How is urinary incontinence treated?

Dr. Kevin W. Windom, MD
OBGYN (Obstetrician & Gynecologist)

There are three major types of urinary incontinence. Stress urinary incontinence is the most common and it is treated with Kegel exercises or a surgical procedure to stabilize the urethra. The most common surgery for SUI is a sling procedure in which a biologic or synthetic graft is loosely placed around the urethra so as to cause a kink in the urethra that will diminish urinary leakage by decreasing urethral hypermobility.

Urgency incontinence is treated with behavioral modifications (decreased caffeine, more frequent voiding, avoidance of certain food or drinks) medications, or surgery. The medications work by relaxing the bladder muscle and decreasing spasms. Interstim is a surgery that places an electrode near the S3 nerve in the sacrum and this will down regulate the nerves that innervate the bladder muscle and help the bladder to relax.

Overflow incontinence is best treated with timed voiding but occasionally it can be helped with medication or surgery. The medications help to open the urethra and Interstim can also help with this problem.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.