Did You Know?
Dr. Prema is the only female, urogynecologist in the Arcadia, Pasadena area?
Urinary incontinence is common in women and you need not be embarrassed by it.
Our center's specialty is to treat Incontinence!
Life Less Interrupted
Do you experience symptoms like strong, sudden urges to go to the bathroom, frequent trips to the bathroom, and sometimes even embarrassing leakage? If yes, you are not alone! Approximately 51 million women in the world and 17 million in the U.S. suffer from urinary incontinence. Some women experience urine leakage while coughing, sneezing, or during strenuous exercise, while some feel an overpowering urge to urinate-so strong that they often won't make it to the bathroom in time.
 
The good news is that in almost ALL cases it is treatable! Yes, you can regain control of your life!
 
Our premier center has treated hundreds of women from these conditions successfully, giving each one, their life back!
Incontinence Center
Our center specializes in diagnosis and treatment of urinary incontinence, pelvic organ prolapse and vaginal rejuvenation. This blend of gynecology with urologic surgery enables Dr. Prema to take total care of her patient’s specific needs. Invasive surgery is not the only or the first option any more. With better understanding of the issues and newer techniques, Dr. Prema offers a variety of treatment options, specially customized for you and your symptoms.

At the Incontinence Center, every woman will first undergo in office specialized evaluation using the most modern techniques like Urodynamics study to determine the type, extent and severity. Various options will be explained before treatment begins. Surgery WILL NOT be the only, or even the first option. Many techniques and non-invasive procedures are available.

Relax! Your life will be less interrupted!
Incontinence Treatment Services

Conditions
• Urinary Incontinence  readmore
 
• Stress Incontinence or SUI, occurs when urine leaks from the bladder when pressure is exerted in the abdominal area. It can occur when the muscles supporting the urethra or bladder have been weakened. It can make it hard to live a normal life; those with this condition have a difficult time doing simple things such as climbing the stairs, laughing, or sneezing without experiencing urine leakage.
 
It's nothing to be ashamed of. Just as some lose their ability to see or hear, the urinary tract can stop working perfectly for some people. It is a perfectly natural occurrence and it is no reason to be embarrassed.
 
Many people think that SUI is a condition associated mainly with aging. This cannot be farther from the truth: SUI affects women young and old. A number of factors could be the culprit, including pregnancy, vaginal childbirth, menopause, gynecologic surgeries, and even strenuous exercise. And, no matter how much you'd want it to, it won't get better on its own.  readmore
 
• Urge Incontinence or sometimes called as Overactive Bladder (OAB), is an involuntary loss of urine that usually occurs when a person has a strong, sudden need to urinate. Urge incontinence is not a disease. Rather, it is a sign that there is an underlying problem. It is caused by abnormal bladder contractions.  readmore
 
• Vaginal Sling Surgery for treating Stress Incontinence  readmore
 
• Uterine Prolapse  readmore
 
• Cystocele (Fallen Bladder)  readmore
 
• Enterocele (Vaginal Hernia)  readmore
 
• Rectocele (Fallen Rectum)   readmore

OFFICE BASED TESTING AND TREATMENT OPTIONS
• Behavioral modification counseling
• Pelvic floor muscle rehabilitation (Biofeedback)   readmore
• Insertable Devices (Pessary) for Pelvic Prolapse  readmore
• Bulking material injections  readmore
• Medications to control OAB
• Pelvic ultrasound
• Stress test
• Urodynamic testing  readmore
• Cystoscopy  readmore