“I have had sich a great experience seeing Dr. Bergin. When other offices have told me I just had muscle damage or the only thing they could do for me was give shots, he said he had others ways to manage my pain and numbness, along with improving mobility. And he was right! I feel so much better! With such friendly staff and welcoming office environment, it makes for an amazing experience. I'll definitely continue seeing him!”
Condition
Urinary Incontinence Treatment
in Lakeland and The Villages, FL
Leaking is common. It is not something you have to accept, plan your day around, or discuss at a front desk. Assessment here is private and non-surgical.
- 22 years in practice
- Non-surgical, drug-free
- $47 new-patient exam
Medically reviewed by Dr. Justin Bergin, DC Updated September 18, 2026
Quick summary
Urinary incontinence is the accidental loss of urine, and it comes in three main patterns: stress, urge and a mix of both. It affects women and men, including men who leak after prostate surgery.
Care here is non-surgical and drug-free, built around pelvic floor assessment and retraining at the Lakeland and Lady Lake offices. Medication and surgery are not performed here.
Understanding urinary incontinence
Urinary incontinence is any accidental loss of urine. Stress incontinence leaks with pressure: a cough, a sneeze, a lift, a laugh. Urge incontinence is a sudden desperate need with too little warning. Mixed incontinence is both together, and it is the most common pattern in older adults.
Which type you have decides what is worth doing, which is why assessment comes first.
In women the common causes are childbirth, menopause and lost pelvic floor tone. In men the main cause is prostate surgery.
A pelvic floor can also be too tight rather than too weak. Squeezing harder then makes matters worse, which is a common reason exercises done alone fail.
How it works
Pressure from above
Stress leakage is usually a support problem. The closing mechanism cannot resist a sudden rise in pressure from above.
A warning that arrives too late
Urge leakage is a signalling problem between bladder and nerve. The bladder squeezes when it should be waiting, and the warning time collapses.
Both routes at once
Mixed incontinence needs both treated. Treating only one half is why a lot of people conclude that nothing works.
Why does nobody talk about this?
Most people manage this quietly for years before they mention it to anybody. You know where the bathrooms are on every route you take.
You have stopped the exercise class, or you wear a pad to it. You laugh a little less freely than you used to.
It is very common and it gets treated as though it were rare, because nobody talks about it. That includes the appointments where it would have been the useful thing to raise.
Is there anything embarrassing about it?
There is nothing embarrassing about how it works. The pelvic floor is a muscle group, and muscle groups can be weak, tight, badly coordinated or all three.
Who would be assessing you, and where?
Dr. Justin Bergin has been in practice for 22 years and assesses this the way he assesses any other muscle and nerve problem, privately and without fuss.
Evaluations are available at the Lakeland office on South Florida Avenue and at the Lady Lake office serving The Villages.
Independent background: Bladder Control Problems, National Institute of Diabetes and Digestive and Kidney Diseases.
Symptoms
Most people recognize their own version somewhere in this list. Each one maps to a specific finding the examination checks for.
- Leaking when you cough, sneeze or laugh
- Leaking during exercise or lifting
- A sudden urge with little warning
- Needing the bathroom more than eight times a day
- Waking more than once at night to go
- Leaking on the way to the bathroom
- Wearing a pad as a matter of routine
- Leaking after prostate surgery
- Planning outings around bathroom access
Common causes
Pelvic floor weakness
The muscles that support the bladder and close the urethra lose tone through childbirth, aging, inactivity or surgery. When they cannot resist a sudden rise in abdominal pressure, a cough or a lift produces a leak.
A pelvic floor that is too tight
Less well known and frequently missed. A floor held in constant tension fatigues and coordinates poorly, producing both urgency and leakage. For this group, more squeezing is the wrong prescription.
Prostate surgery and prostate change
Removal or treatment of the prostate alters the support around the urethra, and leakage afterwards is common. It often improves with proper retraining, which is why men belong in this conversation.
Menopause and hormonal change
Tissue in the pelvic floor and around the urethra thins and loses elasticity after menopause. Bladder symptoms frequently appear in the same period as other post-menopausal changes, and the two are related.
Bladder irritation, habit and medication
Caffeine, alcohol and carbonated drinks irritate the bladder lining in many people, and so does the habit of going just in case. Several common medications, diuretics among them, contribute directly.
