Other treatments for urinary incontinence include the following:
Bladder retraining is often an initial treatment for incontinence, and it requires that you have at least some control over bladder function. For example, if you know that you tend to leak urine 3 hours after you urinate, you could empty your bladder every 2½ hours, then gradually increase the interval between trips to the bathroom.
Not all the muscles involved with bladder control are automatic. You have control over the sphincter that holds urine in. Therefore, you can strengthen it by doing Kegel exercises:
Some patients are helped by evaluation and treatment with a physical therapist who has been specially trained in pelvic floor muscle rehabilitation.
Pessaries are devices inserted into the vagina. Most are designed to improve the function of the bladder sphincter by supporting the floor of the bladder.
Regularly emptying the bladder by inserting a tube (catheter) keeps the urine from spilling uncontrollably. Patients with neurogenic bladders can learn how to do this by themselves. Those who are incapable of caring for themselves may need a catheter that remains in permanently.
Devices can be used to stimulate specific nerves. The procedure may involve implanting a thin lead wire with a small electrode tip. In some cases, the tibial nerve, which extends down to the ankle, is stimulated. This electronic stimulation therapy can be done as a series of treatments in the doctor's office.
By using electrical sensors, it is possible to make the contractions of the sphincter muscle visible or audible. While attached to such a device, you are encouraged to increase the signal, which strengthens the involved muscle. This form of treatment has not yet become widely accepted.
Except for catheterization, these methods are relatively safe. If you are doing your own catheterization, you will have a training session that will teach you when to call for help, such as:
Occhino J, Siegel S. Sacral nerve modulation in overactive bladder. Curr Urol Rep. 2010;11(5):348-352.
Urinary incontinence. National Association for Continence website. Available at: https://www.nafc.org/urinary-incontinence. Accessed May 19, 2017.
Urinary incontinence. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urologic-conditions/urinary-incontinence. Accessed May 19, 2017.
Urinary incontinence in men. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T900624/Urinary-incontinence-in-men. Updated December 13, 2016. Accessed May 17, 2017.
Urinary incontinence in women. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T900573/Urinary-incontinence-in-women. Updated May 15, 2017. Accessed May 19, 2017
Last reviewed May 2017 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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