Materiały źródłowe

• #1 Urinary incontinence – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/diagnosis-treatment/drc-20352814

  It’s important to determine the type of urinary incontinence that you have, and your symptoms often tell your doctor which type you have. That information will guide treatment decisions. […] Treatment for urinary incontinence depends on the type of incontinence, its severity and the underlying cause. A combination of treatments may be needed. If an underlying condition is causing your symptoms, your doctor will first treat that condition. […] Your doctor may recommend less invasive treatments to start with and move on to other options if these techniques fail to help you. […] Your doctor may recommend that you do these exercises frequently to strengthen the muscles that help control urination. Also known as Kegel exercises, these techniques are especially effective for stress incontinence but may also help urge incontinence.

• #2

  https://www.nhs.uk/conditions/urinary-incontinence/treatment/

  Your treatment will depend on the type of urinary incontinence you have and the severity of your symptoms. […] Conservative treatments, which do not involve medicines or surgery, are tried first. These include: lifestyle changes, pelvic floor muscle training (Kegel exercises), bladder training. […] This page is about non-surgical treatments for urinary incontinence. […] A GP may suggest you make simple changes to your lifestyle to improve your symptoms, regardless of the type of urinary incontinence you have. […] Weak or damaged pelvic floor muscles can cause urinary incontinence, so exercising these muscles is often recommended. […] Research has shown that pelvic floor muscle training can benefit everyone with urinary incontinence. […] If you’ve been diagnosed with urge incontinence, one of the first treatments you may be offered is bladder training.

• #3

  https://www.nhs.uk/conditions/urinary-incontinence/treatment/

  Your treatment will depend on the type of urinary incontinence you have and the severity of your symptoms. […] Conservative treatments, which do not involve medicines or surgery, are tried first. These include: lifestyle changes, pelvic floor muscle training (Kegel exercises), bladder training. […] This page is about non-surgical treatments for urinary incontinence. […] A GP may suggest you make simple changes to your lifestyle to improve your symptoms, regardless of the type of urinary incontinence you have. […] Weak or damaged pelvic floor muscles can cause urinary incontinence, so exercising these muscles is often recommended. […] Research has shown that pelvic floor muscle training can benefit everyone with urinary incontinence. […] If you’ve been diagnosed with urge incontinence, one of the first treatments you may be offered is bladder training.

• #4 Urinary Incontinence: Causes, Leakage, Types & Treatment

  https://my.clevelandclinic.org/health/diseases/17596-urinary-incontinence

  Urinary incontinence is a common condition that causes you to lose bladder control. […] A healthcare provider can determine the cause and recommend the right treatment for you. […] Treatments are available to help you manage it. Incontinence doesn’t have to disrupt your life or keep you from being active. […] Knowing the type of incontinence is an important part of your diagnosis and treatment plan. […] Providers can help you figure out what type of incontinence you have and talk to you about ways to manage it. […] A healthcare provider must diagnose the type of continence. They’ll also talk to you about the available treatments and help you choose the one you’re most comfortable with. […] The main types of urinary incontinence treatments are: Lifestyle changes, Physical therapy, Medications, Surgery or other procedures.

• #5 Patient education: Urinary incontinence treatments for women (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/urinary-incontinence-treatments-for-women-beyond-the-basics/print

  Weight loss – If you are overweight or obese, talk to your health care provider about strategies to lose weight. […] Fluid management – If you drink large amounts of fluids, you may find that cutting back on fluids will reduce your leakage. […] Avoiding constipation – Constipation can make urinary leakage worse. Increasing the amount of fiber in your diet to 30 grams per day may prevent constipation. […] Scheduled voiding – Emptying your bladder („voiding”) at regular intervals, rather than waiting until your bladder is very full, can decrease episodes of urgency incontinence and prevent stress leakage during physical activity with a full bladder. […] Pelvic muscle exercises — Pelvic muscle exercises, also known as Kegel exercises, strengthen the muscles involved in controlling urine leakage.

• #6 Stress Urinary Incontinence Treatment – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/urogynecology/stress-urinary-incontinence

  Stress incontinence is leakage that occurs with sneezing, coughing, or physical exertion. Urine loss occurs due to weakening of the pelvic floor muscles and support structures, or because the muscles of the urethra are not strong enough to prevent urine from leaking. […] There are many options for treatment of this common problem which are described in more detail below. […] Behavioral modification […] Weight loss […] Excess weight puts extra pressure on the pelvic floor muscles and bladder. Studies show that losing weight can substantially improve urine loss. […] Pelvic floor Rehabilitation […] Kegel exercises (pelvic floor exercises) […] To help improve symptoms, do your exercises at least 3 times a day for at least 5 minutes each time. […] Biofeedback/Electrical stimulation

• #7 Treatment for urinary incontinence – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/treatment-for-urinary-incontinence

  The loss of bladder control can feel uncomfortable and embarrassing. While nearly 1 in 3 women may experience incontinence, it does not have to be a normal part of life. From lifestyle changes and medication to physical therapy and minimally invasive surgery, a variety of successful treatment options are available to fit your needs and lifestyle. […] Urinary incontinence is any involuntary leakage of urine — the two most common types being stress and urge incontinence. […] Many lifestyle and dietary changes help improve urge incontinence, including changes related to caffeine, carbonated beverages, citrus, tobacco, alcohol and consumption of artificial sweeteners. Scheduling bathroom breaks, participating in pelvic floor physical therapy, fully emptying the bladder when voiding, and performing Kegel exercises also can help.

• #8 Patient education: Urinary incontinence treatments for women (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/urinary-incontinence-treatments-for-women-beyond-the-basics/print

  Weight loss – If you are overweight or obese, talk to your health care provider about strategies to lose weight. […] Fluid management – If you drink large amounts of fluids, you may find that cutting back on fluids will reduce your leakage. […] Avoiding constipation – Constipation can make urinary leakage worse. Increasing the amount of fiber in your diet to 30 grams per day may prevent constipation. […] Scheduled voiding – Emptying your bladder („voiding”) at regular intervals, rather than waiting until your bladder is very full, can decrease episodes of urgency incontinence and prevent stress leakage during physical activity with a full bladder. […] Pelvic muscle exercises — Pelvic muscle exercises, also known as Kegel exercises, strengthen the muscles involved in controlling urine leakage.

• #9 Urinary Incontinence in Women Causes, Symptoms, and Treatments

  https://www.upmc.com/services/womens-health/conditions/urinary-incontinence

  At UPMC, we have treatment options that can help with urinary incontinence. […] Many people are embarrassed or ashamed by a loss of bladder control, and mistakenly believe nothing can be done to correct it. But that’s not the case we have a range of treatment options for urinary incontinence. […] The two different types of urinary incontinence urgency incontinence and stress incontinence are treated differently. […] Drinking less water isn’t a good way to solve either kind of urinary incontinence because it may cause dehydration. […] Urgency incontinence is usually treated through behavioral modification and medicine to control bladder spasms. […] These therapies may be helpful in treating urgency incontinence: Scheduled toileting, Bladder retraining, Pelvic muscle rehabilitation.