How we treat urinary incontinence in Lakeland and The Villages
The assessment establishes which pattern you have, and whether your pelvic floor is weak, tight or poorly coordinated. Treatment is then pelvic floor recovery work matched to that finding. Where bladder and sexual symptoms share the same pelvic cause, our sexual wellness care is involved too. Nothing is prescribed and no surgery is performed.
Pelvic floor recovery matched to your pattern
The work depends entirely on what the assessment shows. A weak floor needs graded strengthening and coordination with breathing and load. A tight floor needs releasing before anything else, because strengthening it makes symptoms worse. Retraining bladder habits runs alongside either.
Where bladder and sexual symptoms share a cause
The pelvic floor does two jobs: bladder control and sexual function. The two sets of symptoms often arrive together, particularly after prostate surgery and after menopause. Where that happens, our sexual wellness care uses the same pelvic assessment rather than starting over.
the vitality and sexual wellness line, which shares the same pelvic assessment
Available at our 2 locations
Treatment at our Lakeland office, and also at:
What recovery usually looks like
Private assessment Your first visit
History, a bladder and symptom picture, and an assessment of pelvic floor function including whether the floor is weak or overactive. You are told which pattern you have and what would realistically help.
Correcting the approach, then building control Through the plan
For many people the early part is unlearning: stopping exercises that are making an overactive floor worse. Strength, coordination and timing are then trained together, because a strong floor that fires late still leaks.
Holding it Longer term
Pelvic floor gains fade if the work stops entirely, so the plan ends with a maintenance routine you can keep. If progress has stalled, we refer.
When to seek care sooner
What to try at home first, with one caveat. Cut bladder irritants for two weeks: caffeine, alcohol and carbonated drinks. Stop going just in case.
Keep a three-day diary of drinks, bathroom visits and leaks.
Do not drink less to reduce leaking. Concentrated urine irritates the bladder and makes urgency worse.
The caveat is about pelvic floor exercises. They help many people and they are not enough on their own for everyone.
If your floor is overactive rather than weak, they can make things worse. That is the main reason to be assessed rather than guess.
Some symptoms need a physician right away. Seek medical care first for blood in your urine, a fever with back or flank pain, or being unable to pass urine at all. See a physician promptly too if leakage began suddenly, or arrived with new weakness or a change in bowel control.
Cost, insurance and financing
Cost depends on the assessment and on how much retraining the pattern calls for. Straightforward stress leakage and mixed incontinence after prostate surgery are not the same plan.
The one published price
Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47
What affects the cost
- Which pattern the assessment identifies
- Whether the floor needs releasing before strengthening
- How long symptoms have been present
What a course includes
- A private assessment and the report of findings
- A home program you can actually carry out
- Referral where the problem is not ours to treat
Payment:
Pelvic floor recovery is self-pay. If chiropractic care is part of your plan, that portion can be billed to insurance, and our team verifies your benefits first.
Medicare coverage varies by plan and by service, which matters to a lot of patients at the Lady Lake office. Our front desk will tell you exactly what applies before you commit.
New patients start with a consultation, exam, x-rays if needed and report of findings for only $47.
Who you would be seeing
What does he check for first?
Dr. Justin Bergin, DC has been in practice for 22 years. On this condition he cares most about one question: is the pelvic floor weak, or is it overactive.
The plan goes the other way depending on the answer. A great many people have been handed a sheet of exercises without anyone establishing which they had.
How private is the assessment?
Assessment is done privately and discussed privately. Medically reviewed by Dr. Justin Bergin, DC.
Dr. Justin Bergin, DC, 22 years in practice, performs the examination personally and explains the findings before any program starts. Lakeland: 6595 Florida Ave S, Suite 13, Lakeland. The Villages market office: 929 US-441 #404, Lady Lake. Both offices run the same program.
Getting to us
Where is the Lady Lake office?
The Lady Lake office at 929 US-441 #404 is just north of CR 466. It serves The Villages, Summerfield, Wildwood, Oxford, Fruitland Park and Leesburg.
This is one of the conditions people come through that door for. It is close enough for a golf cart run from the northern villages, and a short drive from Spanish Springs Town Square or Lake Sumter Landing.
And if Lakeland is closer?
In Polk County, the Lakeland office at 6595 Florida Ave S, Suite 13 sees a younger group.
Often women after childbirth and men after prostate surgery, traveling in from Highland City, Southgate, Dixieland and the Christina area.
