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The Villages, Florida

Urinary Incontinence
in The Villages, FL

Non-surgical, drug-free help with bladder control for men and women, at 929 US-441 #404, Lady Lake, FL 32159. Discreet, practical, and starting with the $47 exam.

  • Lady Lake office
  • Non-surgical, drug free
  • 22 years in practice
  • $47 new-patient exam

Medically reviewed by Dr. Justin Bergin, DC Updated September 14, 2026

Urinary Incontinence Treatment in The Villages, FL

You know where every bathroom is. On the square, at the course, in the two shops you still go into, and on the road out to the airport. You have worked out which seat to take so you can get out quickly, and you have started saying no to anything longer than ninety minutes. Maybe you stopped drinking water after four o'clock and you are up twice in the night anyway. Nobody describes it out loud. Around The Villages this is one of the most searched health problems there is and one of the least discussed. It affects men and women both, and it is not something you are meant to accept because of your age.

Urinary incontinence is involuntary leaking in recognisable patterns: stress leaking on a cough, laugh or lift, urge leaking with a warning you cannot hold, and mixed, which is both. It is common in older adults and not a normal part of ageing. Care at our Lady Lake office is non-surgical and drug-free, aimed at pelvic floor function and the nerve contribution behind it. First visit is $47.

This page covers the The Villages market specifically. The neutral, urinary incontinence page covers the clinical picture for both offices.

Symptoms

What The Villages patients describe when they call this office.

  • Leaking when you cough, sneeze, laugh or lift
  • A sudden urge that gives you no time to reach a bathroom
  • Getting up two or more times a night to pass urine
  • Planning routes and outings around bathroom locations
  • Wearing a pad as a precaution rather than for a known problem
  • Leaking after prostate surgery that has not settled
  • Dribbling after you thought you had finished
  • Avoiding pickleball, golf, tennis or the gym because of it
  • Cutting fluids to manage it, and feeling worse as a result

Common causes

Weak or poorly coordinated pelvic floor muscles

The commonest driver in women, and a major one in men after prostate surgery. The muscles supporting the bladder lose strength or timing, so pressure from a cough or a lift beats the closure. The National Institute on Aging lists pelvic floor exercises among the first-line approaches.

Bladder muscle overactivity

The bladder contracts before it is full and before you have agreed to it, which is the sudden urge with no warning. It often sits alongside the stress pattern, which is why the mixed version is so common here.

Prostate surgery and prostate enlargement in men

Surgery for prostate cancer, and enlargement itself, change how the outlet works. Leaking afterwards is common, often improves, and responds to pelvic floor rehabilitation.

Nerve supply from the lower spine

The nerves controlling the bladder and pelvic floor leave the spine low down, so stenosis, disc change and previous back surgery affect the signal. That is why a chiropractic practice has anything useful to say here.

Medication, constipation and fluid habits

Diuretics, some blood pressure medication, caffeine, alcohol and chronic constipation all make it worse. The cheapest things to change, and the last anyone asks about.

How we treat it at the Lady Lake office

Care here is non-surgical and drug-free, and it starts with working out which pattern you have, because stress and urge leaking respond to different things. Dr. Justin Bergin, DC assesses pelvic floor function indirectly through posture, core control, breathing and lower spinal nerve testing, then builds a plan of rehabilitation and practical bladder strategy, reviewed against what you report.

Pelvic floor recovery

Rehabilitation of the muscles that hold the bladder closed under pressure, taught properly rather than handed over as a leaflet. Most people who believe pelvic floor exercises did not work were never shown how or gave up before the real timescale. This is also the main route for men after prostate surgery.

The wider pelvic and vascular picture

Bladder control, sexual function and pelvic tissue health share anatomy, nerve supply and blood supply, and in this age group they often turn up together. Where that is so, the assessment covers both. It is a conversation held privately, and only if you want it.

What It Actually Takes From You

The medical description is about volume and frequency. The lived version is everything you have quietly stopped doing.

The day gets planned around it. Routes, seats, timings, which outings are too long. After a year or two people stop noticing they do it.

Sleep goes. Up two or three times a night drives daytime tiredness, low mood and unsteadiness on the stairs.