• #10 Patient education: Urinary incontinence treatments for women (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/urinary-incontinence-treatments-for-women-beyond-the-basics/print

  Weight loss – If you are overweight or obese, talk to your health care provider about strategies to lose weight. […] Fluid management – If you drink large amounts of fluids, you may find that cutting back on fluids will reduce your leakage. […] Avoiding constipation – Constipation can make urinary leakage worse. Increasing the amount of fiber in your diet to 30 grams per day may prevent constipation. […] Scheduled voiding – Emptying your bladder („voiding”) at regular intervals, rather than waiting until your bladder is very full, can decrease episodes of urgency incontinence and prevent stress leakage during physical activity with a full bladder. […] Pelvic muscle exercises — Pelvic muscle exercises, also known as Kegel exercises, strengthen the muscles involved in controlling urine leakage.

• #11 Treatments for Bladder Control Problems (Urinary Incontinence) – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/treatment

  Depending on the type of urinary incontinence (UI) you have, your health care professional may recommend steps you can take on your own to try to control your symptoms. […] You may be able to reduce leaks by making lifestyle changes. […] Your chances of developing UI and other diseases, such as diabetes, are higher if you’re overweight or have obesity. Losing weight can help you have fewer leaks, and avoiding weight gain may prevent UI. […] Talk with your health care professional about drinking more liquids and eating enough fiber to avoid constipation. […] Quitting smoking at any age is good for your bladder health and overall health. […] Bladder training is when you urinate on a schedule to reduce leaking. […] You can strengthen your pelvic floor muscles by doing Kegel exercises.

• #12 Urinary Incontinence Treatment & Management: Approach Considerations, Absorbent Products, Urethral Occlusion

  https://emedicine.medscape.com/article/452289-treatment

  The serotonin/norepinephrine reuptake inhibitor duloxetine is the first drug developed and marketed specifically for stress urinary incontinence. […] Surgical care for stress incontinence involves procedures that increase urethral outlet resistance. […] Surgical treatment is considered after the utilization of behavioral therapy, pharmacologic therapy, and onabotulinum toxin/neuromodulin respectively. […] Dietary stimulants are substances contained within the food or drink that either cause or exacerbate irritative voiding symptoms. […] A level A guideline from the ACOG recommends behavioral therapy, including bladder training and prompted voiding, as a noninvasive method for improving symptoms of urge and mixed incontinence in women. […] Patients with urinary incontinence that is refractory to medical therapy may be offered surgical treatment.

• #13 Urinary incontinence – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/diagnosis-treatment/drc-20352814

  It’s important to determine the type of urinary incontinence that you have, and your symptoms often tell your doctor which type you have. That information will guide treatment decisions. […] Treatment for urinary incontinence depends on the type of incontinence, its severity and the underlying cause. A combination of treatments may be needed. If an underlying condition is causing your symptoms, your doctor will first treat that condition. […] Your doctor may recommend less invasive treatments to start with and move on to other options if these techniques fail to help you. […] Your doctor may recommend that you do these exercises frequently to strengthen the muscles that help control urination. Also known as Kegel exercises, these techniques are especially effective for stress incontinence but may also help urge incontinence.

• #14

  https://www.nhs.uk/conditions/urinary-incontinence/treatment/

  Your treatment will depend on the type of urinary incontinence you have and the severity of your symptoms. […] Conservative treatments, which do not involve medicines or surgery, are tried first. These include: lifestyle changes, pelvic floor muscle training (Kegel exercises), bladder training. […] This page is about non-surgical treatments for urinary incontinence. […] A GP may suggest you make simple changes to your lifestyle to improve your symptoms, regardless of the type of urinary incontinence you have. […] Weak or damaged pelvic floor muscles can cause urinary incontinence, so exercising these muscles is often recommended. […] Research has shown that pelvic floor muscle training can benefit everyone with urinary incontinence. […] If you’ve been diagnosed with urge incontinence, one of the first treatments you may be offered is bladder training.

• #15 Guide | Physical Therapy Guide to Urinary Incontinence | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-incontinence

  Urinary incontinence (bladder control problems) is any urine leakage that occurs during the day or night. More than 13 million people in the United States have urinary incontinence. Physical therapists design treatment programs to improve pelvic floor muscle strength and help people gain control over the condition. They also help people reduce their need for medicines and surgery. […] Your physical therapist will create a treatment program to improve your specific pelvic floor muscle function. Following this program can help you: Gain control over your symptoms. Reduce the need for pads, special underwear, and medicines. Possibly avoid surgery. […] Your physical therapy treatment plan may include: Pelvic floor exercises. Pelvic floor contractions (or Kegel exercises) involve squeezing the sphincter muscles while imagining that you are trying to stop urine flow. Both the contraction and full release of the muscles is the goal in training.

• #16 Stress Urinary Incontinence Treatment – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/urogynecology/stress-urinary-incontinence

  Stress incontinence is leakage that occurs with sneezing, coughing, or physical exertion. Urine loss occurs due to weakening of the pelvic floor muscles and support structures, or because the muscles of the urethra are not strong enough to prevent urine from leaking. […] There are many options for treatment of this common problem which are described in more detail below. […] Behavioral modification […] Weight loss […] Excess weight puts extra pressure on the pelvic floor muscles and bladder. Studies show that losing weight can substantially improve urine loss. […] Pelvic floor Rehabilitation […] Kegel exercises (pelvic floor exercises) […] To help improve symptoms, do your exercises at least 3 times a day for at least 5 minutes each time. […] Biofeedback/Electrical stimulation

• #17 Guide | Physical Therapy Guide to Urinary Incontinence | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-incontinence

  Lifestyle changes and healthy habits may help people avoid or improve urinary incontinence. A physical therapist can teach you the correct way to do pelvic floor muscle exercises. Once learned, you can include these exercises in your daily activities. Doing them as directed can improve incontinence and increase bladder control. […] Women or men with incontinence may want to consider seeing a physical therapist who has: Experience treating women’s health problems, pelvic floor dysfunction, and urinary incontinence. Board certification in women’s health physical therapy or who has completed a residency or fellowship in women’s health physical therapy. This physical therapist has advanced knowledge, experience, and skills that may apply to your condition.

• #18

  https://www.nhs.uk/conditions/urinary-incontinence/treatment/

  Your treatment will depend on the type of urinary incontinence you have and the severity of your symptoms. […] Conservative treatments, which do not involve medicines or surgery, are tried first. These include: lifestyle changes, pelvic floor muscle training (Kegel exercises), bladder training. […] This page is about non-surgical treatments for urinary incontinence. […] A GP may suggest you make simple changes to your lifestyle to improve your symptoms, regardless of the type of urinary incontinence you have. […] Weak or damaged pelvic floor muscles can cause urinary incontinence, so exercising these muscles is often recommended. […] Research has shown that pelvic floor muscle training can benefit everyone with urinary incontinence. […] If you’ve been diagnosed with urge incontinence, one of the first treatments you may be offered is bladder training.

• #19

  https://www.nhs.uk/conditions/urinary-incontinence/treatment/

  Bladder training may also be combined with pelvic floor muscle training if you have mixed urinary incontinence. […] If stress incontinence does not significantly improve with lifestyle changes or exercises, surgery will usually be recommended as the next step. […] However, if you’re unsuitable for surgery or want to avoid an operation, you may benefit from an antidepressant medicine called duloxetine. […] If bladder training is not effective for your urge incontinence, a GP may prescribe a medicine called an antimuscarinic, also called an anticholinergic. […] If antimuscarinics are unsuitable for you, they have not helped urge incontinence, or have unpleasant side effects, you may be offered an alternative medicine, such as mirabegron or vibegron. […] A low-dose version of a medicine called desmopressin may be used to treat nocturia, which is the frequent need to get up during the night to urinate, by helping to reduce the amount of urine produced by the kidneys.

