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Urinary Incontinence Specialist

Gary Willen, MD, MBA -  - Gynecologist

Tahoe Women's Care

Gary Willen, MD, MBA

Gynecologist located in Carson City, NV

Losing bladder control is an embarrassing problem, distressing enough that some women become socially withdrawn. Gary F. Willen, MD, wants you to know that urinary incontinence is treatable. In fact, he specializes in the treatment of urinary incontinence. If you live in the Carson City, Nevada, area, contact Tahoe Women’s Care to make an appointment and reclaim your social life. Dr. Willen also services the surrounding communities of Southlake Tahoe, Lake Tahoe, Minden, and Gardnerville.

Urinary Incontinence Q & A

What causes urinary incontinence?

Urinary incontinence itself isn’t a condition; it’s a symptom of a condition. The loss of bladder control can be attributed to several different causes:


Anything that puts stress on the bladder, such as coughing, sneezing, lifting, or laughing may lead to loss of bladder control. The extra weight associated with pregnancy and obesity also put extra pressure on the bladder, worsening stress incontinence.


The normal breakdown of bladder muscles reduces your ability to hold it. The loss of estrogen during menopause may contribute to the deterioration of the bladder and urethra linings, which are responsible for stopping urine flow.


A bladder or urinary tract infection may cause a sudden urge to use the bathroom or burning during urination.

Neurological disorder

A condition like diabetes, multiple sclerosis, Parkinson’s disease, or other disorders may cause nerve damage that interferes with normal bladder function.

Pelvic prolapse

When the supportive mechanisms holding up your bladder fail or move out of position, the bladder may fall into the vaginal opening.

How can my gynecologist help?

Dr. Willen can perform the necessary tests for diagnosis, including a full-history exam and urinalysis. After he pinpoints the cause of your incontinence, he can suggest treatment options. He can also help you with behavioral-training techniques you can do at home.

Medications are also available for certain causes of incontinence, such as an antibiotic for infection, topical estrogen for vaginal rejuvenation, and anticholinergics for overactive bladders.

Electrical stimulation can help with nerve damage and improve pelvic floor muscle tone.

Dr. Willen can supply you with a pessary, a vaginal insert that helps prevent leaks. Bulking injections, which narrow the urethral opening, may also be an option.

If these noninvasive treatments for urinary incontinence don’t work, Dr. Willen may recommend surgery. Surgery to repair pelvic prolapse and create a bladder sling may help with certain conditions.

When should I see my gynecologist?

If your urinary incontinence is interfering with your life, getting worse, or causing distress, it’s a good time to see Dr. Willen. Although it’s an embarrassing problem to talk about, you should feel comfortable enough with your gynecologist to bring it up.

Dr. Willen can provide lifestyle adjustments, medication, and other treatments to improve bladder function, so don’t hesitate to ask.

If your urinary incontinence is affecting your livelihood, call or use the online-booking option to set up an appointment with Dr. Willen.

*Individual results may vary