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Urgency Incontinence

Urge incontinence is the inability to control the sudden urge to urinate. It involves an uncontrolled bladder contraction and it may occur after a sudden change in position or activity.

Treatment for urinary incontinence varies for each patient, based on type and severity. Our physicians will work with you to determine which treatment option best fits your lifestyle and needs. Below are some common treatment options that our physicians will discuss with you at length.

 

Non-Invasive Treatments

Behavioral Modifications

Lifestyle or behavioral modifications are usually the first therapy our physicians recommend, and it may be the only treatment necessary. The modifications include:

  • Pelvic muscle exercises (Kegel's exercises)
  • Reducing fluid intake
  • Changing or eliminating medications
  • In mild forms of leakage, urinary sanitary pads/undergarments can help with the discomfort and embarassment of incontinence

 

 Medications

  • The same medications that offer benefit in urinary urgency and frequency can offer improvement of leakage of urine due to an unstable bladder.

 

Sacral Nerve Stimulation

After a test procedure to confirm benefit, a small neurostimulator is implanted to help regulate unstable bladder contractions or help emptying of the bladder. This is an outpatient procedure with a short time to recovery.

 

Botulinum Toxin

Botulinum toxin (Botox) may be injected into the bladder wall to control the overactive bladder muscle. This is mainly used in patients with neurological conditions which lead to unstable bladders.