• #20 Urinary Incontinence | Bladder Incontinence | American Cancer Society

  https://www.cancer.org/cancer/managing-cancer/side-effects/stool-or-urine-changes/bladder-incontinence.html

  Urinary incontinence can last a short or long time depending on what’s causing it. The cause will help determine which treatments will work best. […] Pelvic floor (Kegel) exercises can strengthen the muscles that support the bladder or other organs in the abdomen (lower belly). Therapists or nurses trained in pelvic therapy can help you create a plan that is best for you. […] Biofeedback uses sensors placed near the anus to show on a screen which pelvic muscles are being exercised. Pelvic therapy done with biofeedback often works better than exercises alone. […] Bladder training starts with creating a schedule of times to urinate. You also learn to use relaxation techniques in between to help with urges to pee in between scheduled times. You track your progress in a bladder diary. The time between peeing is made longer as you progress.

• #21 Lifestyle and Behavioral Therapies for Urinary Incontinence | GLOWM

  https://www.glowm.com/section-view/heading/Lifestyle%20and%20Behavioral%20Therapies%20for%20Urinary%20Incontinence/item/855

  Behavioral training is a stand-alone treatment that teaches patients how to use their pelvic floor muscles to inhibit detrusor contraction and how to use this technique as a part of a new strategy for responding to the sensation of urgency. […] Scheduled voiding regimens have been used for decades to treat urgency incontinence and functional incontinence by modifying voiding habits. […] Bladder training was developed originally for the treatment of urgency incontinence. […] The hallmark of bladder training is the expanded voiding interval. […] Lifestyle modifications are generally used as adjuncts to a primary behavioral intervention such as pelvic floor muscle training or behavioral training with urge suppression strategies. […] The collective literature on outpatient behavioral treatments has demonstrated that they are effective for reducing stress, urge, and mixed incontinence, as well as urgency, frequency, and nocturia, in most women who cooperate with treatment. […] Behavioral interventions are safe and reversible. […] Thus, they are recommended as first-line approaches to the treatment of urinary incontinence and other lower urinary tract symptoms in women.

• #22

  https://www.nhs.uk/conditions/urinary-incontinence/treatment/

  Bladder training may also be combined with pelvic floor muscle training if you have mixed urinary incontinence. […] If stress incontinence does not significantly improve with lifestyle changes or exercises, surgery will usually be recommended as the next step. […] However, if you’re unsuitable for surgery or want to avoid an operation, you may benefit from an antidepressant medicine called duloxetine. […] If bladder training is not effective for your urge incontinence, a GP may prescribe a medicine called an antimuscarinic, also called an anticholinergic. […] If antimuscarinics are unsuitable for you, they have not helped urge incontinence, or have unpleasant side effects, you may be offered an alternative medicine, such as mirabegron or vibegron. […] A low-dose version of a medicine called desmopressin may be used to treat nocturia, which is the frequent need to get up during the night to urinate, by helping to reduce the amount of urine produced by the kidneys.

• #23 Urinary incontinence – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/diagnosis-treatment/drc-20352814

  Medications commonly used to treat incontinence include: Anticholinergics. These medications can calm an overactive bladder and may be helpful for urge incontinence. […] During sacral nerve stimulation, a surgically implanted device delivers electrical impulses to the nerves that regulate bladder activity. […] If other treatments aren’t working, several surgical procedures can treat the problems that cause urinary incontinence: Sling procedures. […] If medical treatments can’t eliminate your incontinence, you can try products that help ease the discomfort and inconvenience of leaking urine: Pads and protective garments. […] But effective treatments are available for urinary incontinence. It’s important to ask your doctor about treatment. Once you do, you’ll be on your way to regaining an active and confident life.

• #24 Urinary Incontinence: Causes, Leakage, Types & Treatment

  https://my.clevelandclinic.org/health/diseases/17596-urinary-incontinence

  There are many urinary incontinence medications that can reduce leakage. […] Common incontinence medications include: Oxybutynin, Tolterodine, Solifenacin, Fesoterodine, Darifenacin, Trospium, Mirabegron, Vibegron. […] Sometimes, changes to your everyday life can help treat incontinence without additional treatments. […] A provider may suggest surgery to treat your incontinence. […] It depends on what type of incontinence you have. Sometimes, incontinence will go away without treatment once you address the cause. […] You can’t prevent all causes of the different types of incontinence. […] But you can lower your risk by keeping your pelvic floor muscles strong with Kegels and maintaining a healthy body weight for you. […] It’s important to talk to a healthcare provider about your incontinence risks, including ways you can manage incontinence without it interfering with your daily life. […] Talk to a healthcare provider when you first notice leakage or changes to your bathroom habits. They can help determine the cause and type of incontinence and help treat or manage it. […] Talk to a provider about the best ways to treat incontinence so you don’t have to worry about leakage.

• #25 The Management of Urinary Incontinence

  https://www.uspharmacist.com/article/the-management-of-urinary-incontinence

  In most patients, nonpharmacologic measures are initiated first, especially if symptoms are mild-to-moderate. A variety of nonpharmacologic measures exist. Traditional lifestyle modifications, such as smoking cessation, weight reduction, caffeine restriction, and fluid restriction, can be helpful in managing symptoms. […] Appropriate pharmacologic treatment is determined by the type of UI, along with patient-specific parameters. Some agents have an approved indication for UI, and there are several medications that are used off-label. […] First-line pharmacologic treatment for UUI, according to the American Urological Association, includes anticholinergic/antimuscarinic agents such as oxybutynin, tolterodine, trospium, solifenacin, darifenacin, and fesoterodine. […] Pharmacologic treatment for overflow incontinence aims to manage the underlying condition, which is usually BPH. Agents such as tamsulosin may be appropriate in these cases, with or without other pharmacologic agents. […] Regardless of the type of UI diagnosed, nonpharmacologic measures remain the first-line treatment.

• #26

  https://www.nhs.uk/conditions/urinary-incontinence/treatment/

  Bladder training may also be combined with pelvic floor muscle training if you have mixed urinary incontinence. […] If stress incontinence does not significantly improve with lifestyle changes or exercises, surgery will usually be recommended as the next step. […] However, if you’re unsuitable for surgery or want to avoid an operation, you may benefit from an antidepressant medicine called duloxetine. […] If bladder training is not effective for your urge incontinence, a GP may prescribe a medicine called an antimuscarinic, also called an anticholinergic. […] If antimuscarinics are unsuitable for you, they have not helped urge incontinence, or have unpleasant side effects, you may be offered an alternative medicine, such as mirabegron or vibegron. […] A low-dose version of a medicine called desmopressin may be used to treat nocturia, which is the frequent need to get up during the night to urinate, by helping to reduce the amount of urine produced by the kidneys.

• #27 Bladder control: Medications for urinary problems

  https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/in-depth/bladder-control-problems/art-20044220

  When other options for bladder control don’t work, medication may help. […] Bladder control problems sometimes continue even after making lifestyle changes and trying bladder training. When other options don’t work, it may be time to talk to your health care provider about medications. […] Medications are available for people who often have sudden, intense urges to urinate, also called overactive bladder. They’re also available to people who have urine leaks that can happen along with overactive bladder. This is called urge incontinence. […] Here’s a look at drugs commonly used to treat bladder control problems and their possible side effects. Medications combined with behavioral treatment might be more effective than medication alone. […] Mirabegron is a medication approved to treat certain types of urinary incontinence. It relaxes the bladder muscle and can increase how much urine the bladder can hold.

