Treatment of urinary incontinence by obstetrician-gynecologist Natalya Sergeevna Fedoruk in Dnipro.

Patients present with complaints of involuntary urine leakage, worsening symptoms during physical activity or changes in position, as well as recurrent episodes of incontinence.

The doctor performs a thorough clinical evaluation, reviews the medical history and symptoms, and, if necessary, orders additional tests to clarify the causes of the condition.

As a result, the patient receives a clear action plan — recommendations for current measures, the necessary examinations, and regular follow-up to monitor changes.

The distinctive feature of Dr. Fedoruk Natalia Sergeevna’s approach is a detailed analysis of possible causes and consistent patient management at every stage, which helps minimize risks and improve quality of life.

When to See a Doctor

If you notice symptoms related to urination problems that begin to bother you or change your usual daily routine, it is important to seek medical advice. This is especially true when the symptoms recur or worsen, or when they interfere with your ability to carry out normal activities, rest, and work. You should make an appointment with an obstetrician-gynecologist if, with urinary incontinence, you notice:

• Constant or occasional urine leakage without an obvious cause
• Increased discomfort during physical activity, coughing, or laughing
• Frequent urges to urinate accompanied by discomfort
• Inability to hold urine when changing body position (for example, when standing up or bending over)
• A feeling that the bladder has not emptied completely
• Symptoms that interfere with comfortable sleep or make work difficult
• Recurrent episodes of incontinence that were not present before
• No improvement from self-care measures or previous treatment
• Worsening of symptoms after pregnancy or childbirth
• Discomfort or pain in the intimate area associated with incontinence
• Increased symptoms after stressful situations or physical trauma
• A need for a second opinion if relief is incomplete

If you notice several of the above symptoms, this is a reason to consult a specialist for an assessment and to choose the most appropriate treatment option. A doctor will help determine which factors are affecting the problem and suggest proper follow-up without unnecessary delay.

Emergency conditions or when you need to see a doctor immediately

• Sudden heavy bleeding from the urinary tract or the genital area
• A sharp increase in pain in the lower abdomen or pelvic area
• Incontinence combined with a high fever and a general worsening of health
• Sudden difficulty or inability to completely empty the bladder
• Worsening symptoms accompanied by dizziness, weakness, or loss of consciousness

If you have these symptoms, do not wait for a scheduled appointment and make sure to seek emergency medical care. Our clinic offers a home doctor visit service for rapid response and support.

Causes and Risk Factors of Urinary Incontinence

Understanding the possible causes and risk factors helps explain why urinary incontinence occurs and which issues require additional evaluation. This is important for choosing appropriate measures and monitoring the condition.

Main causes / mechanisms (briefly)

• Weakening of the pelvic floor muscles that support the bladder and urethra
• Damage to or dysfunction of the nervous regulation of urination
• Hormonal changes during pregnancy and after childbirth
• Chronic increased pressure in the abdominal cavity (coughing, constipation)
• Injuries and surgeries in the pelvic area or bladder

Risk factors

• Age — the risk increases with time
• Pregnancy and childbirth — especially multiple or complicated deliveries
• Excess weight and obesity
• Chronic diseases affecting the nervous system or muscles
• Smoking, which is associated with chronic coughing
• Lack of physical activity and weakened pelvic floor muscles
• Family history and female sex
• Frequent urinary tract infections

Reversible causes that should be ruled out

• Acute inflammatory diseases of the urinary tract
• Use of certain medications that affect urination
• Temporary conditions associated with hormonal fluctuations
• Increased fluid intake or consumption of irritating beverages

Urinary incontinence is a symptom that requires careful evaluation and exclusion of other causes, so a doctor’s consultation and medical examination are necessary.

Diagnosis

Diagnosing urinary incontinence helps identify possible causes and determine the next steps. The doctor evaluates the symptoms, performs an examination, and orders the necessary tests individually in order to choose the most appropriate solution.

Diagnostic approach

• Collecting a detailed medical history, taking symptoms and past illnesses into account
• Assessing complaints and their impact on daily life
• Examining the pelvic organs and evaluating the condition of the pelvic floor muscles
• Ordering basic laboratory and instrumental tests when indicated
• Additional studies if needed to clarify the causes
• Analyzing the results and developing a personalized diagnostic and monitoring plan
• Discussing all stages and further recommendations with the patient

Typical tests when indicated

• Urinalysis and bacterial culture
• Urodynamic tests to assess bladder function
• Ultrasound examination of the bladder and kidneys
• Vaginal and rectal examination using special equipment
• Colonoscopy or other examinations if an accompanying condition is suspected, when indicated

What to bring to the appointment

• Discharge summaries and results of previous examinations and tests
• A list of medications currently being taken
• A symptom diary describing the frequency and nature of episodes
• Information about past surgeries and childbirths
• Information about chronic conditions and allergies

Diagnosing urinary incontinence is a comprehensive process that helps create the optimal examination and monitoring plan for each patient.

