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Urinary incontinence

Bulkamid: what if I also have urge incontinence?

What if you also have urge incontinence with Bulkamid?

Quick answer

Bulkamid treats stress leaks, not sudden urges. If you have both, we may treat the urge part separately with habits, medicine, Botox, or nerve stimulation.

Should you book?

Schedule a visit so we can treat both types of leaking.

For our Cherokee patients

Cherokee County patients are seen at our Canton Clinic on Riverstone Blvd, which has its own lab and ultrasound. Should you need a procedure, we'll arrange it in Marietta for you.

Request an appointment at Advanced Urology.

Call (678) 344-8900 Book a visit online

Sorting out mixed leakage in Canton

Cherokee County women with both kinds of leaks see our team at our Canton office. We'll ask which leaks bother you most: those with coughing and lifting, or those with a sudden urge. An exam, urine test and sometimes urodynamic testing help us see how much of each is present.

How our urologists treat both

Bulkamid helps the urethra close more firmly and targets stress leakage. Urge leakage needs its own plan, which can include bladder training, medicines, Botox in the bladder, InterStim or Altaviva. Many women start with whichever type bothers them most and address the other next.

Reasons to phone

  • Burning, fever or cloudy urine
  • Blood in the urine
  • Feeling that you can't empty

For Cherokee women

Chair-based magnetic pelvic floor sessions, with no undressing, may ease both types. Women in Canton, Holly Springs and Woodstock are welcome to ring (678) 344-8900, and online requests work as well.

Common questions

Can Bulkamid make urgency worse?

Bulkamid treats leaks with coughs, laughs and exercise, not urge leaks, and some women notice urgency more once stress leaks stop. We check for urgency before the injection, often treat it first with habits or medicine, and ask about it at follow-up.

Do I need urodynamics first?

Often, when you have both stress and urge leaks. The test fills the bladder through a thin catheter and records pressure and leaks, which shows which problem drives most of the leaking. It is done in the office, and you can drive home afterward.

Caffeine, carbonated drinks and constipation can all make urgency worse, so small changes at home are worth trying while we plan treatment.

A short bladder diary covering a few days helps us see which type of leak is more frequent, and it guides where we start.

We'll revisit the plan at each follow-up.

Mixed leakage is common, and it is treatable.

More to read

Videos from Advanced Urology

Let's Talk about Leaks with Dr. Casey McCullough Watch on YouTube

Videos play here from Advanced Urology’s YouTube channel, using YouTube’s privacy-enhanced mode.

Where can I go from here?

Start with the condition page, then call or book online whenever you are ready.

Questions after reading this? Our offices in Marietta, Canton, Dallas and Jasper share one phone line and one caring team.

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