• #28

  https://www.nhs.uk/conditions/urinary-incontinence/treatment/

  Bladder training may also be combined with pelvic floor muscle training if you have mixed urinary incontinence. […] If stress incontinence does not significantly improve with lifestyle changes or exercises, surgery will usually be recommended as the next step. […] However, if you’re unsuitable for surgery or want to avoid an operation, you may benefit from an antidepressant medicine called duloxetine. […] If bladder training is not effective for your urge incontinence, a GP may prescribe a medicine called an antimuscarinic, also called an anticholinergic. […] If antimuscarinics are unsuitable for you, they have not helped urge incontinence, or have unpleasant side effects, you may be offered an alternative medicine, such as mirabegron or vibegron. […] A low-dose version of a medicine called desmopressin may be used to treat nocturia, which is the frequent need to get up during the night to urinate, by helping to reduce the amount of urine produced by the kidneys.

• #29

  https://www.nhs.uk/conditions/urinary-incontinence/treatment/

  Bladder training may also be combined with pelvic floor muscle training if you have mixed urinary incontinence. […] If stress incontinence does not significantly improve with lifestyle changes or exercises, surgery will usually be recommended as the next step. […] However, if you’re unsuitable for surgery or want to avoid an operation, you may benefit from an antidepressant medicine called duloxetine. […] If bladder training is not effective for your urge incontinence, a GP may prescribe a medicine called an antimuscarinic, also called an anticholinergic. […] If antimuscarinics are unsuitable for you, they have not helped urge incontinence, or have unpleasant side effects, you may be offered an alternative medicine, such as mirabegron or vibegron. […] A low-dose version of a medicine called desmopressin may be used to treat nocturia, which is the frequent need to get up during the night to urinate, by helping to reduce the amount of urine produced by the kidneys.

• #30 Bladder control: Medications for urinary problems

  https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/in-depth/bladder-control-problems/art-20044220

  Injections of Botox into the bladder muscle might benefit people who have an overactive bladder or urge incontinence. Botox blocks the actions of acetylcholine and paralyzes the bladder muscle. […] Applying low-dose, topical estrogen may help. The medication comes in the form of a vaginal cream, ring or patch. The estrogen may help restore the tissues in the vagina and urinary tract to relieve some symptoms. […] Imipramine (Tofranil) is a tricyclic antidepressant. It makes the bladder muscle relax, while causing the smooth muscles at the bladder neck to contract. It may be used to treat mixed incontinence, which is a combination of urge and stress incontinence. […] Duloxetine (Cymbalta, Drizalma Sprinkle) is a serotonin and norepinephrine reuptake inhibitor that is approved to treat depression and anxiety. It can help relax the muscles that control urination and improve bladder leaks in some people. […] Your health care provider can help you decide if you need medicine to treat bladder leaks. Discuss which one might be best for you.

• #31 Bladder control: Medications for urinary problems

  https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/in-depth/bladder-control-problems/art-20044220

  Injections of Botox into the bladder muscle might benefit people who have an overactive bladder or urge incontinence. Botox blocks the actions of acetylcholine and paralyzes the bladder muscle. […] Applying low-dose, topical estrogen may help. The medication comes in the form of a vaginal cream, ring or patch. The estrogen may help restore the tissues in the vagina and urinary tract to relieve some symptoms. […] Imipramine (Tofranil) is a tricyclic antidepressant. It makes the bladder muscle relax, while causing the smooth muscles at the bladder neck to contract. It may be used to treat mixed incontinence, which is a combination of urge and stress incontinence. […] Duloxetine (Cymbalta, Drizalma Sprinkle) is a serotonin and norepinephrine reuptake inhibitor that is approved to treat depression and anxiety. It can help relax the muscles that control urination and improve bladder leaks in some people. […] Your health care provider can help you decide if you need medicine to treat bladder leaks. Discuss which one might be best for you.

• #32 Urinary Incontinence in Older Adults | National Institute on Aging

  https://www.nia.nih.gov/health/bladder-health-and-incontinence/urinary-incontinence-older-adults

  Vaginal estrogen cream may help relieve urge or stress incontinence. […] Bulking agents can be used to help close the bladder opening. […] Medical devices may also be used to manage urinary incontinence, such as a catheter that drains urine from your bladder; a urethral insert that helps prevent leakage; and a vaginal pessary ring that provides pressure to lessen leakage. […] Surgery can sometimes improve or cure incontinence if it is caused by a change in the position of the bladder or blockage due to an enlarged prostate. […] Changing your lifestyle may help with bladder problems. Losing weight, quitting smoking, saying no to alcohol, choosing water instead of other drinks, and limiting drinks before bedtime can help with some bladder problems. […] Even after treatment, some people still leak urine from time to time. There are bladder control products and other solutions, including disposable briefs or underwear, furniture pads, and urine deodorizing pills that may help.

• #33 Clinical Management of Urinary Incontinence in Women | AAFP

  https://www.aafp.org/pubs/afp/issues/2013/0501/p634.html

  Most cases of urinary incontinence in women fall under one of three major subtypes: urge, stress, or mixed. A stepped-care approach that advances from least invasive (behavioral modification) to more invasive (surgery) interventions is recommended. Bladder retraining and pelvic floor muscle exercises are first-line treatments for persons without cognitive impairment who present with urge incontinence. Neuromodulation devices, such as posterior tibial nerve stimulators, are an option for urge incontinence that does not respond to behavioral therapy. Pharmacologic therapy with anticholinergic medications is another option for treating urge incontinence if behavioral therapy is unsuccessful; however, because of adverse effects, these agents are not recommended in older adults. Other medication options for urge incontinence include mirabegron and onabotulinumtoxinA. Sacral nerve stimulators, which are surgically implanted, have also been shown to improve symptoms of urge incontinence. Pelvic floor muscle exercises are considered first-line treatment for stress incontinence. Noninvasive electrical and magnetic stimulation devices are also available. Alternatives for treating stress incontinence include vaginal inserts, such as pessaries, and urethral plugs. Limited or conflicting evidence exists for the use of medications for stress incontinence; no medications are approved by the U.S. Food and Drug Administration for this condition. Minimally invasive procedures, including radiofrequency denaturation of the urethra and injection of periurethral bulking agents, can be used if stress incontinence does not respond to less invasive treatments. Surgical interventions, such as sling and urethropexy procedures, should be reserved for stress incontinence that has not responded to other treatments.

• #34 Selecting Medications for the Treatment of Urinary Incontinence | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0115/p315.html

  Stress incontinence can be treated with intravaginal support devices, pessaries, and urethral plugs. Collagen can be injected alongside the urethra as a bulking agent to improve urethral closure. […] Alpha-adrenergic agonists and estrogens sometimes are used to treat stress incontinence, and one new medication, duloxetine (Yentreve), is currently under review by the FDA as a treatment for stress incontinence. Anticholinergics (i.e., oxybutynin and tolterodine) are neither appropriate nor effective in treating stress incontinence. […] Until and unless duloxetine is approved for the treatment of stress incontinence, no strong recommendations can be made for pharmacologic treatment. Other treatment modalities are safer and possibly more effective.