Treatment

Treatment for urinary incontinence is aimed at reducing symptoms and improving quality of life. The treatment plan is selected individually, taking into account the causes of the condition and the patient’s overall health.

Treatment goals

• Reduce symptom severity and improve bladder control
• Eliminate or minimize factors contributing to the condition
• Improve pelvic floor function and normalize bladder function
• Prevent complications and deterioration in quality of life

Main treatment approaches

• May include non-drug methods, such as pelvic floor muscle strengthening exercises
• Main directions: medication therapy when indicated, aimed at supporting function
• Minimally invasive procedures or other interventions may be used if necessary
• The need for a comprehensive approach is assessed individually, taking into account associated factors
• Treatment is based on the patient’s condition and may be adjusted over time

What the doctor does

• Selects and adjusts treatment based on symptoms and test results
• Takes into account comorbidities and individual patient characteristics
• Monitors the emergence and impact of possible treatment side effects
• Explains how effectiveness is assessed and the importance of following recommendations
• Coordinates care with other specialists when needed

What to expect: plan and follow-up

• Treatment effectiveness is assessed regularly; timing depends on the individual situation
• The plan may be adjusted if there is no improvement or if new symptoms appear
• Follow-up visits are necessary to monitor progress and adapt the approach
• The treatment approach remains flexible and is aimed at maintaining patient comfort

To develop an individual treatment plan, book a consultation with Dr. Natalia Sergeevna Fedoruk.

Prevention

Prevention is important for reducing the risk of developing or worsening urinary incontinence. The preventive plan is selected individually, taking into account the person’s health status and the doctor’s recommendations.

Main measures for primary prevention

• Weight control and maintaining a healthy lifestyle
• Regular physical activity aimed at strengthening the pelvic floor muscles
• Avoiding prolonged constipation and increasing dietary fiber intake
• Quitting smoking and reducing factors that cause chronic cough
• Following an appropriate fluid intake regimen and moderate consumption of irritating beverages

Screening and secondary prevention / regular monitoring

• Regular gynecological examinations when indicated
• Monitoring the condition of the urinary tract and bladder
• Assessing the effectiveness and safety of previously prescribed treatment as recommended by a doctor
• Managing associated chronic diseases with consideration of their impact on the condition

Practical tips

• Discuss pelvic muscle strengthening options and support for muscle tone with your doctor
• Pay close attention to the appearance of new or worsening symptoms and seek medical advice in a timely manner
• Follow recommendations for lifestyle and dietary adjustments, taking individual characteristics into account
• Keep up with regular medical checkups and consult a specialist when necessary

Preventive measures for urinary incontinence help preserve quality of life and require regular assessment under a doctor’s supervision.

Important to know

Urinary incontinence is a common problem that affects quality of life, but it does not always require urgent intervention. It is important to understand that treatment is aimed at identifying the causes and factors that influence the manifestations of incontinence, not just relieving symptoms. Early evaluation of the condition helps determine the best approach and reduce the risk of complications. Ongoing monitoring and timely adjustment of the treatment plan provide better control over the situation. Many factors — physical strain, stress, sleep quality, and coexisting conditions — can affect the course of the condition and require attention. Self-treatment can make diagnosis more difficult, cause side effects, and delay the necessary care.

• Identifying the cause of incontinence is more important than simply reducing symptoms
• Early consultation helps choose the right plan and lower the risk of complications
• Monitoring and treatment adjustments may be needed to maintain effectiveness
• Lifestyle and overall health factors influence the course of the condition
• Self-treatment attempts can hide important symptoms and lead to complications
• Our clinic offers comprehensive diagnostics and ongoing patient support

At the first signs of urinary incontinence, it is recommended to consult a specialist to assess the situation. Detailed diagnostics and regular follow-up help adjust the treatment plan in a timely manner, improving quality of life and reducing discomfort. More detailed information can be found on the general information page about urinary incontinence.

