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Incontinence - Urine Treatment

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The type of treatment that you receive depends on the cause of your urine incontinence.  In some cases, treating the cause stops incontinence.  For example, treating a urinary tract infection or eliminating excessive alcohol intake may solve the problem.  For ongoing incontinence, there are many different types of treatment including behavior strategies, medications, devices, surgery, or a combination of treatments.

Your doctor may recommend behavioral changes, such as limiting fluids, avoiding alcohol and caffeine, losing weight, and quitting smoking. It can be helpful to go to the bathroom more often or do so on a regular schedule.  Bladder training involves holding urination for increasing minutes after feeling the urge to go to the bathroom to help lengthen the time between urinating.

It is common for people with incontinence to be instructed in Kegel exercises to help strengthen the muscles that control urination.  Your doctor may instruct you or refer you to a physical therapist that specializes in pelvic floor strengthening.  Under select circumstances, clinical electrical stimulation is used to promote muscle strengthening.  Electrical stimulation can be helpful for treating stress and urge incontinence.

In many cases, behavioral interventions are paired with prescription medications.  There are several different types of medications that may be used depending on the type of incontinence.  Medications may calm an overactive bladder, relax the bladder wall muscles, or contract the muscles at the bladder neck.  For men with an enlarged prostate gland, medications may help decrease the size of the gland or relax the muscles around the urethra.
 
There are a variety of disposable or washable protective pads and briefs on the market today that can be worn to protect clothing. There are insertion devices designed especially for women, including plug-like urethral inserts or a ring-like device (pessary) to help support the bladder.

For men with chronic incontinence, a condom catheter can be worn over the penis to collect urine into a collection bag.  The bag can be strapped to the ankle or a wheelchair.  The collection bag is emptied into the toilet when it becomes full.  Indwelling catheters may be placed in men or women, usually those with serious illness, and the bag is emptied in the same manner.  Men and women with bladder emptying issues can learn to use a soft catheter to drain their bladder throughout the day (self-intermittent catheterization).

Surgery may be recommended when other methods are not working.  There are specific surgeries for women and men. There is more than one type of surgery, and the type that you receive will depend on your individual circumstances.  For men, surgically removing part of an enlarged prostate gland can be helpful. Also for men, an inflatable artificial sphincter implant is considered a very effective treatment.  An inflatable ring is surgically place around the neck of the bladder to hold urine in.  When an implanted valve is pressed, the urine is released.

For women, injectable bulking agents, such as collagen, synthetic gels, or synthetic sugars, are used to build up the tissues surrounding the urethra or urinary sphincter.  This is a short noninvasive procedure that is sometimes tried before other types of surgery. Open retropubic colposuspension is a surgery for a woman that uses sutures to help lift and support tissues near the bladder neck and upper urethra.  A sling procedure is another type of surgery for a woman that uses tissue or synthetic material to create a sling to support the urethra.

Incontinence - Urine Treatment from SecondOpinions.com (Family Practice, Family Practice, Internal Medicine, Internal Medicine, Men's Health, Men's Health, Physical Therapy, Physical Therapy, Urology, Urology, Conditions that use Catheters, Conditions that use Catheters, Family Practice, Family Practice, Internal Medicine, Internal Medicine, Men's Health, Men's Health, Physical Therapy, Physical Therapy, Urology, Urology, Conditions that use Catheters, Conditions that use Catheters)

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