• #35 Biofeedback for Incontinence | Patient Education | UCSF Health

  https://www.ucsfhealth.org/education/biofeedback-for-incontinence

  Biofeedback has been proven effective in the treatment of urinary incontinence in numerous research studies. It can be used to help women learn to control and strengthen the pelvic floor muscles. The pelvic floor muscles (PFM) are a group of muscles that play an important role in bladder control. Weakness or dysfunction of the pelvic floor muscles can lead to problems with both bladder and rectal support and control. […] Biofeedback therapy uses computer graphs and audible tones to show you the muscles you are exercising. It also allows the therapist to measure your muscle strength and individualize your exercise program. It does not do anything to your muscles. It is a teaching tool to help you learn to control and strengthen the pelvic floor area. […] Biofeedback sessions are generally 30 minutes. The average number of sessions is four, but a few more or less may be needed to get the best results. Visits are scheduled every two to three weeks. Since biofeedback is a learning tool, it is important to practice pelvic floor exercises every day at home as well. […] Bladder training is an important form of behavior therapy that can be effective in treating urinary incontinence. […] Pelvic muscle exercises, also known as kegels, are an essential part of improving incontinence and preventing it from worsening.

• #36 Biofeedback for Incontinence | Patient Education | UCSF Health

  https://www.ucsfhealth.org/education/biofeedback-for-incontinence

  Biofeedback has been proven effective in the treatment of urinary incontinence in numerous research studies. It can be used to help women learn to control and strengthen the pelvic floor muscles. The pelvic floor muscles (PFM) are a group of muscles that play an important role in bladder control. Weakness or dysfunction of the pelvic floor muscles can lead to problems with both bladder and rectal support and control. […] Biofeedback therapy uses computer graphs and audible tones to show you the muscles you are exercising. It also allows the therapist to measure your muscle strength and individualize your exercise program. It does not do anything to your muscles. It is a teaching tool to help you learn to control and strengthen the pelvic floor area. […] Biofeedback sessions are generally 30 minutes. The average number of sessions is four, but a few more or less may be needed to get the best results. Visits are scheduled every two to three weeks. Since biofeedback is a learning tool, it is important to practice pelvic floor exercises every day at home as well. […] Bladder training is an important form of behavior therapy that can be effective in treating urinary incontinence. […] Pelvic muscle exercises, also known as kegels, are an essential part of improving incontinence and preventing it from worsening.

• #37

  https://www.beaumont.org/treatments/incontinence-treatment

  Brief doses of electrical stimulation can strengthen muscles in the lower pelvis in a way similar to exercising the muscles. […] Biofeedback can be used with pelvic muscle exercises and electrical stimulation to relieve stress and urge incontinence. […] Timed voiding (urinating) and bladder training are techniques that use biofeedback. […] Medications can reduce many types of leakage. […] A pessary is a stiff ring that is inserted by a doctor or nurse into the vagina, where it presses against the wall of the vagina and the nearby urethra. […] Implants are substances injected into tissues around the urethra. […] Doctors usually suggest surgery to alleviate incontinence only after other treatments have been tried. […] The Minisling mesh vaginal implant is another innovative technology designed to treat female incontinence.

• #38 Treatment for urinary incontinence – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/treatment-for-urinary-incontinence

  Dr. Grajkowski talked about several treatments, including the pros and cons of each: […] Physical therapy can teach techniques to use the muscles that can prevent stress incontinence symptoms. […] A pessary is a nonsurgical device that goes inside the vagina and provides support to vaginal tissue displaced by pelvic organ prolapse to reduce pressure when you’re coughing, laughing and sneezing. […] Urethral bulking agents are injected around the urethra to provide temporary support to reduce stress incontinence symptoms. […] A urethral sling is a medical-grade permanent mesh that is placed under the urethra to provide support. This is considered a last line of help for stress incontinence. […] Dr. Grajkowski and Suarez continued the discussion, reviewing urinary incontinence.

• #39 5 Treatments for Stress Incontinence | Tufts Medicine

  https://www.tuftsmedicine.org/about-us/news/5-common-treatment-options-stress-incontinence

  Also known as „Kegel exercises,” these exercises can strengthen your urinary sphincter and pelvic floor muscles. These exercises can both improve stress incontinence and prevent the condition from worsening. […] A pessary is a ring-shaped silicone device inserted into the vagina. Pessaries push the urethra closed to help control urine leakage and allow you to urinate normally throughout the day. […] This procedure involves a substance injected into the urethra to „bulk up” the walls at the bladder neck. This is an outpatient procedure and is typically performed in the office. […] Surgery is only recommended after the cause of the incontinence is known. It is generally used as a last-step solution, after behavior changes or muscle training. Surgical options include Retropubic Colposuspension and Sling procedure.

• #40 Stress Urinary Incontinence Treatment – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/urogynecology/stress-urinary-incontinence

  Biofeedback and Electrical stimulation treat pelvic floor muscles with low-strength electricity and can help women learn proper exercise technique. […] Vaginal weights (cones) […] Another way to tone up the pelvic floor. […] Pessaries […] These are devices like a ring or diaphragm that go in the vagina to give support to the bladder and urethra. This in turn may help prevent urine loss. […] Although surgeries for stress urinary incontinence are generally simple and can be done as outpatient procedures, there are always potential major risks and complications with any type of surgical intervention. […] Mid-urethral sling […] 85-90% of women experience significant improvement. Follow-up studies suggest about 80% of women who have successful surgery are still happy with their results more than 10 years after surgery.

• #41 Urinary Incontinence Treatment & Management: Approach Considerations, Absorbent Products, Urethral Occlusion

  https://emedicine.medscape.com/article/452289-treatment

  Urethral occlusive devices are artificial devices that may be inserted into the urethra or placed over the urethral meatus to prevent urinary leakage. […] Urethral occlusive devices must be removed after several hours or after each voiding. […] Urinary diversion, using various catheters, has been one of the mainstays of severe anti-incontinence therapy. […] Catheterization is the only way to treat overflow incontinence. […] Self-catheterization is the preferred approach if the patient is able to perform it. […] Some patients with overflow incontinence respond well to temporary continuous catheter drainage: their bladder capacity returns to normal, and voluntary detrusor pressure improves. […] If the underlying cause of the overflow problem can be treated or eliminated, these patients may be able to return to normal voiding.

• #42

  https://www.nhs.uk/conditions/urinary-incontinence/surgery/

  If non-surgical treatments for urinary incontinence are unsuccessful or unsuitable, surgery or other procedures may be recommended. […] Before making a decision, discuss the risks and benefits with a specialist, as well as any possible alternative treatments. […] Colposuspension involves making a cut in your lower tummy (abdomen), lifting the neck of your bladder, and stitching it in this lifted position. […] If you have a vagina, a colposuspension can help prevent involuntary leaks from stress incontinence. […] Both types of colposuspension offer effective long-term treatment for stress incontinence, although laparoscopic colposuspension needs to be done by an experienced laparoscopic surgeon. […] Sling surgery involves making a cut in your lower tummy (abdomen) and vagina so a sling can be placed around the neck of the bladder to support it and prevent urine leaking.