Self-help before the appointment: what you can and cannot do

Before your appointment regarding urinary incontinence, it is helpful to take a few simple steps that will help the doctor obtain accurate information. If your condition worsens, seek help from Dr. Natalya Sergeevna Fedoruk immediately.

What you can do before the appointment

• Write down when the symptoms started and in which situations they get worse or better
• Keep a symptom diary, noting the frequency and nature of the incontinence
• Bring a list of all medications you are taking, including dosages if you know them
• Reduce physical activity so as not to worsen your condition before the consultation
• Monitor the amount of fluid you consume and avoid beverages that may cause irritation
• Measure and record your blood pressure and pulse if you know how and if it is safe for you
• Make sure you have comfortable conditions for rest and follow a sleep routine
• Gather information about past surgeries, childbirth, and chronic illnesses
• If possible, note the appearance of accompanying symptoms such as pain or burning

What you should not do before the appointment

• Do not change or stop taking chronic medications without consulting your doctor
• Do not start using new medications or herbal remedies without consultation
• Do not try to diagnose yourself or interpret test results on your own
• Do not ignore worsening symptoms or the appearance of new ones
• Do not postpone seeing a doctor if the symptoms interfere with normal life
• Do not drink large amounts of fluid without a specialist’s recommendation
• Do not subject yourself to excessive physical strain or stress
• Do not self-medicate in a way that may obscure the clinical picture and make diagnosis more difficult

If you notice signs of worsening or emergency symptoms, contact Dr. Natalya Sergeevna Fedoruk immediately.

How I can help as a doctor with urinary incontinence

During a urinary incontinence consultation, I will help you understand your symptoms and identify the possible causes of this condition. My goal is to assess the severity of the symptoms, take into account any accompanying medical conditions and current prescriptions, and suggest a logical plan for examination and treatment. At the appointment, we will discuss the necessary steps to control the condition and prevent complications. During a urinary incontinence consultation, I can help you with the following:

• Review your complaints and medical history to identify possible causes
• Assess the severity of symptoms and identify risk factors affecting the condition
• Check the effectiveness and tolerability of current treatment, and adjust it if necessary
• Develop a plan for next steps: examinations as indicated, treatment, and follow-up
• Take into account comorbidities and medications when developing management tactics
• Provide recommendations on routine and lifestyle that are appropriate for your situation
• Discuss monitoring criteria and the timing of follow-up visits to assess progress
• Perform an initial evaluation to rule out other causes and clarify the condition
• Create an individualized step-by-step treatment plan with outcome monitoring

This comprehensive approach makes it possible not only to relieve symptoms, but also to address the underlying cause and the overall condition in a systematic way. Regular follow-up and adjustment of the treatment plan will help minimize risks and improve comfort in everyday life.

What questions can you ask a doctor about urinary incontinence?

At an appointment for urinary incontinence, you can discuss the following with Natalya Sergeevna Fedoruk:

• Constant or occasional loss of urine without control
• Frequent and sudden urges to urinate that interfere with daily life
• Urinary leakage when coughing, laughing, or during physical activity
• A feeling of incomplete bladder emptying
• Symptoms that keep recurring or get worse over time
• No effect from previously prescribed treatment or self-care measures
• A desire to get a second opinion or clarification about test results
• Other complaints related to the intimate area and urination

If you have sudden severe pain, bleeding, or a sharp deterioration in your condition, you need urgent medical care — do not wait for a scheduled appointment.

Frequently asked questions during the consultation

• What is happening to me, and what could it be?
• Why did the incontinence start now?
• How can I tell whether it is related to incontinence and not another problem?
• What examinations are needed in my case specifically?
• Which tests and studies are essential, and which can be skipped?
• How should I properly prepare for the examinations and the appointment?
• What treatment options are available, and how do they differ?
• Is this condition fully curable, or does it require long-term follow-up?
• What should I do if the prescribed treatment does not help?
• Is it possible to manage without medications or surgical procedures?
• How long does treatment last, and how often are follow-up visits needed?
• What signs indicate that the condition is improving or worsening?
• What should I do if my condition suddenly worsens or flares up?

If your symptoms require urgent attention, you should seek specialized help promptly. During the consultation, the doctor assesses the situation, refers you for examinations, and develops a treatment plan within their scope of practice, and if necessary recommends cooperation with other specialists.

How the consultation takes place

A consultation is a detailed review of your complaints, an assessment of your health status, and the development of a plan for next steps. The scope of any necessary examinations is determined individually, based on indications, and taking into account your symptoms and medical history. It is not always possible to reach final conclusions in a single appointment, but the doctor will suggest a preliminary management plan.

