You may be able to cure your urinary incontinence, depending on what the underlying cause is. Physical therapy might be enough to strengthen the muscles that control the bladder, eliminating incontinence. In other cases, medications may work. Medical devices and surgery are more invasive but are oftentimes complete solutions to cure urinary incontinence.
Urinary Incontinence Treatment
In general, alternative treatments are not recommended for urinary incontinence, as these forms cannot help cure the issue like traditional medicine might be able to. However, some people may benefit and find relief from acupuncture, hypnotherapy, and certain herbal remedies. As these have not been widely studied in the scientific community, however, more research is necessary to prove their usefulness.
Some prescription medications can treat incontinence by calming the bladder. Other medications, such as topical creams, may help strengthen and invigorate urethra and vaginal tissues, which can help incontinence. In other cases, certain antidepressants, such as Imipramine, have been shown to provide relief.
There is a small subset of patients with urinary incontinence that is caused by the urethra always remaining "open". In these women, bulking agents (implants) can be used to inject around the urethra to help coapt or close the urethra at rest, and this will help decrease urinary incontinence. The most common bulking agent used for these procedures is collagen. The collagen that is used is similar to collagen that is used for injections around women's lips to help plump the lips up and make them fuller. The same thing happens when collagen is injected around the urethra. It helps "plump up" the tissue around the urethra and helps close the urethra. There are newer medications on the market that have been used and these are Durasphere and Coaptite. I tend to use these 2 medications more frequently than collagen due to the fact that there is a subset of patients who have an allergic reaction to collagen. Some patients immune systems metabolize the collagen, and therefore, the collagen does not remain in place for long periods of time; and they will end up again having leakage of urine and have to repeat the surgery.Helpful? 1 person found this helpful.
1 AnswerThere are three main types of urinary incontinence - stress urinary incontinence, which is the leakage of urine with coughing, sneezing, and physical activity; urgency incontinence, which is the leakage of urine with severe bladder spasms and unable to make it to the restroom in time; and overflow incontinence; where the patient does not adequately empty her bladder and constantly has a high residual volume of urine after each urination.
Stress incontinence is the most common surgically treated form of incontinence. Over the years there has been numerous different types of surgical procedures, but now, the most common procedure is a "sling procedure." This is a surgery in which a polypropylene mesh is placed underneath the midportion of the urethra, and when the patient coughs, sneezes, or laughs it causes a kinking of the urethra, which helps decrease leakage of urine.
Urgency incontinence and overflow incontinence are usually treated with dietary changes and medications, but occasionally urgency incontinence and overflow incontinence can be treated with a InterStim device. This is a surgical procedure in which an electrical stimulator is placed into the S3 sacral foramina, and it stimulates the nerves to the bladder muscle helping to relax the muscle and decrease the bladder spasms. It has also been shown in numerous studies that this surgery can help with patients who are unable to adequately empty their bladder and end up having overflow incontinence. Lastly, there is a small subset of patients (usually elderly patients) who have nerve damage to their urethra in which their urethra is always open, and these people can be treated with a surgical procedure in which collagen or other types of bulking material are injected around the urethra to help tighten the urethra and help decrease the leakage of urine.
There are several types of sling procedures. In this video, watch as I perform a transobturator tape sling procedure. (Note, this video is not for the faint of heart.)
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Urinary incontinence is defined as the involuntary leakage of urine. Greater than 50% of postmenopausal women have experienced urinary incontinence. There are numerous nonsurgical methods for treating urinary incontinence with the most common being Kegel exercises. Kegel exercises are known to remedy 65% of mild stress urinary incontinence(SUI). People with SUI leak urine when they cough, sneeze, or do any type of physical activity. Biofeedback is another procedure that is used for the treatment of urinary incontinence. This is a nonsurgical treatment in which a physical therapist uses a pelvic stimulator to contract the pelvic floor muscles and tighten the vagina. This will help patients with their ability to do Kegel exercises. Lastly, many patients have learned to time their voiding patterns as well as to retrain their bladder to help decrease their SUI.
