Oct. 14, 2014

Wright State Physicians Obstetrics & Gynecology offers relief for women with urinary incontinence

Jerome Yaklic, M.D.For many women, running, exercising, sneezing or coughing can result in urine leaking, causing embarrassment and discomfort. Of the 25 million American adults who experience urinary incontinence, 75 percent are women, according to the National Association for Continence. Many of these women wait more than six years to seek treatment.

Jerome L. Yaklic, medical director of Wright State Physicians Obstetrics & Gynecology, explained that women wait so long because they are embarrassed to discuss these issues. “Often they feel they are the only person with the problem,” said Yaklic, who is board certified in female pelvic medicine and reconstructive surgery in addition to obstetrics and gynecology. “Sometimes, they are not ready or willing to undergo a surgical correction. Or, they do not realize that there are many non-surgical treatments available.”

Pelvic floor dysfunction can cause urinary frequency or urgency, incontinence of urine, stool or gas and difficulty emptying the bladder or having a bowel movement. Treatment options depend on the cause of the leakage. “Some women leak due to a weakness or lack of support at the bladder neck. Other women experience leaking because of an uncontrollable urge to urinate, while others have scarring, which causes the urethra to malfunction,” said Yaklic, who also is chair of the Wright State University Boonshoft School of Medicine Department of Obstetrics and Gynecology.

For stress incontinence, treatments can include pelvic floor therapy or Kegel exercises, use of a pessary, a medical device inserted into the vagina to provide structural support, and various surgeries to correct the anatomic defects leading to incontinence.

Yaklic and his colleague, Geoffrey Towers, M.D., now offer Lyrette™, an outpatient, nonsurgical, FDA-cleared, in-office treatment performed under local anesthetic. Lyrette uses radiofrequency energy to remodel the collagen in the urethra and bladder neck to restore continence. “Lyrette is a 20-minute office treatment. There is no prolonged recovery or additional time off work,” said Yaklic, who has 18 years of experience in female pelvic medicine and reconstructive surgery. “It significantly reduces leaks in 75 percent of women.”

For more information or to make an appointment, call (937) 208-6810.

The Science of Medicine. The Art of Healing