Urology - The Continence Center

What is Incontinence?
Incontinence is the loss of bowel or bladder control. It is important to know that incontinence is not a disease, but a symptom of an underlying condition. Incontinence can become a devastating medical, social and psychological problem. It is not a normal part of aging, and affects both men and women of all ages.

The most common types of urinary incontinence are:

• Stress incontinence - the accidental loss of urine with sneezing, coughing, lifting or physical movement.
  
• Urge incontinence - the accidental loss of urine associated with an overwhelming desire to use the toilet and the inability to reach the restroom in time.
  
• Overflow incontinence - caused when the bladder does not empty properly and urine spills over.
  
• Mixed incontinence - experiencing more than one type of incontinence at the same time.

There is Help...
Loss of bladder control can be hard to talk about, even with your doctor. But when it becomes a problem for you, it's time to find help.

Fortunately, help is available. Urinary incontinence is treatable and often does not require surgery. In fact, today, almost every form of incontinence is manageable.

Help is close to home at The Continence Center of Kentucky and Indiana at Clark Memorial Hospital.

Solutions...
Sometimes the causes of incontinence can be discovered through a simple history and physical examination. At other times, a more sophisticated evaluation is necessary.

The common forms of treatment include behavioral techniques, medication and various types of surgery. Treatment programs depend on the patient's wishes, coupled with the physician's diagnosis and the degree of incontinence that the patient is experiencing.

The Continence Center of Kentucky and Indiana at Clark Memorial Hospital is an established full service center for the evaluation of patients suffering from incontinence. The Continence Center offers the following:

• A dedicated staff specially trained in the management of urinary and fecal incontinence.
  
• One-on-one patient education by a qualified urilogical staff member.
  
• State-of-the-art diagnostic suite, including computer assisted urodynamics, electromyography, anorectal manometry and flexible cystoscopy.
  
• Treatment area dedicated to behavioral therapy services for the management of urinary and fecal incontinence.

We're Here to Help You:
The qualified staff of The Continence Center of Kentucky and Indiana:

Kathleen Cook, RN, BSN, CURN
Nurse Coordinator

Kathleen Cook is a graduate of Thomas Jefferson Medical College School of Nursing in Philadelphia, PA and St. Louis University in St. Louis, MO.

She has worked in the area of spinal cord injury rehabilitation and was the Director of Nursing Education at Frazier Rehab Center in Louisville. Kathleen was also the Head Nurse of Clark Memorial's Rehabilitation Unit. She has worked in the field of Urology since 1988 and specializes in computer urodynamics and urinary incontinence.

Camille Koebel, M.S., BCIAC
Exercise Physiologist/Biofeedback Therapist

Camille Koebel is a graduate of the University of Louisville and Indiana University, Bloomington. Camille previously worked for Alliant Health System in Rehabilitation services. She is one of only seven Biofeedback Therapists certified in the state of Kentucky.

Kelly Gollar, RN, MSN, CNOR
Nurse Clinician

Kelly Gollar is a graduate of Indiana University Southeast and University of Louisville. Kelly has worked with Clark Memorial Hospital's department of surgery and as the Perioperative Educator at Clark Memorial Hospital. She has worked in all surgical specialties with extensive experience in urology. Kelly joined The Continence Center in 1996, and now specializes in computer urodynamics.

Carolyn Williams
Certified Urology Technician

Carolyn Williams is a student of Indiana University Southeast. She has worked in the Urology field since 1992 and specializes in computerized urodynamics. Carolyn became a Certified Urology Technician in March of 1995.

Medical direction is provided by Dr. James Bailen, Dr. David Benson, Dr. William Schmied and Dr. Greg Steinbock.

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