About Contact Us Home Services Patient Education Our Staff Diagnosis and Treatment for Bladder Disorders Bladder pain, sensations of urinary frequency and urgency, and urinary incontinence are symptoms that are a very common source of frustration for women today. Although not usually serious or life threatening, these problems are frequently a source of embarrassment and substantial disability. River Oaks physicians have taken a keen interest in the identification and management of these urinary tract disorders. The two most common types of urinary incontinence are: Overactive bladder, where urine loss is associated with a sense of severe urgency and inability to make it to the bathroom in time; and Stress urinary incontinence where a small amount of urine is usually lost with cough, sneeze, change of position or other similar “stress events”. The treatment we utilize for these two types of incontinence are very different and so it is extremely important to perform a careful and thorough evaluation to make certain we know precisely what the underlying problem is. This can be readily accomplished in our office and sometimes requires sophisticated computerized bladder testing. For our patients diagnosed with overactive bladder and urge incontinence, we have had excellent results with physical therapy of the pelvic floor muscles in conjunction with medications used to suppress the unwanted bladder contractions. Patients with stress incontinence will likewise frequently improve significantly with strengthening of the pelvic floor muscles through physical therapy, but if that is not satisfactory, surgery may be indicated. We offer a relatively new procedure called SPARC modification of the TVT suburethral sling. This will cure approximately 80% to 90% of patients with stress incontinence and for many can be performed as an outpatient with minimal pain or recuperation required. If your bladder problem is beginning to control your life, or is proving to be a significant source of embarrassment or frustration for you, please call any of our physicians to make an appointment for further evaluation. We are able to ultimately achieve significant improvement for most individuals, if not a complete cure. To learn more on Bladder Disorders and Urinary Difficulties or to make an appointment, please call us at (574) 295-8805. Important Numbers Office switchboard Emergency care (after hours) OB Nurse GYN Nurse OB Appointments GYN Appointments Prescription refills: OB Prescription refills: GYN Insurance Patient Accounts (574) 295-8805 1-877-777-4990 (574) 522-0274 (574) 295-8805 (574) 294-8750 (574) 522-5562 (574) 522-0274 (574) 295-8805 (574) 522-2253 (574) 295-8566 River Oaks GYN Office Lexington Landing 2405 West Lexington Avenue Elkhart, Indiana 46514 (574) 295-8805 Appointments (574) 522-5562 Fax (574) 522-0039 River Oaks OB Office Elkhart General West Wing 1215 Lawn Avenue, Suite 110 Elkhart, Indiana 46514 OB Nurse (574) 522-0274 OB Appointments (574) 294-8750 Fax (574) 296-2803 River Oaks OB/GYN of Elkhart, Indiana Terms of Use Privacy Policy Contact Us River Oaks OB/GYN Associates P.C. • 2405 West Lexington Avenue, Elkhart, IN 46514