Today's Woman -  - Gynecologist

Sharan Abdul-Rahman, MD, MBA, NCMP

Gynecologist located in Philadelphia, PA

Urinary Incontinence Specialist

Urinary incontinence affects millions of women and is more treatable than a majority realize. At Today's Woman, a unique boutique gynecological practice located in Philadelphia, Pennsylvania, practice founder and board-certified OB/GYN Dr. Sharan Abdul-Rahman, provides effective treatment for urinary incontinence, often without the use of medication.

Urinary Incontinence Q & A

Drip, drip, drop

The unsung pelvic floor muscles..Do you ever wonder why "things don't fall out" when you stand up? Seriously, why doesn't gravity cause our intestines, uterus and bladder drop when we sneeze, cough and laugh.

The answer is the integrity of the pelvic floor muscles which forms a platform and supports our abdominal and pelvic organs.

During childbirth, the second stage of labor - the repeated contractions and the pushing efforts of the mom along the child to maneuver through the central opening in the pelvic floor. Episiotomies, child births, and aging can affect the muscular tone of the pelvic floor muscles.

The loss of tone and support by the pelvic floor muscles is the cause of stress urinary incontinence. Any thing which cause increase intra-abdominal/ pelvic pressure like sneezing, laughing or coughing can result in the involuntary and embarrassing loss of urine.

This is a common problem. The adult diaper industry is a rapidly growing billion dollar industry. It's rate of growth is anticipated to outpace the baby diaper industry. Imagine the enormity of this problem.Now imagine that this does have to true for you. The key preventive measure is to maintain your pelvic muscle floor tone. Practice your Kegel is exercises. Practice with the Yoni egg. Use the Elvie app to assist in

Now imagine that this does have to true for you. The key preventive measure is to maintain your pelvic muscle floor tone. Practice your Kegel is exercises. Practice with the Yoni egg. Use the Elvie app to assist in strengthening and toning your pelvic floor.

Hint: if you find yourself in a social setting and are worried about possible involuntary loss of urine, tighten your pelvic floor muscles PRIOR to laughing, coughing or sneezing. This simple act will help to prevent the loss of urine.

What is urinary incontinence?

Urinary incontinence is a term that means accidental urine release. This urine release can be a very small leak or a full release, and it causes serious problems for many who suffer from it. There are three primary types of urinary incontinence:

  • Stress incontinence
  • Urge incontinence
  • Overflow incontinence.

What is the most common type of urinary incontinence?

The most common type of urinary incontinence is stress incontinence. It typically develops because the pelvic floor muscles, and sometimes the urinary sphincter, have been weakened. This weakening can come with pregnancy and delivery or obesity.

Patients who suffer from chronic respiratory issues, for example, chronic asthma or bronchitis, may also be more likely to develop stress incontinence. As the name implies, stress incontinence occurs when the bladder is put under stress. These stresses are usually temporary and are activity related, for example:

  • Lifting a heavy box
  • Coughing repeatedly or coughing deeply
  • Sneezing with a great deal of force
  • Laughing very hard

This kind of incontinence can happen to people of any age, although it's more common in middle age and senior years. Stress incontinence affects women more often than men, although it can occur in both sexes.

What is urge incontinence?

Urge incontinence is sometimes called overactive bladder. Urge incontinence causes an urge to urinate that's so sudden you don't have proper time to get to a toilet. This type of incontinence can occur in patients of any age and is more common in women.

Urge incontinence is caused by abnormal contractions of the bladder, and the reasons for these contractions can vary. Nerve damage due to diabetes, Parkinson's disease, stroke, or other conditions often prompt these contractions.

What is overflow incontinence?

Overflow incontinence is less common than the other types of incontinence. When a patient suffers from overflow incontinence, they can't drain their bladder fully. Over time, the urine accumulates to the point that it leaks and sometimes a full release of urine occurs. If the urine isn't released, infections can develop. Overflow incontinence is typically caused by weak bladder muscles or tumors in the urinary tract.

How is urinary incontinence treated?

Incontinence associated with vaginal dryness caused by the decline in estrogen production that accompanies menopause can often be remedied with the MonaLisa® Touch laser. MonaLisa Touch entails the use of a small, thin probe that’s inserted into the vaginal canal. The probe delivers controlled CO2 energy that improves blood circulation and activates collagen production to increase elasticity and moisture production. For other causes of incontinence, Dr. Rahman may suggest lifestyle medication, medication, or a combination of both.

Insurances Currently Accepted

Dr. Rahman accepts most major insurance providers. Please call the office directly with any questions.

Blue Cross Blue Shield
Blue Cross Blue Shield Federal Employee Program
Capital Blue Cross
Independence Administrators
Independence Blue Cross
Keystone Health Plan East
Personal Choice

Words from our patients

  • RateMDs

    "My daughters and myself go to Dr. Abdul-Rahman. She is very kind, and she is a great listener. She's a very good doctor and I would recommend her to anyone."

    Verified Patient
  • Yelp

    "I appreciated her professionalism and knowledgeable explanations given during each part of the examination. I would recommend her services and will return."

    Danielle P.
  • Vitals

    "Great gynecological exam experience. I enjoyed having her as my doctor. Office has a patient portal, you can see your results promptly."

    Verified Patient
  • Vitals

    "Dr. Abdul-Rahman was not only knowledgeable and caring, but she was extremely educational during the entire the visit. I came away knowing my own body better."

    Verified Patient
  • RateMDs

    "Dr. Abdul-Rahman is a fantastic doctor. She really takes the time to sit down and meet with you. I have a very unusual condition and she has been tremendously helpful."

    Verified Patient
  • Vitals

    "It was a pleasure to meet with Dr. Rahman. She talked to me and answered my questions and explained things to me that were never answered by my previous gynecologist."

    Verified Patient