Browse every condition on the conditions we treat index.
From the ChiroMed Journal
Longer reading on this subject, written by the practice rather than bought in.
- Three Reasons Kegels Stop Working, and What to Check Next
Kegels stall when the pelvic floor is already tight, when the wrong muscles fire, or when the spine and breath load it. Here is how to tell which one applies.
Urinary Incontinence in recent research
These sources are independent of this practice and none of them endorses it. They are listed so the reasoning behind the care can be checked rather than taken on trust.
- Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women
The Cochrane review establishing pelvic floor muscle training as first-line care for stress incontinence in women, on moderate certainty evidence.
- Urinary incontinence
The federal reference on the types of incontinence and their causes, useful for telling stress leakage apart from urge or overflow patterns.
Options compared, honestly
This is treated very differently depending on who you walk in to see. Here is the full set, including the options this practice does not provide.
| Option | What it is | Typically considered when | Invasive? | Offered at ChiroMed? |
|---|---|---|---|---|
| Pelvic floor assessment and retraining Our approach | Guided strengthening, releasing and coordination work for the pelvic floor | Stress, urge or mixed leakage without a structural cause | No | Yes |
| Bladder habit retraining | Structured changes to fluid timing, irritants and how often you go | Frequency and urgency are a large part of the problem | No | Yes |
| Prescription bladder medication | Tablets that reduce bladder muscle overactivity | Urgency is severe and conservative measures have not been enough | No | Not performed here. We do not prescribe. Appropriate when a physician judges urge symptoms severe enough to warrant it. |
| Sling or mesh surgery | A surgically placed support beneath the urethra | Stress leakage is significant and has not responded to retraining | Yes | Not performed here. Appropriate when conservative care has genuinely failed and a surgeon confirms a structural support problem. |
| Urology or urogynaecology referral | Specialist medical assessment of the urinary system | There is blood in the urine, retention, pain, or a neurological change | Varies | Not performed here, and we will point you there. Appropriate whenever the assessment suggests a structural, prostate or neurological cause. |
Retraining is usually the reasonable first step for stress and mixed incontinence, and it genuinely works for many people. It is not the answer for everyone. If the assessment suggests a structural problem, you will be sent to a specialist rather than kept here.
What to expect
From evaluation to a plan for your urinary incontinence
A course, not a single visit. The examination decides the length and the cost, and both are written down first.
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01Evaluation
Orthopedic and neurological testing, with imaging on site where it changes the plan.
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02Findings, in plain language
What the examination actually found, and honestly whether this is a case conservative care can help at all.
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03A written program
Which disciplines, how many visits, over what period, and what it costs. Decided before anything begins.
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04Reassessment as it runs
Function is re-measured through the course. If the response says the plan should change, it changes.
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Find out what is actually driving it before choosing a program.
“Dr. Bergin was instrumental in relieving my back pain which I had for many years. The techniques he used on relieving my back pain were impressive. I been going to chiropractors for years and Dr. Bergin is the best. Thank You Dr. Bergin :)”
“Took a good amount of time going over my preliminary results and going over potential care plan. Great adjustment and doesn’t sugarcoat when discussing. Would recommend”
“The environment is incredible at this office with the staff and also both doctors are extremely friendly and great at what they do”
“Amazing, Super friendly and talented Staff and Doctors! My back was a hot mess after a semi hit my car on my first day moving to Florida. But after going through the treatment program I was able to get my neck, my back and my life in alignment. It was a total transformation. Thank You New City Chiropractic!”
“Hands down the best chiropractic office out there! They are super friendly and make me feel comfortable to tell then what’s wrong. They always ensure the best treatment for their patients!”
“I absolutely love this place , it is like going to visit family. They are always so pleasant , happy , and professional. I always enjoy seeing the ladies , they always put a smile on my face and even if I am having a bad day. The doctors are always so friendly and concerned with my well being. I actually look forward to going there and miss them on the days that I don't go.”
“I only wish it was closer. You are welcome it's definitely a compliment and I have read the great comments people made about the facility and staff! Amen Open one in Auburndale please!!”
“HIGHLY HIGHLY HIGHLY recommend coming here if you have any pains in your back or neck!! These guys are AMAZING at what they do!! Just a few months into coming here, I feel a change in the way I walk, the way my head sits on my shoulders, and I just feel GREAT; ALL THE TIME!! Crazy what some little adjustments did for me!!”