• #43 5 Treatments for Stress Incontinence | Tufts Medicine

  https://www.tuftsmedicine.org/about-us/news/5-common-treatment-options-stress-incontinence

  Also known as „Kegel exercises,” these exercises can strengthen your urinary sphincter and pelvic floor muscles. These exercises can both improve stress incontinence and prevent the condition from worsening. […] A pessary is a ring-shaped silicone device inserted into the vagina. Pessaries push the urethra closed to help control urine leakage and allow you to urinate normally throughout the day. […] This procedure involves a substance injected into the urethra to „bulk up” the walls at the bladder neck. This is an outpatient procedure and is typically performed in the office. […] Surgery is only recommended after the cause of the incontinence is known. It is generally used as a last-step solution, after behavior changes or muscle training. Surgical options include Retropubic Colposuspension and Sling procedure.

• #44 Treatments for Bladder Control Problems (Urinary Incontinence) – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/treatment

  If lifestyle changes don’t improve your urinary incontinence, speak with your health care professional about other options. […] Urgency incontinence may be treated with one of the following medicines as a pill, liquid, or patch to relax your bladder. […] Individuals with overflow incontinence may need to use a catheter to empty their bladder. […] Women may use a soft, plastic device called a pessary, which is inserted into the vagina for stress incontinence. […] Gel or paste can be injected near your urinary sphincter to treat stress incontinence. […] If medicines and lifestyle changes don’t help your UI, your health care professional may suggest electrical nerve stimulation for urgency incontinence and other symptoms. […] The most common surgery to treat stress incontinence in women is sling surgery.

• #45 Bladder control: Medications for urinary problems

  https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/in-depth/bladder-control-problems/art-20044220

  Injections of Botox into the bladder muscle might benefit people who have an overactive bladder or urge incontinence. Botox blocks the actions of acetylcholine and paralyzes the bladder muscle. […] Applying low-dose, topical estrogen may help. The medication comes in the form of a vaginal cream, ring or patch. The estrogen may help restore the tissues in the vagina and urinary tract to relieve some symptoms. […] Imipramine (Tofranil) is a tricyclic antidepressant. It makes the bladder muscle relax, while causing the smooth muscles at the bladder neck to contract. It may be used to treat mixed incontinence, which is a combination of urge and stress incontinence. […] Duloxetine (Cymbalta, Drizalma Sprinkle) is a serotonin and norepinephrine reuptake inhibitor that is approved to treat depression and anxiety. It can help relax the muscles that control urination and improve bladder leaks in some people. […] Your health care provider can help you decide if you need medicine to treat bladder leaks. Discuss which one might be best for you.

• #46 Urinary Incontinence Treatments | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/womens-health/obgyn/pelvic-health/urinary-incontinence/treatments

  A pessary is a small silicone device that is inserted into the vagina to provide slight pressure on the urethra which helps to keep it closed. […] Your urogynecologist may also recommend injecting a substance to help bulk up your urethra. […] Surgery for urinary incontinence is intended to compensate for the weakened sphincter muscle and support around the urethra. […] Some of the procedures include: Midurethral sling is the most commonly performed procedure for stress incontinence because of its high cure rates and quick recovery time. […] Most therapies addressing urgency urinary incontinence focus on decreasing the abnormal contractions in the bladder, which lead to urinary leakage. […] There are a variety of medications that treat incontinence. […] Injections of onabotulinum toxin (Botox) into the bladder muscle may reduce urinary leakage episodes in women with urgency incontinence or overactive bladder.

• #47 How to Manage Urinary and Bowel Incontinence

  https://www.webmd.com/urinary-incontinence-oab/everything-managing-incontinence

  Devices. A pessary is a ring that’s inserted into your vagina to reposition your urethra to prevent leaks. […] Bladder training. By using the restroom at set times instead of waiting to feel the urge, you can slowly get control over your bladder and raise the time between bathroom trips. […] Kegel exercises. Squeezing your pelvic floor muscles, which hold up your bladder, can make them stronger and help stop leaks. […] Biofeedback. An electrical patch is placed on your skin over your bladder and urethra. The patch is connected to a monitor so you can see when the muscles contract. This will help you learn to control them to prevent leaks. […] Nerve stimulation. This sends quick pulses of electricity to muscles around your bladder, which may help strengthen them. […] If you have urge urinary incontinence and other treatments haven’t worked for you, injections of botulinum toxin (Botox) may be an option. Your urologist injects it into your bladder to help relax the muscles there. This gives you more time to get to the bathroom once you feel the urge to pee. […] The shots can be done in your doctor’s office and usually take less than 5 minutes. You may get relief from your symptoms within a few days, and the results can last as long as 6 months.

• #48 Medication for Female Urinary Incontinence | NYU Langone Health

  https://nyulangone.org/conditions/female-urinary-incontinence/treatments/medication-for-female-urinary-incontinence

  At NYU Langone, doctors may treat urgency incontinence with medications that can help control the excessive contractions that cause the bladder to leak or release urine. […] Anticholinergics block nerves that control the bladders muscle contractions, which cause urine to be released. […] Beta-3 agonists, which are taken by mouth, reduce involuntary bladder contractions associated with urgency incontinence by relaxing the bladder muscle. […] If other medications dont stop your leakage or if you cant tolerate the side effects, your doctor may prescribe Botox, a medication made from the Clostridium botulinum bacterium. […] This treatment is performed with a cystoscope, a thin, lighted instrument thats inserted into the bladder through the urethra. Your doctor injects Botox into the bladder wall with a small needle from the cystoscope to calm the muscles that can cause urgency incontinence. […] Botox treatments are usually repeated at six-month intervals, but time between treatments may be longer for some women. The results can last up to 9 to 12 months.

• #49 Clinical Management of Urinary Incontinence in Women | AAFP

  https://www.aafp.org/pubs/afp/issues/2013/0501/p634.html

  Medications can be used to treat urge and mixed incontinence if behavioral therapy is unsuccessful. Cure is rarely achieved solely with drug therapy, however, and in many studies improvement over placebo is modest. Combination therapy with medication and behavioral treatments is more effective than either modality alone. […] Urge incontinence can be treated with surgically implanted devices that stimulate the sacral, paraurethral, and pudendal nerves. Sacral nerve stimulators are most commonly used, and up to two-thirds of patients experience improvement in symptoms, which is notable because these devices are used only for symptoms that are refractory to all other treatment. […] Pelvic floor muscle exercises are the mainstay of behavioral therapy for stress incontinence. Up to 38 percent of patients with stress incontinence alone who follow a pelvic floor muscle exercise regimen for at least three months experience a cure. Increased effectiveness is demonstrated in women undergoing longer training and in those following comprehensive clinic-based training rather than self-help booklets.

• #50 Urinary Incontinence Treatments | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/womens-health/obgyn/pelvic-health/urinary-incontinence/treatments

  This is a minimally invasive procedure performed in the office or under sedation in the operating room, in which a thin wire is connected to a neurostimulator (similar to a pacemaker) and delivers small impulses to the nerves that control the bladder. […] Another way in which to regulate the nerves to the bladder is via percutaneous tibial nerve stimulation.