1. Clarifying complaints and the purpose of the visit: we determine what exactly is troubling you, when the symptoms started, what makes them worse or better, and what the patient expects.
2. Medical history and risk factors: we discuss health characteristics, accompanying conditions, and lifestyle factors that may affect your condition.
3. Review of previous treatment and tests: we analyze prior prescriptions and results; it is important for the patient to bring medical documents and a list of medications.
4. Examination and specialized tests: if necessary, we perform a safe examination and assess the condition of muscles and organs according to indications, without complex procedures.
5. Preliminary assessment: the doctor discusses what may be causing the symptoms and which conditions should be ruled out, without making a definitive diagnosis.
6. Examination plan: depending on the indications, urine tests, pelvic ultrasound, urodynamic tests, and other studies may be recommended.
7. Treatment and management recommendations: a general plan is developed, including non-drug methods, possible therapy, and lifestyle guidance without specific medication details.
8. Follow-up and next steps: we discuss when to return for a follow-up appointment, how to assess changes, and in which cases an earlier consultation is advisable.

If you are coming for the first time, the consultation will focus on clarifying symptoms and identifying possible causes. If treatment has already been prescribed, special attention is paid to reviewing its effectiveness and, if necessary, adjusting the plan.

This approach helps to understand the situation as fully as possible and to move step by step toward the next stages of diagnosis and treatment, while maintaining patient comfort.

Preparing for Your Appointment

To prepare for an appointment with an obstetrician-gynecologist about urinary incontinence, gather the necessary information and documents to help speed up diagnosis and treatment planning.

• Bring a list of all current medications, including their names and, if you know them, dosages
• Bring the results of previous examinations, tests, ultrasounds, and other medical imaging
• Note when and how the symptoms begin, and what makes them worse or better
• Do not stop taking prescribed medications without consulting your doctor
• Prepare a list of questions you want to discuss during the appointment
• If you have information about previous births and surgeries, bring that as well
• Make sure you have a way to write down the doctor’s recommendations for follow-up
• If you have any doubts about how to prepare, ask for clarification when scheduling the appointment
• If you were told to come on an empty stomach, do not eat or drink for 8–12 hours before the visit (unless otherwise instructed)
• Do not use makeup or other products before the appointment if this is required for specific procedures

If you have any questions or are unsure how to prepare, it is best to clarify the details when booking the appointment. Do not change your medications on your own unless instructed by your treating physician.

About the Doctor

Natalia Sergeyevna Fedoruk is an obstetrician-gynecologist with over 10 years of experience. She works with female patients diagnosed with urinary incontinence, including first-time visits, recurrent symptoms, and cases where previously prescribed treatment has not produced the desired results.

In her practice, Natalia Sergeyevna pays close attention to thoroughly identifying the causes and monitoring patients over time, adjusting treatment as needed. During the consultation, you will receive a clear understanding of your current situation along with recommendations for further follow-up and treatment.

Why Patients Choose Dr. Natalya Sergeevna Fedoruk

Patients choose Natalya Sergeevna for her structured and clear approach to managing urinary incontinence. The consultation is based on a thorough review of the causes and any existing treatment plans, which helps avoid unnecessary tests and choose the right treatment strategy. Patient care is provided dynamically, with regular monitoring of results and prompt adjustments if the effect is insufficient or side effects occur. Special attention is paid to comorbid conditions, ensuring safe and comprehensive care. Appointments are possible with the results of previously completed examinations — the doctor helps interpret them correctly and use them to develop a treatment plan.

• A clear action plan: “what we do now → what we monitor → when the next appointment is”
• Tests only when indicated, to avoid unnecessary examinations and costs
• Consideration of comorbidities and medications for safe and effective treatment
• Monitoring of the condition over time and timely treatment adjustments if the effect is insufficient
• Review of previously prescribed medications and assessment of tolerability to optimize therapy
• Explanation of treatment goals, risks, and alternatives in simple, clear language
• Focus on preventing flare-ups and minimizing complications during follow-up
• Experience in managing complex and chronic cases, taking into account all patient-specific factors

Dr. Fedoruk’s approach helps patients understand the issue of urinary incontinence without unnecessary worry or uncertainty. This method makes the treatment process transparent and convenient, ensuring stable control over the condition.

