Do you have difficulty controlling when you urinate? When you cough or sneeze, do you leak urine? Do you suddenly have to go to the bathroom so badly that you're not sure you're going to make it in time... and sometimes you don't?

This loss of bladder control is called urinary incontinence and is a very common, especially in women because of pregnancy and childbirth. In men, diseases such as diabetes, medications, and nerve damage all contribute to bladder problems. The good news is that your doctor can help end this embarrassing and frustrating problem.

"Anyone who has constant or recurring urinary incontinence should see a physician to determine if there is an underlying medical problem and how best to manage or cure the condition," states Pankaj Kalra, MD, a TriCounty Urology associate.

Noting that nurse practitioner Lisa Robbins specializes in diagnosing urinary problems, Dr. Kalra says most patients benefit from a step-wise evaluation that first investigates the most common, least complex approaches. Many respond to such conventional therapies as biofeedback, exercises to strengthen pelvic muscles, or medication.

Dr. Kalra and other Pottstown Memorial Medical Center urologists may also inject collagen or other material to alleviate stress incontinence by narrowing the urethra. Surgery is a well-tolerated, effective solution for most patients whose incontinence is caused by prostate problems or a shift in bladder position.