4331 Medical Dr Suite 203, San Antonio, TX 78229 
Urinary Incontinence Treatment in San Antonio, Texas
Tired of leaking when you laugh? Take control. Feel confident again.
Board-certified OB-GYN Dr. Patience Miller offers compassionate care and effective treatments to help you regain confidence.
Laughing, coughing, sneezing – these shouldn’t come with an uh-oh moment. If you’ve ever leaked a little urine during these everyday actions, you know how frustrating and embarrassing urinary incontinence can be. You’re not alone, and you don’t have to “just live with it.” Dr. Patience Miller can help you regain control and confidence.
Dr. Patience Miller, MD, is a board-certified OB/GYN and women’s health specialist serving the San Antonio, Texas area. She has helped countless women – including new moms, seniors, and those post-menopause – overcome bladder leakage and get back to the activities they love. Her practice offers compassionate care and advanced solutions for urinary incontinence, including non-surgical therapies and a highly effective sling procedure (with a 96% success rate at relieving leaks. Tired of leaking when you laugh or sneeze? Take control and feel confident again with Dr. Miller’s expert help. Don’t let incontinence hold you back from an active, happy life.
What Causes Urinary Incontinence?
Urinary incontinence is caused by problems with the nerves and muscles in your urinary tract. Menopause, pregnancy, and childbirth all affect these nerves and muscles, sometimes leading to bladder leakage or loss of control.
Other common causes of female urinary incontinence include:
Birth defects in the urinary system
Bladder muscle weakness
Brain or spinal cord injury
Side effects from medications
Nerve disorders (like multiple sclerosis or diabetes)
Pelvic floor muscle weakness
Urinary tract infections (UTIs)
Chronic health conditions such as diabetes
Vaginal prolapse – when the vaginal walls sag or drop out of place, often after childbirth or menopause
If you’ve been searching for “what causes bladder leaks in women” or “why do I leak urine when I sneeze” — the above list are some of the most common reasons.
How Is Urinary Incontinence Diagnosed?
Dr. Patience Miller, a trusted female OB/GYN in San Antonio, takes a thorough health history and asks about your symptoms. She performs a gentle pelvic exam to look for signs of pelvic organ prolapse or other causes of urine leakage.
She may also perform:
A cough test — where you cough with a full bladder to see if you leak
A pad test — where a pad is worn, then weighed to measure the amount of urine leaked
Imaging tests or bladder function tests, if needed
How is urinary incontinence treated in women?
Dr. Miller recommends a personalized plan based on your symptoms and exam results. Many women improve with non-surgical treatments such as:
Changes to your diet and fluid intake
Guided pelvic floor therapy exercises (like Kegels)
Prescription medications for bladder spasms or overactive bladder
If the cause is a structural problem, like a dropped bladder or urethral weakness, surgical treatment for urinary incontinence may be recommended.
What is a sling procedure for bladder control?
For patients with stress incontinence (leaking urine when you cough, sneeze, or laugh), Dr. Miller offers a minimally invasive sling procedure — a trusted method with a 96% success rate.
Here’s how it works:
During outpatient surgery, Dr. Miller inserts a small strip of synthetic surgical tape between your vaginal and abdominal walls. This creates a supportive sling that keeps your urethra closed during pressure, preventing leaks.
Over 4–6 weeks, your tissue naturally grows around the tape to hold it in place. This quick procedure helps eliminate or significantly reduce bladder leakage in women.
Patients often search:
“best surgery for urinary incontinence San Antonio”
“bladder sling success rate”
“how to stop urine leakage permanently”
If you’re asking those same questions, Patience Miller, MD, OB/GYN offers the answers — and the solution.
Empower Your Health Journey