Case Studies

Initial consultation for urinary incontinence in a middle-aged female patient

A woman presented with complaints of involuntary urine leakage, worsening with physical exertion and coughing. It was important to rule out acute infections and other causes that could mask the symptom. The physician conducted a comprehensive medical history review and examination and ordered the necessary tests as indicated. Based on the results, an initial management strategy was selected, along with recommendations regarding regimen and symptom monitoring. After several weeks, partial improvement was noted, and the symptoms became less pronounced. Ongoing follow-up included regular consultations to adjust treatment and assess progress.

Adjustment of therapy after no effect from previous treatment in a young woman

The patient with long-standing urinary incontinence reported that the previously prescribed therapy had been ineffective. The key feature of this case was the need for a comprehensive analysis of assumptions and investigations to understand the reasons for the lack of effect. The physician reviewed the prior prescriptions and performed additional testing. Based on the obtained data, the treatment approach was changed to take the patient’s individual characteristics into account. Within a month, there was a stabilizing improvement in her condition. The patient continues follow-up with periodic adjustments to the plan.

Chronic urinary incontinence in an elderly female patient with comorbidities

An elderly woman presented with long-standing symptoms of urinary incontinence complicated by concomitant hypertension and metabolic disorders. A comprehensive approach was essential, taking all chronic conditions into account to reduce risks. The physician performed a differential diagnosis and adjusted the treatment plan with a focus on safety and tolerability. The patient’s condition stabilized, and subjective discomfort decreased significantly. The plan includes regular monitoring and treatment adjustments as needed.

Exacerbation of incontinence symptoms after a stressful period in a middle-aged woman

The patient reported a sudden worsening of urinary incontinence symptoms following stress and lifestyle changes. The physician paid particular attention to identifying triggering factors and ruling out acute pathology. Necessary tests were ordered, along with recommendations to reduce bladder strain. Subsequent follow-up showed a positive trend, with a reduction in the frequency and intensity of symptoms. The management plan includes preventive measures and monitoring at follow-up visits.

Recurring symptoms and request for a second opinion in a young female patient

A woman who had previously received treatment at another facility sought clarification and confirmation of the diagnosis. The physician thoroughly reviewed the results of prior examinations, assessed the symptoms and their progression, and ordered additional tests as indicated. Following the consultation, a well-founded management plan was developed, with an emphasis on improving treatment effectiveness. Follow-up visits made it possible to adjust the condition and reduce manifestations of incontinence. The patient received a full overview of her situation and recommendations for long-term control.

How long does a consultation last?

A consultation usually takes 30 to 60 minutes; please уточнить the exact duration when booking.

How should I prepare for the appointment?

Preparation includes gathering information about your symptoms, a list of medications, and any previous examinations.

What should I bring to the appointment?

It is recommended to bring your test results, scans/images, discharge summaries, and a list of medications you are taking.

Do I need to come on an empty stomach or follow any restrictions?

Usually there are no strict restrictions unless otherwise specified when booking or by the doctor.

How many visits are usually required?

The number of visits depends on the situation and its complexity; several appointments are often needed for follow-up.

When can I expect the first results from treatment?

The effect of treatment is individual and depends on the method, stages of therapy, and the patient’s condition.

What should I do if my condition worsens before the appointment?

If the condition worsens with severe pain, bleeding, or a high fever, you should seek emergency medical care.

Can treatment be combined with my current medications?

Discuss all medications at the appointment; do not stop or add any drugs on your own.

Is an online consultation available?

Yes, an online consultation is available provided that symptoms and medical history can be discussed in full.

Can I come with examinations already done?

Yes, please bring all current results for a comprehensive understanding of the situation.

Do I need to come back for follow-up, and how often?

Follow-up visits are scheduled individually depending on progress and treatment goals.

Can I get a second opinion?

Yes, the doctor is ready to review previous examinations and treatment to clarify the plan.

What should I do if symptoms return after improvement?

It is important to seek a consultation to assess the situation and adjust treatment.

What examinations are usually prescribed?

The examination plan depends on your symptoms and history and is prescribed as indicated.

What happens during an appointment for urinary incontinence?

The doctor collects information, performs an examination, orders any necessary tests, and discusses the treatment plan.

Can urinary incontinence be treated without surgery or medication?

Treatment is selected individually and may include non-drug methods if appropriate.

What factors does the doctor consider when choosing treatment?

The causes of the problem, accompanying conditions, and the patient’s individual characteristics are taken into account.

Can I come with a child or an elderly relative?

Yes, you can consult a doctor for all categories of patients, including elderly women.

Can I reschedule or cancel an appointment?

Yes, changes are possible; it is best to notify us in advance for easier appointment planning.