Q: How
does Dr. William Han's clinic treat urinary
incontinence? ↑ top
A: After the cause of your
urinary incontinence are known by cystometrogram and
urodynamic study, treatment can start. Urinary
incontinence is treated in one or more of three
ways:
- Behavioral techniques.
- Electro-cutaneous nerve stimulation.
- Medication.
- Outpatient surgery (Closed Burch).
Q: What happens
at the time of urination? ↑ top
A: You release urine by relaxing
the urethral sphincter muscles and contracting the bladder
muscles.
Q: What is the urethra? ↑ top
A: Urine travels out of your bladder
through a short tube called the urethra.
Q: What is urinary
incontinence? ↑ top
A: Urinary incontinence is defined
by the International Continence Society as ˇ°a condition
in which involuntary loss of urine is a social or hygienic
problem and is objectively demonstrableˇ±.
Q: How often do women
experience this problem? ↑ top
A: Urinary incontinence is very
common. But many women are too embarrassed to get help.
The good news is that millions of women are being successfully
treated and cured.
Q: What are the causes of urinary incontinence? ↑ top
A: The causes are as follows but
in almost every case these conditions can be treated:
- Weakness of the muscles that hold the bladder neck
in place. Weakness of the bladder itself.
- Weakness of the urethral sphincter muscles.
- Overactive bladder muscles. Lack of female hormones.
- Neurological disorders.
Q: How many types of incontinence are there? ↑ top
A: There are many different types
of urinary incontinence. Urge incontinence, stress incontinence,
overflow incontinence, etc.. The majority of patients
have more than one type of urinary incontinence or together
they have mixed type like urge and stress incontinence.
Q: What is urge incontinence? ↑ top
A: The patient loses urine as soon as they feel a strong need to
go to the bathroom. In this case you may leak urine
before you can get to the bathroom. Sometimes when you
drink even a small amount of liquid or when you hear
or touch running water you may also leak urine. In some
cases during the day or night you may even wet the bed.
Q: What is stress incontinence? ↑ top
A: Patients lose urine when exercising or moving in a certain way.
In some cases you may lose urine when you sneeze, cough,
laugh, get up from a chair, or get out of bed. While
walking or doing other exercises you may also leak urine.
Q: What is overflow
incontinence? ↑ top
A: In this case patients do not
have the feeling of fullness or the need to urinate
and they lose urine during the day or night.
Q: How are the causes
of urinary incontinence discovered? ↑ top
A: Your physician will talk with
you about your medical history and your urinary habits,
then you will have a physical examination and urination
and other tests. These investigations will help find
the exact cause of your urinary incontinence and the
best treatment for you.
Q: How does Dr. William
Han's clinic treat urinary incontinence? ↑ top
A: After the cause of your urinary incontinence are
known by cystometrogram and urodynamic study, treatment
can start. Urinary incontinence is treated in one or
more of three ways:
- Behavioral techniques.
- Medication.
- Outpatient surgery (ˇ°Closed Burchˇ±).
Q: Is urinary incontinence
a natural part of aging? ↑ top
A: No! Urinary incontinence is not
a natural part of aging. In most cases it can be successfully
treated and reversed.
Q: What is behavioral
techniques in treatment of urinary incontinence? ↑ top
A: Two types of behavioral techniques
are commonly used. Bladder training and pelvic muscle
exercises. Normally bladder training is used for urge
incontinence. This may also be used for stress incontinence.
In this technique women can benefit from bladder training
by learning different ways to control the urge to urinate.
Pelvic muscle exercises called Kegel exercises are used
for stress incontinence. This technique helps to strengthen
weak muscles around the base of bladder and proximal
portion of the urethra.
Q: What is the role of medication for treatment of
incontinence? ↑ top
A: The most common types of medications
treat infections, replace hormones, stop abnormal muscles
contracting, or tighten sphincter muscles.
Q: How does the surgical
procedure treat urinary incontinence? ↑ top
A: Surgical technique is a major
solution in the treatment of the urinary incontinence
because it is fast and usually certain. If there are
anatomical defects after a hard labor or any trauma
in the pelvic area, surgery can be used to:
- Return the bladder neck to its proper position.
- Remove tissue that was causing a blockage of the urethra.
- Correct severely weakened pelvic muscles.
Q: What are the office hours? ↑ top
Monday thru Friday from 9am to 5pm, closed for lunch from 12noon to 2pm. Depending on the type of service last appointment of the day is at 4:30pm. Special time arrangement can be done ahead of time on special circumstances..
Q: What insurance plans are accepted? ↑ top
We accept most major insurance plans, including many PPO plans and HMO plans. Please contact the office for details. Your co-payment is expected at the time of each visit. The office accepts cash, checks, master card, visa or discover.
Q:What languages are spoken in the office? ↑ top
English, Korean and conversational Spanish is spoken by the physician, staff is fluent in English, Korean and Spanish.
Q: Hospital affiliations? ↑ top
Fountain Valley Regional Hospital, Huntington Beach Hospital, Mile Square Out Patient Surgery Center.
Q:What other type of services are offered? ↑ top
PAP smears with reflex HPV typing,
Annual well woman exams with emphasis on prevention,
Family planning and contraceptive counseling,
Prenatal care for the first trimester,
Breast Exam
Early Detection of Breast malignancies VENUS Method,
Evaluation and management of acute and chronic gynecological problems,
Abnormal uterine bleeding,
Preventive health counseling,
Perimenopausal care, including compounded or bioidentical hormone replacement therapy,
Female sexual health evaluation and treatment,
Basic infertility evaluation and management with appropriate referrals to infertility sub specialists,
Urogynecological services and
surgical services including, but not limited to:
- Total abdominal hysterectomies with or without bilateral salpingo-oophorectomy
- Nerve Sparing Technique hysterectomy
- Total vaginal hysterectomies and laparoscopic-assisted vaginal hysterectomies
- Laparoscopy and hysteroscopy
- Endometrial ablations
- D&Cs
- Urological procedures
- Burch Sling
- Female Sterilization procedures
- Breast Biopsy
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