There is a subset of patients who do not leak urine when coughing and sneezing or exercise, but they have what is called urgency incontinence or bladder spasms. These patients have a severe urge to urinate and they, at times, do not make it to the restroom. These patients can also be treated with timed voiding patterns in which they never let their bladder get too full. Dietary changes may also help. Many patients with urgency incontinence have a significant problem with caffeinated drinks as well as carbonated drinks. The avoidance of this will help decrease their urgency symptoms. The last method in treating urgency incontinence is medication that will help relax the bladder, and these medications work very well but do have some side effects of dry mouth and constipation.
5 AnswersJohns Hopkins Medicine answered
The first and most important step is to determine what type of incontinence you have. The two most common types are “urge” incontinence and “stress” incontinence:•Urge incontinence - also called “bladder instability” or “overactive bladder,” is primarily bladder "misbehavior," and is characterized by spontaneous and uncontrolled urine leakage often accompanied by the overwhelming sensation of needing to void.
•Stress incontinence - primarily due to weakness of the valve mechanism (sphincter) in the bladder outlet and urethra.
Your physician will be able to determine which type you have and then recommend treatment based on the diagnosis and:•your age, overall health, and medical history
•extent of the disease
•your tolerance for specific medications, procedures, or therapies
•expectations for the course of the disease
•your opinion or preference
Both types can benefit from Kegel's exercises, which are designed to improve pelvic muscle strength and control. This therapy plays an important role in treating urge incontinence, as well as mild degrees of stress incontinence.
For more significant degrees of stress incontinence other options are available. These include:•temporary devices to support, close or plug the urethra
•injection of urethral bulking agents into the bladder neck and sphincter area to help its closure
•surgical procedures to restore function of the valve mechanism
Since urge incontinence is not the result of an anatomical defect, many of the therapies differ from those for stress incontinence. Urge incontinence may be treated with:
•diet modifications (elimination of caffeinated beverages)
•behavior therapies (bladder training and toileting assistance)
•vaginal weight training
•sacral neuromodulation (pelvic floor electrical stimulation, similar in function to a pacemaker)
•surgery (options vary for men and women)
1 AnswerJacob Teitelbaum, Integrative Medicine, answeredNutritional supplements and exercise can help improve urinary incontinence in men.
Recommended nutritional supplements:
- Optimize zinc intake (15-25 mg a day) and vitamin A (2,000-5,000 units a day).
- Take amino acids such as alanine, glycine and glutamic acid (1,000-2,000 mg a day).
- Saw palmetto (160 mg twice a day) can be as effective, or more so, than medications after 6 weeks.
Exercise - Walking 2-3 hours a week was associated with a 25% decreased risk of Benign prostatic hyperplasia (BPH).
If you want to use medications, Proscar, Hytrin, and Flomax are 3 common ones. Though not necessarily more effective than the natural remedies, they may work more quickly and may be combined with the natural therapies.
There are numerous natural treatments of urinary incontinence. The most common natural treatment of urinary incontinence is Kegel exercises in which patients tighten the pelvic floor muscles, and this strengthens the muscles around the urethra and helps decrease the leakage of urine with coughing and sneezing. Other patients will use times voiding patterns in which they urinate on the hour or every 2 hours to help decrease the chances of their bladder becoming overly full. There are a significant amount of patients with bladder spasms - urgency incontinence - that can change their diet, which will help decrease their bladder spasms. Caffeine and carbonated drinks are the most common culprit that cause bladder spasms, and decreasing this in your diet can definitely decrease the amount of accidents that a woman has on a daily basis. There are patients who use estrogen hormone replacement therapy in the vagina to help strengthen the urethra and help decrease leakage as well as some patients have learned that taking a magnesium supplement can help decrease the amount of bladder spasms they have on a day to day basis.Helpful? 2 people found this helpful.
The treatment of incontinence following prostate surgery depends on the duration of the problem and the severity of the leakage. Pelvic floor exercises and physical therapy are used for mild incontinence. Surgical reconstruction with male urethral slings and artificial urinary sphincter implants are utilized for more severe cases. Penile clamps are used by some who wish to avoid further surgery.