SPECIALISED TREATMENT FOR BLADDER CONTROL ISSUES
INCONTINENCE SUPPORT & MANAGEMENT
Dr Fay Chao in Melbourne, VIC, provides comprehensive assessment and management options for individuals experiencing urinary incontinence, offering a calm, respectful and evidence-based approach to help people understand their symptoms and regain confidence in daily life. Drawing on subspecialty training in urogynaecology and pelvic reconstructive surgery, she supports patients with a wide range of bladder concerns while tailoring care to each person’s lifestyle, preferences and goals.
Urinary incontinence can affect individuals differently. For some, it may occur during physical activity, while for others it may happen unexpectedly or with a sudden urgency that is difficult to control. These symptoms are common, but they do not need to be accepted as a normal part of ageing, childbirth, activity changes or hormonal transition. Early guidance from a specialist can help identify the underlying contributors and outline clear steps for improvement.
UNDERSTANDING URINARY INCONTINENCE
Urinary incontinence is broadly described as the involuntary loss of urine, but the reasons behind it vary significantly. The pelvic floor, bladder muscle, urethral support, neurological signalling and behavioural patterns can all influence urinary control. Because of this, treatment begins with understanding why symptoms are occurring rather than simply focusing on the leakage itself.
Many people assume that bladder leakage is something they must put up with, especially after childbirth or during later stages of life. In reality, incontinence is a clinical condition with well-established management pathways. Dr Fay Chao aims to create a reassuring environment where individuals can discuss symptoms openly without discomfort or stigma, enabling more accurate assessment and a clearer path forward.
COMMON PRESENTATIONS
While urinary incontinence can take several forms, the following presentations are most frequently reported:
Stress-related leakage
Leakage that occurs during movement, exertion or activities that increase abdominal pressure, such as coughing, sneezing, lifting, running or laughing.
Urgency-related leakage
A sudden, compelling need to pass urine that is difficult to defer, often accompanied by frequent urination or waking through the night.
Mixed symptoms
A blend of both stress and urgency patterns, varying in severity from day to day.
Fullness-related leakage
Less commonly, leakage may develop when the bladder does not empty completely, causing overflow or dribbling episodes.
These descriptions provide a starting point, but the full picture is usually more nuanced. Two people with the same type of incontinence may have entirely different contributing factors, which is why personalised assessment is essential.
HOW DR FAY CHAO APPROACHES ASSESSMENT
A thorough and respectful evaluation is key to planning effective care. Dr Fay Chao tailors the assessment process to each person’s comfort level and clinical needs.
Assessment may include:
- A detailed review of symptoms and daily impacts
- Discussion of personal goals, concerns and expectations
- Consideration of relevant medical history and prior treatments
- Bladder diaries to highlight patterns or triggers
- Examination when clinically indicated
- Discussion around diagnostic tools, such as urodynamic studies, if appropriate
Her approach emphasises clarity, shared decision-making and an understanding of the individual behind the symptoms, rather than relying on a one-size-fits-all model.
MANAGEMENT PATHWAYS
The management plan for urinary incontinence will depend on the type and underlying contributors. Treatment options may include conservative strategies, behavioural modifications, pelvic floor-directed interventions, medical therapies or surgical procedures when appropriate. Each pathway is explained in a way that supports informed, confident decision-making.
Dr Fay Chao also recognises that goals vary between individuals. For some, the aim may be complete symptom resolution, while for others it may be reducing leakage during certain activities, improving sleep quality or restoring confidence in social or occupational settings. The plan is always shaped around what matters most to the person receiving care.
URINARY INCONTINENCE FAQS
What causes urinary incontinence?
There are many potential contributors, including pelvic floor changes, childbirth, hormonal transition, bladder muscle overactivity, neurological changes, chronic coughing, certain medications or patterns of bladder behaviour. A clinical assessment helps determine which factors may be playing a role.
Is urinary incontinence a normal part of ageing?
While it becomes more common with age, it is not something that must be accepted as inevitable. Many individuals experience significant improvement with targeted management once the underlying causes are understood.
Will I need tests during my first appointment?
Not necessarily. The initial consultation typically focuses on understanding symptoms and discussing possible contributors. Further testing, such as urodynamics, is only recommended when it will meaningfully guide treatment decisions.
Are lifestyle changes enough to help?
For some individuals, conservative strategies can lead to noticeable improvements. For others, a combined approach may be recommended. The best plan depends on the type of incontinence and personal goals.
When is surgery considered?
Surgery is only discussed when conservative and behavioural measures are insufficient or when symptoms are related to structural or support changes. Any surgical conversation is approached carefully and collaboratively, with ample time for questions.
If you are seeking support for urinary incontinence, please call our team on (03) 9802 4668.