A member asked:

What are the solutions for people suffering from urinary incontinence?

7 doctors weighed in across 3 answers

Many options: Depend on types of incontinence. Stress incontinence (sui) options are pelvic muscle exercise (pelvic floor physical therapy), pessary, medication, radiofrequency and outpatient surgery. Urge incontinence options are behavioral therapy, bladder training, medication, injections of Botox into the bladder muscle and neuromodulation (at the ankle -posterior tibial nerve, or implanted device at sacrum).

Answered 6/22/2017

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Based on type: Stress urinary incontinence (sui) which is leakage associated with coughing, laughing, sneezing, etc. Is usually best treated with a minimally invasive procedure called a tvt (tension free vaginal tape). Urge incontinence (ui) is first addressed with anticholinergic medications such as oxybutinin, detrol, vesicare, (solifenacin) enablex. If ineffective/not tolerated, sacral neuromodulation therapy (interstim).

Answered 9/28/2016

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Dr. Betsy Greenleaf answered

Specializes in Gynecology

Urinary Incontinence: There are a few types of incontinence: stress incontinence: leaking w/ activity/coughing/ sneezing or urge incontinence: a sudden urge to got to the bathroom. Different types of incontinence are treated differently. Some can be treated with surgery and others medication.A good resource is www.voicesforpfd.org. You can also discuss further with a gynecologist/ urogynecologist/urologist

Answered 5/4/2016

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