• #51 Urge incontinence and treatment – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/what-is-urge-incontinence

  There are two primary categories of medications used to treat urge incontinence, including: […] Anticholinergics These medications help relax your bladder, and can be helpful for urge incontinence and overactive bladder. […] If you have had little luck with other incontinence interventions, you may need to consider these interventional therapies: […] Botox Injections of Botox into the bladder muscle may benefit you if you have an overactive bladder. Botox generally is prescribed only if medications or conservative treatments haven’t been successful. […] InterStim therapy With this therapy, a small device the size of a pacemaker is placed under the skin in your hip area. A lead wire is connected to the device and sends electrical impulses to the sacral nerves, which control bladder contraction and function.

• #52 Urge incontinence and treatment – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/what-is-urge-incontinence

  Percutaneous tibial nerve stimulation (PTNS) This therapy is designed to stimulate the nerves responsible for bladder control using the tibial nerve in your lower leg. During the procedure, a small, slim needle electrode is inserted near your tibial nerve and connected to a battery-powered stimulator. The impulses travel to the tibial nerve and then to the sacral nerve, which controls bladder control and function.

• #53 New option to treat urinary incontinence | Roswell Park Comprehensive Cancer Center – Buffalo, NY

  https://www.roswellpark.org/cancertalk/202401/new-option-treat-urinary-incontinence

  Roswell Park provides latest treatments to address quality of life […] Doctors at Roswell Park are now offering a new treatment posterior tibial nerve stimulation in addition to other options such as pelvic floor rehabilitation, bladder Botox and sacral nerve stimulation. This convenient, innovative and minimally invasive treatment is proving to be more effective than medications. […] Treatment for overactive bladder typically begins with first-level interventions, including physical and behavioral changes such as drinking less fluid in the evening to reduce nighttime bathroom visits, daily Kegel exercises, or sessions with a physical therapist who specializes in pelvic floor therapy to strengthen the muscles of your pelvic floor. […] Level two treatments typically involve medications. Patients that still have problems after first- and second-level treatments are not effective, may benefit from a level three treatment which can include posterior tibial nerve stimulation. Treatment includes inserting a small needle, attached to a stimulator, in the ankle. A medical device sends a mild electric current up the leg to the tibial nerve and sacral plexus, which regulates bladder spasms. The current can be adjusted for the comfort of every patient.

• #54 Urinary Incontinence Treatments for Females at Emory Healthcare Urology Services

  https://www.emoryhealthcare.org/services/urology/treatments/female-incontinence-treatments

  Urologists at Emory Healthcare offer several procedural options: […] Bulking injections: This procedure is an injection of material around the urethra to increase the tightness of the urethra and reduce leakage from stress urinary incontinence. […] Sling procedure: This minimally invasive procedure is the most common treatment for stress incontinence. This surgery places a strip of either mesh or tissue under the urethra to increase support and reduce leakage. This helps many women to significantly reduce or even eliminate their leakage. […] eCoin: This minimally invasive procedure is an implant that provides stimulation of the nerves in the leg that also relax the nerves that control the bladder. This is used for overactive bladder and urge urinary incontinence. […] Botox injection: This procedure involves injections of medicine into the bladder muscle that relaxes these muscles and reduces urinary urgency and urge urinary incontinence.

• #55 UI Health Care offers new treatment for urgency urinary incontinence | University of Iowa Health Care

  https://uihc.org/news/ui-health-care-offers-new-treatment-urgency-urinary-incontinence

  UI Health Care offers new treatment for urgency urinary incontinence. Urologists with University of Iowa Health Care now offer a new treatment for urgency urinary incontinence, or the sudden urge to urinate followed by uncontrolled leaking of urine. The eCoin Peripheral Neurostimulator, a device that generates electrical pulses to stimulate the nerves related to bladder control, is implanted under the skin at the ankle and allows for nerve stimulation at home. […] For patients, the eCoin neurostimulation system provides significant symptom improvement and fewer trips to the clinic, according to Annah Vollstedt, MD, clinical assistant professor in the UI Department of Urology. In previous clinical studies of eCoin, upward of 75% of patients saw marked improvement in their urgency incontinence episodes, and 90% reported they were satisfied with the device and their symptom improvement.

• #56

  https://www.nhs.uk/conditions/urinary-incontinence/surgery/

  If non-surgical treatments for urinary incontinence are unsuccessful or unsuitable, surgery or other procedures may be recommended. […] Before making a decision, discuss the risks and benefits with a specialist, as well as any possible alternative treatments. […] Colposuspension involves making a cut in your lower tummy (abdomen), lifting the neck of your bladder, and stitching it in this lifted position. […] If you have a vagina, a colposuspension can help prevent involuntary leaks from stress incontinence. […] Both types of colposuspension offer effective long-term treatment for stress incontinence, although laparoscopic colposuspension needs to be done by an experienced laparoscopic surgeon. […] Sling surgery involves making a cut in your lower tummy (abdomen) and vagina so a sling can be placed around the neck of the bladder to support it and prevent urine leaking.

• #57 Urinary Incontinence Treatments | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/womens-health/obgyn/pelvic-health/urinary-incontinence/treatments

  A pessary is a small silicone device that is inserted into the vagina to provide slight pressure on the urethra which helps to keep it closed. […] Your urogynecologist may also recommend injecting a substance to help bulk up your urethra. […] Surgery for urinary incontinence is intended to compensate for the weakened sphincter muscle and support around the urethra. […] Some of the procedures include: Midurethral sling is the most commonly performed procedure for stress incontinence because of its high cure rates and quick recovery time. […] Most therapies addressing urgency urinary incontinence focus on decreasing the abnormal contractions in the bladder, which lead to urinary leakage. […] There are a variety of medications that treat incontinence. […] Injections of onabotulinum toxin (Botox) into the bladder muscle may reduce urinary leakage episodes in women with urgency incontinence or overactive bladder.

• #58 Stress Urinary Incontinence Treatment – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/urogynecology/stress-urinary-incontinence

  Biofeedback and Electrical stimulation treat pelvic floor muscles with low-strength electricity and can help women learn proper exercise technique. […] Vaginal weights (cones) […] Another way to tone up the pelvic floor. […] Pessaries […] These are devices like a ring or diaphragm that go in the vagina to give support to the bladder and urethra. This in turn may help prevent urine loss. […] Although surgeries for stress urinary incontinence are generally simple and can be done as outpatient procedures, there are always potential major risks and complications with any type of surgical intervention. […] Mid-urethral sling […] 85-90% of women experience significant improvement. Follow-up studies suggest about 80% of women who have successful surgery are still happy with their results more than 10 years after surgery.

• #59

  https://www.nhs.uk/conditions/urinary-incontinence/surgery/

  If non-surgical treatments for urinary incontinence are unsuccessful or unsuitable, surgery or other procedures may be recommended. […] Before making a decision, discuss the risks and benefits with a specialist, as well as any possible alternative treatments. […] Colposuspension involves making a cut in your lower tummy (abdomen), lifting the neck of your bladder, and stitching it in this lifted position. […] If you have a vagina, a colposuspension can help prevent involuntary leaks from stress incontinence. […] Both types of colposuspension offer effective long-term treatment for stress incontinence, although laparoscopic colposuspension needs to be done by an experienced laparoscopic surgeon. […] Sling surgery involves making a cut in your lower tummy (abdomen) and vagina so a sling can be placed around the neck of the bladder to support it and prevent urine leaking.