“This is an awesome chiropractic!! They are all nice and kind! Ever Since I have been adjusting my back, I don't need to take medicine before I go to bed. Also, I have been sleeping without waking up in the middle of the night because of the pain!! I really recommend the chiropractic 😊”
“Dr. Bergin at Chiromed Wellness Centers is the best chiropractor in town. I no longer have to take pain meds. If you still have pain, you’re not seeing to best chiropractor.”
“Love this place!! Cynthia and Angie are amazing! So nice and helpful!! The chiropractor’s are also amazing!! Just a great place overall! I highly recommended it!!”
“Look them up I waited so long to see a chiropractor and I found this place and am so happy that I did . Love the Drs they are so helpful and make feel like family.”
“The staff is super friendly and they walked me through the whole process. I’ve been going for a few weeks now and I’m already feeling results! The treatment the offer is very hands on and informative. I’ve never had manual adjustments until coming to this office and the staff makes you feel comfortable and takes care of your needs. Highly recommend !”
“The best Chiropractic center in South lakeland! love it here the Doctors are very urged to help with any of your needs, the beautiful assistants are nice and helpful they really make you feel welcomed. Most highly recommended Chiropractic Center. :)”
“Muy profesional la atención es formidable todos los empleados son muy amigables.Y muy efectiva sus terapias..Los recomiendo 100x100%”
“My pain has decreased dramatically, I’m no longer stretching and moving my neck in every angle trying to find relief. Every part of my body I can feel is finally getting closer to symmetry! All I can say is you should give new city a try!”
“I love this place!! They're very caring for their patients and strive to help you feel better. I strongly recommend giving them a try. I promise you won't regret it”
“The staff is very knowledgeable and organized, they get to know you and are flexible about fitting your treatment in to your life. They use proven methods to treat the root of your issues and the results are incredible. I was in a lot of pain after a car crash and within a few weeks I was able to go back to my normal routine with no discomfort.”
“I have seen and feel the change in my body since I started, I use to have major pain in my knees and neck ache. I'm an athlete and constantly need more adjustments, and every time I come I always without a doubt feel welcomed and important.”
Get in touch
Schedule your urinary incontinence evaluation
Tell us what you are feeling and which office is closer. The front desk answers during office hours; leave a message after hours and they call back the next open day.
- 1
Send the form
Two minutes. Tell us what hurts and which office is closer.
- 2
We call you back
A real person, during office hours, to find a time that works.
- 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
- 4.8 out of 5 from 225 Google reviews
- Choose Lakeland or The Villages on the form
Urinary Incontinence questions
Tap a message for the honest answer. Call Lakeland (863) 940-3444
Is leaking just part of getting older?
It becomes more common with age and it is not something you simply have to accept. Incontinence is a muscular and neurological problem, which means it can be assessed and in many cases improved. Being told to live with it is not the same as being examined for it.
Are Kegel exercises enough on their own?
For some people yes, for many people no. They train strength but not necessarily timing or coordination, and if your pelvic floor is overactive rather than weak they can make symptoms worse. Establishing which situation you are in is the whole reason to be assessed before starting.
Do men get urinary incontinence?
Yes, and it is under-discussed. The most common cause in men is prostate surgery, which changes the support around the urethra, and leakage afterwards frequently responds well to proper retraining. Prostate enlargement and neurological conditions also produce it.
Does Medicare cover treatment for bladder leakage?
Coverage varies by plan and by service, and we will not guess at yours. Our front desk will tell you exactly what applies before you commit to anything. Pelvic floor recovery here is a cash-pay service, while chiropractic care is billed to insurance, and those are separate questions.
Should I drink less to stop leaking?
No, and this is one of the most common mistakes people make. Concentrated urine irritates the bladder lining and usually makes urgency worse. The more useful changes are cutting caffeine, alcohol and carbonated drinks, and spreading normal fluid intake across the day.
Do I need a referral, or should I see a urologist first?
No referral is needed to be assessed here. A urologist is the right first stop if there is blood in the urine, pain, retention, a prostate history or a suspected neurological cause. For straightforward stress, urge or mixed leakage, conservative assessment is a reasonable place to begin.
Same-week appointments
Start with an examination, not a package.
Find out what is actually driving it before choosing a program.
- 4.8 out of 5 on Google
Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47