The prognosis for urinary incontinence is excellent with currently available treatments. Many women have benefited from placement of synthetic material pads underneath the urethra to prevent incontinence.
Surgery can offer long-term relief for some types of incontinence. Finally, Botox injections help the bladder muscle to not contract as frequently. Percutaneous Nerve Stimulation also sends signals to the nerves of the bladder to decrease urinary incontinence. This helps the brain and the nerves communicate so the bladder and related muscles can function properly. InterStim therapy modulates the sacral nerves with mild electrical pulses. Your doctor will probably also review the medicines you already take, to find any that may contribute to bladder control problems and suggest changes that could solve the problem.įor patients who did not benefit from medication or lifestyle changes there is InterStim therapy, Botox injections, or percutaneous nerve stimulation. Medication is sometimes prescribed to block the nerve signals that cause urgency and frequent urination, or to relax bladder muscles and prevent spasms. Kegel exercises are often recommended, to strengthen the pelvic muscles that help hold urine in the bladder. These include limiting fluids at certain times or retraining the bladder by developing a schedule for trips to the bathroom. Simple lifestyle changes may help to improve some types of incontinence. Treatment of incontinence depends on the type and severity of the problem. Post-void residual volume – test for the amount of fluid left in the bladder after urination.Pad Test – test that determines whether the fluid lost is indeed urine.Avoiding Diary – your doctor may ask you to keep a record of your bladder activity.Your doctor will perform a detailed history and physical exam. Other conditions affect ability to reach the toilet on time.
Ureteropelvic Junction (UPJ) Obstruction.