How is Urinary Incontinence Treated?


It depends a lot on what the type of
incontinence is. So if it’s stress incontinence,
sometimes the treatments are a little bit different than if it’s urge incontinence, but sometimes
women will have both types so we try to sort out what is giving
them the most problem initially and then start with that one. So if it’s stress incontinence oftentimes learning to contract and
strengthen the pelvic floor muscles will be helpful because that helps to close the urethra
or the tube the urine flows out of when there’s that pressure on the
bladder with stress incontinence that’s causing the leak. If working with the pelvic floor muscle
strengthening hasn’t been enough, then sometimes the pessary can
be helpful. A pessary is a medical device or rubber device, that just rests inside the vagina, and it
gives some support to the urethra, and try to help
prevent that leaking. There’s also surgical procedures
that can put a little hammock or a “sling” as we call it,
underneath the urethra. In terms of the urge incontinence also working to strengthen the pelvic
floor muscles can be enough for many women, and as those muscles get stronger we’re
able to actually teach them a procedure called urge suppression where
they learn to suppress that urge and give themselves time to get to the
toilet before the leaking happens. If that’s not enough for those women we
have medications that are available, and then we also have
some procedures such as Botox injections in the bladder that help stop the bladder contractions
associated with the leakage. We also have a couple procedures that
are targeted towards, what we call nerve remodulation, so
that the nerve signals that help control bladder function began to functional
a little more normally.

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