Available Options Of Urinary Incontinence Treatment
The type of urinary incontinence treatment you choose depends on the type of incontinence, the severity, and the underlying causes.
So, although there are several treatment options, certain patients are going to have only a couple of choices depending on what their doctor might suggest.
Considering these treatment options, and talking to your doctor about what the best choice is, will be the first step in considering the urinary incontinence treatment.
Behavioral Techniques –
Small techniques and lifestyle changes are sometimes the solution. Some of the urinary incontinence treatment options under this category include:
– bladder training (learning to delay urination, the goal is to lengthen time between the trips to the bathroom);
– schedules trips to the toilet (timed urination or going based on the clock, rather than when you feel like it); or,
– fluid and diet management (modifying your drinking behaviors will help you to retrain the bladder muscles, in order to control sudden urges).
Physical Therapy –
A second option to consider for your urinary incontinence treatment is physical therapy. Some things you can do include:
– pelvic floor muscle exercises (to strengthen the sphicter and urethra, helping you control the bladder muscles);
– kegel exercises (internal exercises helping you to hold back and refrain from using the bathroom);
– electric stimulation (electrodes are inserted in to the rectum or vagina, to strengthen muscles and help build control).
These physical therapy options are available to certain patients, as prescribed by their doctor, and in many cases can help out a majority of the people who are dealing with incontinence.
A third solution to consider for urinary incontinence treatment is medicine. Not all individuals will qualify, especially if they take other medications which do not mix well. Therefore, telling your doctor all medicines you are currently on, is going to help them determine if this is a viable urinary incontinence treatment for you.
Some options include:
– anticholinergics (the prescription medication helps in calming the bladder muscles, alleviating the tension and pressure you feel);
– topical estrogen (vaginal rings, cream, or patches, which are meant to rejuvenate the tissue around the urethra);
– duluxetine (antidepressant which can sometimes be prescribed for incontinence); or,
– imipramine (tricylic antidepressant which is sometimes prescribed for incontinence).
It is first advised to speak to your doctor, in order to determine if any of these can be used in conjunction with other medications you take, prior to starting this method of urinary incontinence treatment.
Medical Devices –
The next urinary incontinence treatment option is to make use of medical devices. Some of the devices used include:
– urethral insert (similar in shape and size to a tampon, and is used to help apply pressure on the urethra, helping to control the bladder);
– pessary (vaginal ring which is worn all day, in order to help apply pressure to the bladder, and avoid any accidents during the day).
These devices are used with individuals who have a severe case of urinary incontinence, and where other devices or treatment options have not done the trick.
Absorbent Pads –
These are one of the most commonly used urinary incontinence treatment options for those with a mild case of incontinence. The incontinence pads will protect the clothing, and keep you dry, in the event you have a small leak or accident during the day.
Interventional Therapies –
A couple different options exist in this category including:
– Bulking injections (injected in to the tissue surrounding the urethra, helping to keep it closed);
– nerve stimulators (similar to a pacemaker, which helps to control the bladder muscles); or,
– botulinum toxin (beneficial for those who have a severe overactive bladder, and cannot control it on their own).
These urinary incontinence treatment options are for more severe cases of incontinence.
The final urinary incontinence treatment option includes surgical procedures. The most common ones include:
– sling (uses stripes of body tissues to create a sling around the bladder and urethra, to control sudden urges);
– bladder neck suspension (provides urethral support via the bladder neck); or,
– artificial urinary sphincter (small devices, usually for men who have a weakened sphincter, due to procedures like a prostate surgery).
Each patient will have different levels of incontinence, therefore each case is going to call for a different urinary incontinence treatment option when trying to treat and care for incontinence.