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Urinary Incontinence Treatment
There are a number of ways to treat
incontinence. Your health care
provider will work with you to
figure out which way(s) is best for
you. Don't give up or be
embarrassed! Remember, many women
have incontinence and all types of
incontinence can be treated, no
matter what your age.
Treatments include:
Pelvic muscle exercises - Simple
exercises to strengthen the muscles
near the urethra, also called Kegel
exercises. Taking a few minutes each
day to do these exercises can help
to reduce or cure stress leakage. A
health care provider can teach you
these exercises, most of which
require no special equipment. One
exercise, however, does use cones of
different weights. You stand and
hold a cone-shaped object inside
your vagina. You then substitute
cones of increasing weight to
strength the muscles that keep the
urethra closed.
Electrical Stimulation - Brief doses
of electrical stimulation can
strengthen muscles in the lower
pelvis in a way similar to
exercising the muscles. Special
devices called electrodes are
temporarily placed inside the vagina
or rectum to stimulate nearby
muscles. This treatment can be used
to reduce both stress incontinence
and urge incontinence.
Biofeedback - Biofeedback used
measuring devices to help you become
aware of your body's functioning. A
therapist trained in biofeedback
places an electrical patch over your
bladder and urethral muscles. A wire
connected to the patch is linked to
a TV screen. You and your therapist
watch the screen to track when these
muscles contract, so you can learn
to gain control over these muscles.
Biofeedback can be used with pelvic
muscle exercises and electrical
stimulation to relieve stress
incontinence and urge incontinence.
Timed Voiding or Bladder Training -
Two techniques that help you to
train your bladder to hold urine
better. In timed voiding
(urinating), you fill in a chart of
when you urinate and when you leak
urine. From the patterns that appear
in your chart, you can plan to empty
your bladder before you would
otherwise leak. Bladder
training---biofeedback and muscle
conditioning---can change your
bladder's schedule for storing and
emptying urine. These techniques are
effective for urge incontinence and
overflow incontinence.
Weight Loss - Extra weight can cause
bladder control problems. If you are
overweight, talk with your health
care provider about a diet and
exercise program to help you lose
weight.
Dietary Changes - Certain foods and
drinks can cause incontinence, such
as caffeine (in coffee, soda,
chocolate), tea, and alcohol. You
can often reduce incontinence by
restricting these liquids in your
diet.
Medicines - Medications can reduce
many types of leakage. They can also
help tighten or strengthen pelvic
floor muscles and muscles around the
urethra. Some drugs can also calm
overactive bladder muscles. Some
drugs, especially hormones such as
estrogen, are believe to cause
muscles involved in urination to
function normally.
Be aware that some drugs can produce
harmful side effects if used for
long periods of time. In particular,
estrogen therapy can increase a
person's risk for cancers of the
breast and endometrium (lining of
the uterus). Talk to your provider
about the risks and benefits of
medications.
Implants - Substances are injected
(through a needle) into tissues
around the urethra. The implant adds
bulk and helps the urethra to stay
closed. This treatment reduces
stress incontinence. Collagen (a
natural fibrous tissue from cows)
and fat from a person's body have
been used. This procedure takes
about 30 minutes and can be done in
a provider's office using local
anesthesia.
The success rate of implants varies.
Injections must be repeated after a
time because the body slowly gets
rids of the substances. Before
getting a collagen injection, you
need to have a skin test to make
sure you are not allergic to this
substance.
Surgery - This treatment is
primarily used only after other
treatments have been tried.
Different types of surgery can be
done, depending on what kind of
incontinence problem you have. Some
surgeries raise, or lift, the
bladder up to a more normal
position. Other surgeries use
implants to help the bladder
function better.
Catheterization - A catheter is a
small tube that you can learn to
insert yourself through the urethra
into the bladder to drain urine.
Catheters can be used once in while
or all the time. If used all the
time, the tube connects to a bag
that you can attach to your leg. If
you use a long-term (or indwelling)
catheter, you need to watch for
signs of urinary tract infection.
Pessary - A pessary is a stiff ring
that is inserted by a health care
provider into the vagina, where it
presses against the wall of the
vagina and the nearby urethra. The
pressure helps to hold up the
bladder and reduce stress leakage.
If you use a pessary, watch for
signs of vaginal and urinary tract
infections. Visit your provider
right away if you think you have an
infection. Have your provider check
the pessary on a regular basis.
Urethral Inserts - A urethral insert
is a small device that you place
inside the urethra, a technique that
you can learn to do yourself. You
remove the device when you go to the
bathroom and then put it back into
your urethra until you need to
urinate again.
Urine Seals - Urine seals are small
foam pads that you place over the
urethra opening. The pad seals
itself against your body, keeping
you from leaking. You remove and
throw it away after urinating. You
then place a new seal over the
urethra.
Dryness Aids - Absorbent pads or
diapers help many women, but they do
not cure bladder control problems.
They can also cause low self-esteem
(how you feel about yourself) and
irritate the skin. Some women use
urinals (pans) beside their beds
when they sleep if they suffer from
urge incontinence.
Content Courtesy : www.4woman.gov
Note : Information herein is
provided for informational purposes
only and is not a substitute for
professional medical advice. You
should not use this information for
diagnosing or treating a medical or
health condition. If you have or
suspect you have a medical problem,
promptly contact your professional
healthcare provider. Please consult
your healthcare provider before
beginning any course of
supplementation or treatment.
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