Urinary Incontinence Specialist

Many effective treatments exist for urinary incontinence that can help you regain the confidence you need when dealing with a loss of bladder control. Karl Coutinho, MD, is a highly-skilled reconstructive urologist specialist in Millburn, New Jersey, who develops patient-focused treatment plans that successfully address urinary incontinence. Call today for your appointment or book your visit with Dr. Coutinho using the online scheduling service.

Urinary Incontinence Q & A

What is urinary incontinence?

Strictly speaking, urinary incontinence is the loss of bladder control. It can cause you to leak urine with routine activities throughout your day. Other forms of the disorder can cause constant dribbling of urine due to incomplete emptying of your bladder.

Urinary incontinence affects millions of Americans daily and is usually separated into types, which include:

  • Stress urinary incontinence, which causes you to lose urine when your bladder experiences pressure during activities such as laughing, sneezing, or exercise
  • Urge incontinence, which causes a sudden urge to urinate and an unexpected, uncontrollable loss of urine
  • Overflow incontinence, which causes frequent or constant leakage of urine

You may also experience urinary incontinence due to a physical impairment, such as arthritis, which prevents you from getting to the bathroom quickly.

What causes urinary incontinence?

Several factors can influence your bladder’s ability to retain urine. Stress urinary incontinence, for instance, may occur following childbirth when a vaginal delivery damages the muscles and nerves responsible for bladder control.

Other typical causes of persistent urinary incontinence include:

  • Changes with aging that decrease your bladder’s ability to store urine
  • Decreased estrogen production after menopause, which affects the health of the tissues lining your bladder and the small tube carrying urine out of the body (urethra)
  • Enlarged prostate in men that often occurs with aging and puts pressure on your urinary bladder
  • Treatment for prostate cancer

Conditions that may cause temporary issues with urinary incontinence include urinary tract infections, constipation, or a high dose of vitamin C. Smoking, a family history of urinary incontinence, and obesity that puts pressure on your bladder also increase your risk of developing urinary incontinence.

What are the treatments for urinary incontinence?

The first step in effectively treating your urinary incontinence requires identification of the underlying cause. Dr. Coutinho uses a detailed physical exam, a careful review of your symptoms, and a variety of diagnostic studies to diagnose the reason for your incontinence.

He then recommends the best treatment available for your issues, which may include:

  • Botox injections to calm overactive bladder muscles
  • Minimally-invasive surgery to place a urethral sling that helps keep the urethra closed during physical stress
  • For men, surgical placement of an artificial urethral sphincter that keeps your urinary sphincter shut until you're ready to urinate

Insurance & Finance

Dr. Karl Coutinho is considered an in-network provider with the following insurance plans. This is not a complete list, if you do not see your plan listed please contact our office to verify your benefits.

Aetna / Coventry
Empire Blue Cross Blue Shield
Horizon Blue Cross Blue Shield of New Jersey
Humana Choice Care
MultiPlan / PHCS
United Healthcare
US Family Health Plan
Karl Coutinho, MD
225 Millburn Avenue, Building C, Suite 304
Millburn, NJ 07041
Phone: 973-218-9400
Fax: 973-218-9420
Office Hours

Get in touch