Garron R Hale, MD

Diplomate, American Board of Obstetrics & Gynecology

Seeing a Physician

Some women with urinary incontinence fear nothing can be done to alleviate their problem. As a result, they may never seek medical help. One study showed less than half of the women who experience urinary incontinence seek treatment for their problem. 1

1. Keller SL. Urinary incontinence: occurrence, knowledge, and attitudes among women aged 55 and older in a rural Midwestern setting. J Wound Ostomy Continence Nurs Jan 1999 v. 26(1)p.30-8

The first thing to do is talk to Dr. Hale.

To establish a diagnosis, Dr. Hale will ask you about your medical history and urinary habits. It is important that you accurately describe when and under what conditions you have problems controlling your bladder. It may help to keep track of when you urinate, as well as how much fluid you drink or eat, by writing these activities in a “voiding diary.” It is important to understand when and under what conditions the incontinence occurs.

Because each patient with urinary incontinence is unique, Dr. Hale prescribes incontinence treatments based on the type and severity of incontinence.

Specialists such as gynecologists, urologists and urogynecologists use a variety of testing methods to measure:

  • How much urine the bladder can hold before urinating
  • The force of the urine leaving the body
  • The pressure within the bladder as it fills with urine
  • Urethral sphincter muscle function

Common Tests
The following tests are commonly used to establish a diagnosis for urinary incontinence:

  • Pad Test – Measures the amount of urine released by weighing the increased weight of an absorbent pad after urine leakage occurs.
  • Post-Void Residual (PVR) – Assesses the adequacy of the bladder’s ability to empty.
  • Cystometry – A series of tests that study pressure and volume of fluid in the bladder during filling, storage and voiding.
  • Uroflowmetry – Measures urine volume voided over a period of time and can be used to determine the severity of any blockage or obstruction.
  • Cystoscopy – A test that visually examines the urethra and bladder by inserting a small tube, called a cystoscope, into the urethra.

Source: AMS

About Us

Dr. Hale started practice in Scottsdale, AZ in July of 1971 with specialty of women\'s health. He is currently board certified in OB & GYN and a member of the American College of OB-GYN. His training was at a university hospital at the Oregon Center of Health Science in Portland, Oregon (rated in top 5 in the world for training of OB-GYN).