Say no to incontinence!

What causes urinary incontinence?

Incontinence is caused by many natural changes. Aging-related muscle loss, pregnancy, childbirth, weight gain, chronic cough, and the straining of abdominal and pelvic muscles can all contribute to the involuntary loss of urine.

What are the different types of incontinence?

Stress incontinence is the loss of urine during movement, including coughing, sneezing, laughing, exercise or intimacy. It can cause many people to give up activities they enjoy and many of us feel the need to always wear a pad. Urge incontinence is the loss of urine accompanied by a strong, sudden urge to urinate, causing us to not quite make it there in time. It can be very embarrassing to have an accident while trying desperately to just get to the toilet in time. The combination of both stress and urgency incontinence is called mixed incontience, which is the most common type of incontinence.

Why is it important to treat incontinence?

Billions of dollars are spent annually on continence undergarments and care for skin that is compromised by unwanted leaking. Restriction of both activity and social interactions is harmful to the physical and mental health of those of us suffering from incontinence.

What options does Dr. Tkatch offer to treat female urinary incontinence?

The first and most important option is a comprehensive consultation to evaluate the cause of your incontinence and how it impacts your life. Dr. Tkatch will take a thorough history and do a physical exam as well as order any necessary imaging or labs. Once the evaluation is complete, she may recommend lifestyle changes, medications, pelvic floor physiotherapy, pelvic floor support in the form of a pessary, or surgical repair of pelvic floor prolapse. Non-surgical options include pelvic floor-strengthening with Emsella, treatment of vaginal atrophy with the MonaLisa Touch laser, or Vitalia radiofrequency treatments. Your treatment will be tailored to your specific needs, preferences and budget.

Is the treatment of urinary incontinence covered by the Medical Services Plan?

Upon referral by your family doctor to Dr. Tkatch for a gynecology consultation, the Medical Services Plan (MSP) will pay for your doctor’s visits, imaging, labs, and any surgery required. Medications, pessaries, physiotherapy, and energy-based treatments like Emsella, MonaLisa Touch and Vitalia are unfortunately not covered by MSP. Your extended health coverage may reimburse you for these costs. All medically necessary treatments that are not covered by MSP are still qualified medical expenses that can be claimed for a credit on your tax return.

Dr. Shelin Tkatch, MD, FRCSC, DPD board-certified gynecologist-surgeon Surrey, BC

Dr. Shelin Tkatch, MD, FRCSC, DPD

Dr. Shelin Tkatch, MD, FRCSC, DPD, is a distinguished board-certified gynecologist-surgeon with a diploma in dermatology, exhibiting a unique blend of medical expertise. Renowned for her keen eye for facial aesthetics, she combines surgical precision with an artist's touch to achieve facial harmony and beauty for her patients.

Dr. Tkatch's commitment to research in vitality-enhancing medicine underscores her dedication to providing cutting-edge, non-surgical rejuvenation treatments. As an active staff member at Peace Arch Hospital and a Clinical Instructor at the University of British Columbia, she's at the forefront of medical education. Dr. Tkatch's holistic approach to healthcare and her membership in esteemed medical associations reflect her unwavering commitment to patient well-being and satisfaction. Dr. Tkatch's compassionate demeanor at MD Wellness Solutions fosters a safe and relaxed environment, allowing patients to embrace self-care and enhance their confidence through tailored treatments.