urine leakage — an effective non-surgical option.
Bulkamid treatment
An advanced minimally-invasive option — a hydrogel bulking agent injected to provide extra support around the urethra, particularly effective for stress urinary incontinence.
MonaLisa Touch®
CO2 laser therapy that restores vaginal and urinary tract tissues. Particularly helpful for incontinence related to menopause and tissue changes.
Sling procedures
For severe stress urinary incontinence not responding to other treatments, surgical procedures like the Mini-Arc Suburethral Sling provide reliable, lasting support to the urethra.
For stress urinary incontinence: the RESTRAIN-SUI trial
If you have stress urinary incontinence (SUI) — leakage with coughing, sneezing, laughing, or exercise — you may qualify for the RESTRAIN-SUI clinical research study, an Eli Lilly-sponsored trial enrolling women with SUI at our Tustin location. Trial participation includes thorough evaluation and access to investigational therapy.
Care from Dr. Lamia Gabal, MD, FPMRS
Female urinary incontinence sits at the heart of Dr. Gabal’s clinical focus. As a board-certified urologist with a subspecialty in Female Pelvic Medicine and Reconstructive Surgery (FPMRS), she brings the exact training this condition demands — including the surgical expertise required for advanced procedures like sling placement, when those become necessary.
Stop accepting leaks as normal.
Schedule a discreet consultation with our urology team. We’ll evaluate carefully, listen to your concerns, and build a treatment plan tailored to your situation — no judgment, no embarrassment.