TREATMENT AND PROGNOSIS :
These treatment will depend on several factors such as the type of incontinence, the patient’s age, general health and their mental state.
Pelvic floor exercises which is also known as Kegel exercises helps to strengthen the urinary sphincter and pelvic floor muscles the muscles that help to control the urination.
Delaying the event:
the main goal is to control the urge. The patient knows how to delay the urination process whenever there is urge to go the bathroom.
This involves urinating, then the patient is asked to wait for another couple of minutes then urinating again.
The person schedules bathroom at set times during the day , for example every 2 hours.
Bladder training helps the patient gradually regain control over the bladder.
Medications that are used for the urinary incontinence:
If medicines are used , this is usually in combination with other techniques or exercises.
The following medications are prescribed to treat urinary incontinence.
Anticholinergics such as Oxybutynin, tolterodine calm overactive bladders and might help the patients with urge incontinence.
Topical estrogen may reinforce tissue in the urethra and vaginal areas and lessen some of the symptoms.
Imipramine is the tricyclic antidepressant.
The following are the medical devices which are used for the females.
Urethral inserts :
A woman inserts the device before activity she wants to do and then take that out after she urinates.
A rigid ring like instrument is passed into the vagina and it might aids to hold the bladder up and prevent the leakage.
Tissues in the lower urinary tract is heated and when it heals it is usually firmer often resulting in better urinary control
Botox ( Botulinum toxin type A):
Injected into the bladder muscle this can help those with an overactive bladder
Injected into the tissues around the urethra and these help to keep the urethra closed.
Sacral nerve stimulation:
This is implanted under the skin of the buttock. A wire connects it to nerve that runs from the spinal cord to the bladder. The bladder emits an electrical pulse that stimulates the nerve , helping the bladder to control.
Surgery is an option if other therapies do not work. Women who plan to have children should discuss surgical options with a doctor before making the decision.
A mesh is inserted under the neck of the bladder to help support the urethra and stop urine from leaking out.
Lifting the bladder neck can help relieve stress incontinence.
An artificial sphincter, or valve, may be inserted to control the flow of urine from the bladder into the urethra.
Urinary Catheter: A tube that goes from the bladder, through the urethra, out of the body into a bag which collects urine.
Absorbent pads: A wide range of absorbent pads is available to purchase at pharmacies and supermarkets.