Incontinence Specialist

Central Oregon OB/GYN

OBGYNs located in Bend, OR

If a sneeze or a cough has ever triggered unwanted urinary leaking, you may have urinary incontinence (UI). Incontinence is prevalent among women, especially when age or pregnancy weaken the bladder muscles. At Central Oregon OB/GYN, John Murphy, MD, FACOG and Erin LeGrand, DO, FACOG obtain excellent results treating incontinence with medication and minimally invasive procedures. Treat your urinary leakage and laugh with confidence. To schedule an appointment with Dr. Murphy or Dr. LeGrand in Bend, Oregon, call today.

Incontinence Q&A

What is incontinence?

Incontinence is involuntary urinary leakage that happens before you can get to the bathroom. It can be just a few drops after a sneeze or laugh, or the sudden, uncontrollable urge to urinate throughout the day. Some women have urinary leakage during sex, preventing them from truly enjoying intimacy.

Urine is stored in the bladder. During urination, the bladder muscles control the flow of urine through a tube called the urethra, and the sphincter muscles relax the urethra to let urine flow outside the body. If those muscles aren’t working properly, urine leakage occurs.

What causes incontinence?

Incontinence is twice as common in women than in men because it’s a common side effect of:

  • Pregnancy: the unborn baby pushing down on the bladder and urethra, weakening the pelvic floor which then leaks urine
  • Childbirth: weakening of the pelvic floor and damaging of the nerves that control the bladder, causing incontinence
  • Menopause: decreasing estrogen levels weaken urethral tissue, causing leakage

Many other medical conditions can potentially cause incontinence including brain injury, infection, nerve damage, and medication. Dr. Murphy and Dr. LeGrand use your health assessment, physical exam, and lab tests to determine why you’re leaking urine.

How is incontinence treated?

With advances in modern medicine, urinary incontinence has become a highly treatable condition. Your treatment plan may involve a combination of:

Behavior modification

Natural ways to combat incontinence include exercises to strengthen the pelvic floor muscles, bladder retraining, weight loss, and a healthy diet.


Your doctor can insert a pessary into the vagina to reposition and support the urethra and reduce leakage.  Pessaries can be ring-, donut-, or cube-shaped come in various sizes for a perfect fit.


Several medications are available to prevent bladder spasms that cause leakage.

Nerve stimulation

Electrical impulses can stimulate the nerves that control bladder function and improve incontinence symptoms.


After more conservative treatments have been exhausted, your doctor may recommend surgery. If urinary leakage is impacting your quality of life, surgery may be beneficial.

Many of the more than 25 million Americans who live with incontinence don’t know help is available. Treat your UI now and prevent embarrassing accidents.

You can schedule your appointment with Dr. Murphy or Dr. LeGrand by calling Central Oregon OB/GYN today.