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Non-Surgical Treatment for Urinary Incontinence In Adults

non-surgical-incontinence-treatment

The appropriate incontinence treatment is influenced by a variety of factors such as the bowel function, voiding, drug use, and pelvic and obstetric surgical history. Fortunately, today there are more treatment options available for urinary incontinence than there were a few years back. As a general rule of thumb, the simplest and safest treatment options should be tried first. Several non-invasive techniques are known to be effective for curing incontinence. The physician may recommend the least invasive treatment options first. Some of these include –

Behavioral Techniques

Certain behavioral changes can help you to restrict the occurrences of incontinence problems. The doctor may recommend –

Double Voiding: To prevent the occurrence of overflow incontinence, doctors suggest urinating, then waiting for a few minutes, and then urinating again. This will help you to empty your bladder more completely so that the problem of overflow can be eliminated.

Scheduled Trips to The Toilet: This is also referred to as timed voiding, wherein the patient is trained to control his bladder. Then the time between bathroom trips is gradually extended. Timed voiding, when combined with pelvic muscle exercises and biofeedback, makes it easier to control urge and overflow incontinence.

Biofeedback: This technique uses sensors to make you aware of signals from your body. This will help you to regain control over the muscles in your urethra and bladder. This technique can turn up to be useful if you are required to do pelvic exercises.

Lifestyle Changes: To help improve the incontinence problem, you may need to make certain lifestyle changes like quitting smoking, losing weight, drinking less caffeine, avoiding heavy lifting objects, and treating constipation problems. Choosing water over other drinks and limiting fluid intake before bedtime may help with your incontinence problem.

Bladder Training: This process involves delaying urination after getting the urge to go to the toilet. Initially, start off by trying to hold your urine for 10 minutes every time you feel the urge to urinate. The objective is to extend the time between urination unless you are urinating every 2-3 hours.

Pelvic Floor Muscle Exercises

Also referred to as Kegel exercises, your doctor may recommend doing exercises at frequent intervals to strengthen the muscles for controlling urination. While these exercises are frequently used for stress incontinence, they may also help to urge incontinence. The pelvic floor muscle exercises involve contracting the muscles that you would use to stop urinating and holding it for five seconds and then again relaxing it for the next five seconds. If the incontinence problem is severe, try holding the muscle for at least three seconds initially and then gradually escalating the time up to 10 seconds at a time. Make sure to do ten repetitions of three sets daily.

Electrical Stimulation

Electrodes are temporarily inserted into the vagina or rectum to stimulate and strengthen the floor muscles of the pelvis. For stress or urge incontinence, general electrical stimulation is prescribed for multiple treatments over several months.

Medications

Apart from the self-treatment exercises and electrical stimulation methods, medications are prescribed simultaneously to help improve the incontinence problem. Some of the commonly prescribed medications include Mirabegron, Alpha-blockers, Anticholinergics, and tropical estrogen.

Bottom Line

Almost 75 percent of women have experienced a significant reduction in incontinence episodes after losing weight. There are several treatment options available for incontinence problems. You just need to take the help of a physician to determine the right course of treatment.

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