Activity goes. Pickleball, tennis, golf, the gym and the pool are exactly the activities that provoke stress leaking, and exactly the ones this community is built around.

Travel goes. The flight, the coach trip, the long drive to see grandchildren.

And the fluid trap. Cutting water concentrates urine, which irritates the bladder and makes urgency worse. The commonest self-management mistake, and easily undone.

Call (352) 915-7150 and book an examination.

Men and Women Both, and They Are Not the Same Problem

Women. Stress leaking is the usual starting point, rooted in pelvic floor strength and coordination, often with an urge component later. Menopause changes the tissue too, which is why comfort and continence problems arrive together.

Men. The route in is almost always the prostate: enlargement changing the outlet, or surgery leaving leaking behind. Men are far less likely to have been offered pelvic floor rehabilitation and far more likely to have been told to wait and see.

Your Options, Honestly Compared

OptionWhat it isTypically considered whenInvasive?Offered at ChiroMed?
Pelvic floor rehabilitationProperly taught strengthening and coordination of the muscles that close the outletStress leaking, mixed leaking, leaking after prostate surgeryNoYes
Bladder retraining and habit changeScheduled voiding, fluid and caffeine review, managing constipationUrge and mixed patterns, and a first step for nearly everyoneNoYes
Lower spinal assessmentChecking whether nerve supply from the lower back is contributingBack pain, stenosis, previous back surgery or leg symptoms alongsideNoYes
Medication reviewReviewing diuretics and other contributors with your prescriberWhere the timing of leaking tracks medicationNoNot here. It belongs with your own prescriber
Prescription bladder medicationDrugs that calm an overactive bladder muscleUrge leaking that failed conservative careNoNot prescribed here. Your physician or a urologist
Surgical optionsSling procedures, artificial sphincter and related surgeryWhere conservative care has genuinely been triedYesNot here. Appropriate for the cases that need it

See a Physician First If

Blood in your urine. Leaking that started suddenly with no obvious reason. Pain or burning passing urine, fever or flank pain. Inability to empty the bladder, or to pass urine at all. New weakness or numbness in the legs, or numbness around the saddle area alongside the bladder change, which is an emergency.

Cost, Insurance and Medicare

Chiropractic care at ChiroMed bills insurance and our team verifies your benefits before your first visit, Medicare and Medicare Advantage included. Coverage varies by plan and by service, and anything outside your benefit is cash pay, which the front desk tells you before you agree to a plan. New patients start at $47. Payment plans are available for self-pay care.

Who Is Treating You

Dr. Justin Bergin, DC has 22 years in practice, and this problem is in scope here for anatomical reasons: the nerves running the bladder and pelvic floor leave the lower spine, and the muscles involved belong to the same system as the core and the breathing pattern. Lower spinal work, pelvic floor rehabilitation, Omniwave shockwave and Neuromed electroanalgesia sit under one roof with one clinician.

The general picture is covered on our page about the types of urinary incontinence and what drives them.

Our The Villages office

Chiromed Wellness Centers
929 US-441 #404
Lady Lake, FL 32159

(352) 915-7150

  • Monday8:30am to 1:00pm and 2:30pm to 6:30pm
  • TuesdayClosed
  • Wednesday8:30am to 1:00pm and 2:30pm to 6:30pm
  • Thursday8:30am to 1:00pm and 2:30pm to 6:30pm
  • FridayClosed
  • Saturday and SundayClosed

Dr. Justin Bergin, DC performs the examination personally at this office, 22 years into practice. Full office details are on the the villages office page.

What we are near

We are at 929 US-441 #404, Lady Lake, FL 32159, just above the CR 466 junction, with surface parking immediately outside and no lobby to cross. That matters more here than it sounds, and so does knowing there is a bathroom a few steps inside the door. Patients come from throughout The Villages and from Lady Lake, Summerfield, Wildwood, Oxford, Fruitland Park and Leesburg, across Sumter, Lake and Marion counties, and a number choose this office because it sits outside their own village. UF Health The Villages Hospital is nearby, and we are not affiliated with it.

