Urinary incontinence is not a normal part of aging and treatments are usually available to improve or eliminate symptoms. The type of treatment depends on whether you have stress or urge incontinence.
A health care professional can help you control urinary incontinence through lifestyle changes, behavior therapy, medication and sometimes surgery. They will ask questions about the frequency and type of bladder leakage and may perform a physical exam and urinalysis to diagnose the cause.
Fluid consumption schedules and avoiding caffeinated, carbonated or acidic drinks can reduce leakage for many people with stress incontinence. Your provider can also recommend weight loss, quitting smoking and other healthy habits to relieve incontinence.
Medications can help treat both urge and stress incontinence. Anticholinergics, such as oxybutynin (Ditropan XL), tolterodine (Detrol) and fesoterodine (Toviaz) can calm the overactive bladder, helping you resist urges to urinate. These medications can be taken by mouth or worn as a patch to prevent leakage. Alternatively, beta-3 agonists, such as solifenacin (Vesicare), trospium chloride and mirabegron (Myrbetriq) can reduce the urgency spasms of an overactive bladder by relaxing the muscles of the bladder wall. These medications do not cause constipation or dryness like the anticholinergics.
If other treatments don’t work, your doctor can treat you with Botox injections, made from Clostridium botulinum bacterium, to relax the bladder muscle and reduce urgency incontinence. Your doctor can inject the drug using a cystoscope, a thin, lighted instrument that’s inserted into your bladder through your urethra. https://simplyincontinencecare.com/