The treatment depends on identifying the TYPE of Incontinence, the SEVERITY, and the CAUSE.
Behavioral Therapies: the first line of treatment, because they are safe and often effective. Two principles underlie the behavioral treatments:
1- Keep the bladder volume low by frequent voiding
2- Inhibit detrusor contraction by retaining cerebral and pelvic incontinence mechanisms
Bladder Training:
Progressively lengthening the interval between voiding, by trying to hold off for a few minutes each time there is an urge to urinate
Pelvic Muscle Exercises (Kegel Exercises):
These exercises are used to strengthen the muscles that help control urination. Patients are instructed to contract the pelvic muscles for 10 seconds at a time, 30 to 80 times per day
Electrical Stimulation:
Electrical Stimulation of the pelvic floor muscles by introducing electrodes through the anus or vagina
Absorbent Pads:
There are products that ease the discomfort and embarrassment caused by incontinence. Most products are now discreet and no more bulky than normal underwear, and can be easily worn under clothing. The range include products that are suitable for both Men and Women (
Fine Care® Range of Products)
Urinary Catheters:
Those are soft tubes (catheters) that are inserted into the urethra several times a day to drain the bladder
Injection of Botulinum Toxin (Botox):
Botox injection is a new and promising treatment for patients with incontinence
Medications:
Medications commonly used to treat incontinence include: Oxybutynin, Tolterodine, Adrenergic Agonists, Estrogen and Duloxetine
Medical Devices:
For Women: Pessaries, suction devices that occlude the urethral outflow, and ballooned inserts that lie within the urethral orifice
For Men: Penile Clamps
Surgical Options:
Surgical treatment is used when other treatments are not effective. Surgical options including injections of urethral bulking agents and suburethral sling are often effective for women with stress incontinence. Form men with stress incontinence, injection of periurethral bulking agents (collagen) or surgical implantation of an artificial urethral sphincter can improve or eliminate incontinence