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Urinary Incontinence: Treatments

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It’s Time For a Change

You don’t have to jump, sneeze, or laugh with discretion.

You don’t have to feel trapped in a world defined by the nearest restroom.

You don’t have to live with the symptoms of urinary incontinence.

URINARY INCONTINENCE: TO SURGERY OR NOT TO SURGERY?

Depending on the severity, urinary incontinence can be treated several ways and you may have both surgical and non-surgical options. Before you go below the belt, talk with your doctor to determine which treatment is right for you.

Stress Incontinence Treatment Options

Non-Surgical Options
  • Pelvic Floor exercises (Kegels)
  • Physical therapy and biofeedback
  • Vaginal pessaries
Minimally Invasive Options
  • Tension free mid-urethral slings — a synthetic material that becomes integrated into the tissue around the urethra and forms a “hammock of support” under the urethra
  • Injectable bulking agents — gel-like materials that are used to bulk or fill out the tissue surrounding the urethra to increase resistance to urine leakage and provide additional support during physical activity
Surgical Options
  • Bladder neck suspensions — surgery that helps place a sagging bladder back into its normal position
  • Marshall Marchetti Krantz procedure (MMK) — surgery where the tissue around the urethra is lifted and stitched to the bone in the front part of the pelvis and to tissue behind the abdominal wall
  • Burch colposuspension — surgery that lifts the bladder neck to the strong ligaments on the pelvic bones using sutures

Urge Incontinence Treatment Options

Non-Surgical Options
  • Lifestyle changes like pelvic floor exercise and diet change
  • Physical therapy
  • Oral medications
Minimally Invasive Options
  • Botox™ injections
  • Tibial nerve stimulation (PTNS)
Surgical Options
  • Sacral nerve stimulation (SNS)

Mixed Incontinence Treatment Options

May involve treatment options for both stress and urge incontinence

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