Urgency incontinence is the inability to postpone the sudden, strong desire to urinate. This incontinence involves an uncontrolled bladder contraction and it may occur after a sudden change in position or activity.
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 exercises)
Reducing fluid intake
Changing or eliminating medications
In mild forms of leakage, urinary sanitary pads/undergarments can help with the discomfort and embarrassment of incontinence
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 recovery time.
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.