There are many treatments for incontinence. An examination of the urine may help identify causes and conditions. Specialized tests, such as urodynamic, endoscopic and imaging will provide more extensive evaluation and insight into further treatment. You may be asked to keep a diary for a period of time, keeping track of what you drink and when your body voids it. There are injections, medications, surgical and non-surgical treatments, and self-catheterization.
Incontinence may also be managed by making changes to your lifestyle. Your doctor may recommend you do Kegel exercises daily, integrate foods into your diet to avoid constipation, stop smoking, as nicotine can irritate the bladder, avoid overconsumption of certain types of medications, and forcing yourself to urinate only every three to six hours, which ‘retrains’ your bladder or on the opposite end of the spectrum, to practice a technique known as double voiding, in which you urinate, wait a few seconds and then urinate again.
Other incontinence treatments include:
- Medical management of incontinence
- Bladder Botox
- Physical Therapy
NonSurgical Neuromodulation / Interstim Therapy
At ESP Medical, in many cases we can treat an overactive bladder without surgery, using state-of-the-art minimally invasive technologies. Percutaneous (or Posterior) tibial nerve stimulation (PTNS) is one office based form of neuromodulation used to treat overactive bladder (OAB). This new technology can effectively reduce or eliminate urinary urgency, urinary frequency, and urge incontinence (bladder leaks).
A second innovative, minimally invasive form of neuromodulation – InterStim – treats overactive bladder as well as fecal urgency and incontinence.
Benefits of Neuromodulation for Incontinence
- Treats the nerves that control the bladder
- Helps restore normal bladder function
- Non-surgical, minimally invasive procedure
- No side effects; No injections; No catheters
- You can try it out first to see if it helps you!
ApexM, InTone & InTone MV
At ESP Medical, our urogynecologists also offer state-of-the-art ApexM, InTone & InTone MV for urinary & fecal incontinence.
These amazing new medical devices, manufactured by women’s health company Control Medical, LLC, offer non-surgical, drug-free treatments for female urinary incontinence.
InTone and Apex remedy bladder leakage by utilizing patented muscle stimulation algorithms, active resistance and biofeedback – which work in tandem to to dramatically increase muscle strength in the pelvic floor.
Additionally, InTone and Apex send calming signals to the detrusor muscle in the woman’s pelvis – which decreases muscle spasms and retrains the muscles for renewed control of urination.