Our Lady Lake office is a short drive from the Lake-Sumter State College campus in Leesburg, serving the same tri-county community. No affiliation is implied.

ChiroMed is an independent practice. Naming nearby hospitals, colleges or landmarks describes where we are, not who we are affiliated with. There is no affiliation, partnership or endorsement of any kind.

  • The Villages
  • Lady Lake
  • Summerfield
  • Wildwood
  • Oxford
  • Fruitland Park
  • Leesburg

Independent background: Urinary Incontinence in Older Adults, National Institute on Aging.

What The Villages patients say

[TESTIMONIAL PLACEHOLDER: replace with a real patient review that mentions Urinary Incontinence by name before publishing] Nobody writes a public review about bladder control, and we will not manufacture one. What is verifiable stands instead: Dr. Justin Bergin, DC, 22 years in practice, and an office that treats this as an ordinary clinical problem rather than an awkward one.

I bless the day that Dr. Bergin started working on me. I have had long standing pain for so long. After just a few visits my pain left and I feel so good. He is very patient oriented and caring. I regard him highly.

Elizabeth M., The Villages patient

Get in touch

Book at our The Villages office

Choose The Villages on the form and the Lady Lake desk will call you back within one business day.

  1. 1

    Send the form

    Two minutes. Tell us what hurts and which office is closer.

  2. 2

    We call you back

    A real person, within one business day, to find a time that works.

  3. 3

    Exam and answers

    History, orthopedic and neurological testing, imaging on site when it changes the plan.

  • $47 consultation, exam, X-rays if needed and report of findings
  • Payment plans available on the self-pay programs
  • Booking for the The Villages office

The Villages questions

Tap a message for the honest answer. Call The Villages (352) 915-7150

Is leaking urine just part of getting older?

It is common with age and it is not a normal or inevitable part of it, which is an important difference. The National Institute on Aging describes urinary incontinence as a treatable problem with several recognised causes rather than something to be endured. A great many people in this community have simply never raised it with anyone, and the first honest examination is usually the first time they hear that there are options.

the clinic team
What is the difference between stress and urge incontinence?

Stress incontinence leaks when pressure rises, so a cough, a sneeze, a laugh, a lift or a serve. Urge incontinence gives you a sudden signal you cannot hold long enough to act on, often near the front door or the sound of running water. Mixed means you have both, which is the most common pattern in older adults. They respond to different things, which is why working out which one you have is the first job rather than an afterthought.

the clinic team
Does Medicare cover treatment for urinary incontinence?

Coverage varies by plan and by service, and it also depends on which provider delivers the care, so nobody should give you a straight yes over the phone. Chiropractic care at ChiroMed bills insurance and our front desk verifies your benefits before your first visit, Medicare and Medicare Advantage included. Any element that falls outside that is cash pay and you will be told which is which before you commit to anything. Payment plans are available for self-pay care.

the clinic team
I leak after prostate surgery. Is anything still possible?

Usually, yes, and this is one of the groups most often left with the impression that nothing more can be done. Leaking after prostate surgery is common, often improves over months, and responds to properly taught pelvic floor rehabilitation. Timescales are longer than most men are told and progress is measured over weeks rather than visits. Keep your urologist in the loop, because they should know what you are doing and we will not work around them.

the clinic team
Do I have to talk about this at the front desk?

No. Book a consultation and leave it there; nothing about the reason needs saying on the phone or in the waiting area. The history is taken with the door closed. Your appointment is scheduled under the same appointment types as everyone else's, and in a community this size that is a deliberate choice rather than an accident.

the clinic team
Can this be treated without surgery or medication?

For many people, yes, and conservative care is generally where the guidance says to start. Pelvic floor rehabilitation, bladder retraining, addressing constipation, and reviewing fluid, caffeine and medication habits with your own prescriber carry a lot of the load. Surgery and prescription medication both have a real place, and if your examination points there you will be told and sent to the right specialist. We do neither of those things here.

the clinic team

Same-week appointments

The Villages care, without the drive.

Call (352) 915-7150 or book online. Dr. Justin Bergin, DC performs the examination personally.

  • $47 consultation, exam and report
  • 22 years in practice

Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47

Call The Villages Book appointment