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Incontinence Treatment

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

 

Medications

Several medications can treat incontinence through:

  • Preventing unwanted bladder contractions
  • Relaxing bladder muscles
  • Improving the bladder’s emptying abilities

 

Pessary

This special device is inserted in the vagina to hold up the bladder and may help with leakage by helping the patient empty her bladder more effectively.

Artificial Urinary Sphincter For Men

This device is placed surgically and is reserved for severe cases of incontinence. A tiny, doughnut-shaped device is inserted under the skin of the penis to close the urethra. By pressing a valve implanted under the skin, the artificial sphincter can be inflated to stop urine and deflated to allow urine flow.

 

Surgical Therapies

 

Bulking Agents

Bulking agents can be used to treat stress incontinence. A bulking material is injected into the tissue surrounding the urethra to help bring the urethral lining together. This is an outpatient procedure.

Suburethral Slings

Composed of a synthetic mesh, suburethral slings act as a hammock under the urethra, compressing it to prevent leaks that occur with daily living.  This is an outpatient surgery with a short time to recovery.

Pelvic Prolapse Surgery

Surgery performed to restore the bladder and bowel to normal position in women who have pelvic floor weakening.

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.

Male Sling

Similar to a sling procedure performed in a woman, a piece of synthetic mesh can be placed through a small incision to help compress the urethra and then to suffer postprocedure stress incontinence after urethral obstruction has been ruled out. This is very effective for mild stress urinary incontinence in men.

Artificial Urinary Sphincter (AUS)

In men who have more severe stress urinary incontinence, the artificial sphincter is very effective at controlling leakage. It involves a cuff that puts pressure around the urethra until a patient desires to void. A small valve in the scrotum is activated by the patient, and this relieves the pressure around the urethra. It is completely concealed, reliable, and has excellent patient satisfaction. As with the male sling, urethral obstruction must be ruled out prior to placement.

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.