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Tired of feeling like you constantly have to go?

Get urinary relief from the experts at MedStar Health at Lafayette Centre.

Our fellowship-trained urogynecologists of MedStar Health at Lafayette Centre offer the latest, most effective accidental bladder leakage treatments.

From medication or devices to minimally invasive surgery, we can help you feel like yourself again. Relief from frequent urination, leaking, or urgency is just a call or click away. 

For more information, call 202-416-2000, or

What is accidental bladder leakage?

Accidental bladder leakage, also known as urinary incontinence, is a result of muscle weakness and can cause leaks with coughing, sneezing, or straining. Bladder spasms or not completely emptying the bladder can also create urinary urgency. Accidental bladder leakage is also often associated with relaxation or bulging of the pelvic floor, resulting in “dropping” of the vagina and uterus.

What causes accidental bladder leakage?

Accidental bladder leakage can be caused by a variety of factors. Some of the most common risk factors include:

  • Aging
  • Certain medications
  • Drinking too much caffeine
  • Giving birth 
  • Pregnancy
  • Hormone changes in menopause
  • Infection in the urinary tract or bladder
  • Long-term abdominal straining (chronic coughing, constipation, or heavy lifting)
  • Obesity
  • Pelvic nerve damage

Don’t let that sneeze or laugh stop you in your tracks. Take control and get advanced, compassionate care from the experts of MedStar Health at Lafayette Centre.

What are the symptoms of accidental bladder leakage?

Accidental bladder leakage can cause a range of symptoms, including:

  • Bedwetting: Urinating while you're asleep.
  • Frequent urination: Having to go often
  • Leaking urine: Losing a little or a lot of urine, with or without the urge to go.
  • Urgency: Feeling like you have to go right now, even if you urinated recently.
  • Rash or irritation: Wetness, frequent wiping, and wearing pads regularly can cause inflammation on the vulva.
  • Sexual concerns: Intercourse may be unappealing for patients with severe symptoms.
  • Isolation: Emotional and physical discomfort may cause some patients to avoid social situations

Fortunately, accidental bladder leakage is treatable.

For more information, call 202-416-2000, or

Treatment options for accidental bladder leakage.

There are many effective, minimally invasive methods to treat all types of bladder leakage. The best choice for you depends on your symptoms, age, overall health, and activity level. Our experts will work with you to determine the best treatment option for you. Here are some of the most common treatments we recommend.

Small lifestyle changes can make a big difference in controlling urinary symptoms. Your urogynecologist may recommend that you:

  • Achieve and maintain a healthy weight
  • Avoid spicy foods, caffeine, and carbonated beverages
  • Limit fluid intake, especially before bedtime
  • Perform Kegel exercises—movements that help strengthen your pelvic floor muscles 

Gentle electrical pulses stimulate nerves in the pelvic area to help control frequent urination. Electrical stimulation can also be done through acupuncture. This safe, effective treatment can be done in the office or using a daily at-home stimulator, depending on your condition.

A pessary is a removable device you can insert in your vagina to support your pelvic organs. Many patients start with a pessary to control bladder leakage and relieve mild pelvic pressure. Pessaries come in shapes and sizes for every body type and activity level. 

For mild leaking, your urogynecologist may recommend using specially designed tampons, pads, or panty liners to protect your skin and clothing.

You might have heard of Kegel exercises to strengthen the pelvic floor muscles. Our pelvic floor experts will teach you these, plus a range of other exercises, to strengthen the muscles that help support your pelvic organs and relieve symptoms. We can also help improve your muscle coordination to prevent leaking—a process called biofeedback.

Oral medications can help control some forms of bladder leakage. 

We offer many outpatient surgeries to suspend the pelvic organs to a more normal position and repair weak or damaged tissue. Most procedures require only small incisions and offer fast recovery—no general anesthesia needed. Procedure options include midurethral slings, urethral bulking injections, and bladder pacemakers. 

Many of the major health insurance plans are accepted. Please contact us for more information.


For more information, call 202-416-2000, or

Advanced, compassionate care from board-certified specialists.

The urology experts at our center are dedicated to helping you achieve the quality of life you deserve. You will  feel happy, respected, and confident in your care plan.

Our surgeons are a fellowship-trained team and board-certified in the full scope of bladder leakage treatments. We meet weekly as a multidisciplinary team to make sure every patient gets the latest, greatest treatment options available.

We are committed to providing the care you need, safely.

Meet the team

Alexis A. Dieter, MD

Robert E. Gutman, MD

Cheryl B. Iglesia, MD

Lee A. Richter, MD

Andrew I. Sokol, MD

Visit us close to where you live and work.

MedStar Health at Lafayette Centre
1133 21st St. NW,
Washington, DC 20036

*Validated on-site parking available.

For referring providers

Your patients deserve the best care.  Refer your patients to our board-certified team of experts. As an academic medical center, we offer the most advanced treatments available, backed by clinical research. We will partner with you in your patient's care and keep you informed every step of the way.


For more information, call 202-416-2000, or