• #60 Urinary Incontinence | Atrium Health Wake Forest Baptist

  https://www.wakehealth.edu/condition/u/urinary-incontinence

  Known as Interstim, this device is implanted during an outpatient procedure. […] Botox injections are delivered through a small scope that is inserted into the urethra, the canal leading to the bladder. […] Bladder augmentation is often an effective treatment for patients with spinal cord injuries who don’t respond to other therapies. […] While there are no medications specifically for male stress incontinence, some medications designed for other uses, such as Sudafed and some psychiatric drugs, affect the sphincter valve and can improve incontinence. […] The sling is basically a hammock that supports the urethra and restores it to its proper position, reducing pressure on the sphincter. […] The artificial sphincter is often recommended for patients with moderate to severe incontinence.

• #61 Treatments for Bladder Control Problems (Urinary Incontinence) – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/treatment

  Stress incontinence in men can be treated by implanting an artificial urinary sphincter, a device that helps keep the urethra closed to prevent leaks. […] Even after treatment, you may still leak urine from time to time. Certain products can help you cope with urine leaks. […] Bladder control problems are common, yet many people feel too embarrassed to talk about them.

• #62 Urinary Incontinence | Bladder Incontinence | American Cancer Society

  https://www.cancer.org/cancer/managing-cancer/side-effects/stool-or-urine-changes/bladder-incontinence.html

  Medicines can be used to help relax overactive bladder muscles. If incontinence is related to menopause, topical estrogen can help some people. […] Pessaries can help with incontinence when pelvic organs have dropped out of position (prolapsed). These devices are placed in the vagina to support the bladder and urethra. […] If bladder incontinence isn’t helped with any other methods, surgery might be an option depending on the cause. […] Sling surgery places a piece of mesh or tissue between the vagina and urethra. This supports the bladder and urethra. […] Artificial urinary sphincter surgery places a device to keep the urethra closed. When you need to pee, you squeeze a pump that releases a cuff and opens the sphincter for a few minutes. […] Blockages causing incontinence can also sometimes be removed with surgery.

• #63 Treatments for Bladder Control Problems (Urinary Incontinence) – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/treatment

  Stress incontinence in men can be treated by implanting an artificial urinary sphincter, a device that helps keep the urethra closed to prevent leaks. […] Even after treatment, you may still leak urine from time to time. Certain products can help you cope with urine leaks. […] Bladder control problems are common, yet many people feel too embarrassed to talk about them.

• #64 Urinary Incontinence in Older Adults | National Institute on Aging

  https://www.nia.nih.gov/health/bladder-health-and-incontinence/urinary-incontinence-older-adults

  Vaginal estrogen cream may help relieve urge or stress incontinence. […] Bulking agents can be used to help close the bladder opening. […] Medical devices may also be used to manage urinary incontinence, such as a catheter that drains urine from your bladder; a urethral insert that helps prevent leakage; and a vaginal pessary ring that provides pressure to lessen leakage. […] Surgery can sometimes improve or cure incontinence if it is caused by a change in the position of the bladder or blockage due to an enlarged prostate. […] Changing your lifestyle may help with bladder problems. Losing weight, quitting smoking, saying no to alcohol, choosing water instead of other drinks, and limiting drinks before bedtime can help with some bladder problems. […] Even after treatment, some people still leak urine from time to time. There are bladder control products and other solutions, including disposable briefs or underwear, furniture pads, and urine deodorizing pills that may help.

• #65 Urinary incontinence – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/diagnosis-treatment/drc-20352814

  Medications commonly used to treat incontinence include: Anticholinergics. These medications can calm an overactive bladder and may be helpful for urge incontinence. […] During sacral nerve stimulation, a surgically implanted device delivers electrical impulses to the nerves that regulate bladder activity. […] If other treatments aren’t working, several surgical procedures can treat the problems that cause urinary incontinence: Sling procedures. […] If medical treatments can’t eliminate your incontinence, you can try products that help ease the discomfort and inconvenience of leaking urine: Pads and protective garments. […] But effective treatments are available for urinary incontinence. It’s important to ask your doctor about treatment. Once you do, you’ll be on your way to regaining an active and confident life.

• #66 Urinary Incontinence: Causes, Leakage, Types & Treatment

  https://my.clevelandclinic.org/health/diseases/17596-urinary-incontinence

  Urinary incontinence is a common condition that causes you to lose bladder control. […] A healthcare provider can determine the cause and recommend the right treatment for you. […] Treatments are available to help you manage it. Incontinence doesn’t have to disrupt your life or keep you from being active. […] Knowing the type of incontinence is an important part of your diagnosis and treatment plan. […] Providers can help you figure out what type of incontinence you have and talk to you about ways to manage it. […] A healthcare provider must diagnose the type of continence. They’ll also talk to you about the available treatments and help you choose the one you’re most comfortable with. […] The main types of urinary incontinence treatments are: Lifestyle changes, Physical therapy, Medications, Surgery or other procedures.

• #67 Urinary Incontinence: Causes, Leakage, Types & Treatment

  https://my.clevelandclinic.org/health/diseases/17596-urinary-incontinence

  There are many urinary incontinence medications that can reduce leakage. […] Common incontinence medications include: Oxybutynin, Tolterodine, Solifenacin, Fesoterodine, Darifenacin, Trospium, Mirabegron, Vibegron. […] Sometimes, changes to your everyday life can help treat incontinence without additional treatments. […] A provider may suggest surgery to treat your incontinence. […] It depends on what type of incontinence you have. Sometimes, incontinence will go away without treatment once you address the cause. […] You can’t prevent all causes of the different types of incontinence. […] But you can lower your risk by keeping your pelvic floor muscles strong with Kegels and maintaining a healthy body weight for you. […] It’s important to talk to a healthcare provider about your incontinence risks, including ways you can manage incontinence without it interfering with your daily life. […] Talk to a healthcare provider when you first notice leakage or changes to your bathroom habits. They can help determine the cause and type of incontinence and help treat or manage it. […] Talk to a provider about the best ways to treat incontinence so you don’t have to worry about leakage.

• #68 Patient education: Urinary incontinence treatments for women (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/urinary-incontinence-treatments-for-women-beyond-the-basics/print

  Patient education: Urinary incontinence treatments for women (Beyond the Basics) […] Up to 50 percent of women experience urinary leakage during their lifetime, and 10 to 20 percent suffer from bothersome leakage. It is important to understand that leakage is not a normal part of aging and that treatments are available to reduce or eliminate the problem. […] This article discusses treatments for the two main types of leakage in women, stress incontinence and urgency incontinence. These treatments also apply to women who have a combination of urgency and stress incontinence, called mixed incontinence. […] The following treatments may be helpful for women with stress and/or urgency incontinence. […] Lifestyle modification — Some changes in your lifestyle may help symptoms of urinary leakage.

• #69 Urinary incontinence – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/diagnosis-treatment/drc-20352814

  Medications commonly used to treat incontinence include: Anticholinergics. These medications can calm an overactive bladder and may be helpful for urge incontinence. […] During sacral nerve stimulation, a surgically implanted device delivers electrical impulses to the nerves that regulate bladder activity. […] If other treatments aren’t working, several surgical procedures can treat the problems that cause urinary incontinence: Sling procedures. […] If medical treatments can’t eliminate your incontinence, you can try products that help ease the discomfort and inconvenience of leaking urine: Pads and protective garments. […] But effective treatments are available for urinary incontinence. It’s important to ask your doctor about treatment. Once you do, you’ll be on your way to regaining an active and confident life.

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