Normalizing the conversation: Compassionate care for incontinence

In this video, Aleece Fosnight, MSPAS, PA-C, CSC-S, CSE, IF, MSCP, HAES, founder of the Fosnight Center for Sexual Health and medical advisor for Aeroflow Urology, emphasizes the importance of compassion, normalization, and empowerment when encouraging patients to seek help for urinary incontinence. She begins by underscoring one central message: “You are not alone.” Many patients feel isolated and ashamed, believing they are the only ones experiencing this condition. Fosnight reminds them that millions of people across all ages deal with incontinence, making it one of the most common—and treatable—urologic issues.

She encouraged urologists to normalize the conversation by openly acknowledging that these discussions can feel embarrassing but also by celebrating patients for taking the first step. Even scheduling an appointment or showing up deserves recognition, as these moments often mark the beginning of significant improvement in quality of life. Fosnight also stressed the importance of emphasizing treatability—that effective solutions exist, from lifestyle changes to advanced interventions. She advised clinicians to reassure patients that they do not need to wait until symptoms worsen; small steps taken early can lead to major benefits.

A key part of her approach is education and prevention. By teaching patients to recognize early warning signs—like increased frequency or urgency—urologists can help them seek help sooner. Fosnight promoted a scaffolded, layered approach to treatment, where progress builds gradually: starting with simple strategies such as hydration and fiber intake, then adding pelvic physical therapy, medications, or nerve stimulation as needed.

Ultimately, Fosnight reframed help-seeking as self-care, encouraging patients to prioritize their bladder health just as they would their heart or bones. By meeting patients where they are, validating their feelings, and focusing on incremental progress, urologists can foster trust, reduce stigma, and empower individuals to reclaim comfort and confidence in their daily lives.