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Stress Urinary Incontinence Treatments

Treatment Options for Stress Urinary Incontinence

“Women with severe urinary incontinence pay $900 annually for routine incontinence care.” 1

 

Non-surgical Treatment Options for Stress Urinary Incontinence

 

Pads and Protective Undergarments

When women first start to experience bladder leakage, often the first option they look at is liners or pads.

When women first start to experience bladder leakage, often the first option they look at is liners or pads.
 
Many women feel they can manage their day-to-day bladder leakage with liners, pads, disposable or reusable underwear. While pads do provide some degree of protection and discreet management, they do not try to improve your bladder function, unlike other treatment options.

 

Lifestyle Changes

efore or in conjunction with other treatment options, a specialist will often suggest lifestyle changes to help decrease bladder leakage:

Before or in conjunction with other treatment options, a specialist will often suggest lifestyle changes to help decrease bladder leakage:
 

  • Lose weight: Carrying extra weight can have an impact on bladder leakage. You may benefit from losing even a small amount of weight.
  • Manage your fluid intake: If you find that you experience bladder leakage at night or in the morning, reducing the amount of liquid before bed could help. Limiting caffeine and alcohol can also be beneficial.

 

Pelvic Floor Muscle Exercises and Biofeedback

Bladder leakage in stress urinary incontinence is most often due to the weakening of the pelvic muscles and tissue that normally support the bladder

Bladder leakage in stress urinary incontinence is most often due to the weakening of the pelvic muscles and tissue that normally support the bladder, actively strengthening the pelvic muscles may help lessen your symptoms. Read about Tina’s experience with Kegels on FemalePelvicSolutions.com. 
 

  • Physical Therapy: Going to see a pelvic floor physical therapist is the first step to creating a plan to strengthen your pelvic muscles. After performing an exam, the physical therapist will provide guidance on a treatment plan to help you regain pelvic floor function.
  • Kegels: Kegels are an exercise you can do on your own to help strengthen your pelvic muscles.
  • Biofeedback: As pelvic muscles are hidden from view; it can be hard to determine if you are doing Kegels correctly. Biofeedback can be used to offer real-time feedback to show when you have targeted the correct muscles during physical therapy exercises, such as Kegels.

 

Pessary

A pessary is a small plastic device that is inserted into the vagina to help support the vaginal walls and provide lift to the bladder and urethra. Pessaries are available in a variety of sizes. Your provider will provide instructions on inserting and removing the device. To ensure you receive a pessary that is fitted correctly, it’s important to see a specialist who can provide guidance on what size is right for your body. Read Carol’s telling story regarding pessary devices here on FemalePelvicSolutions.com.

 

Medication

While there are [prescription] medications that can help reduce the symptoms of bladder leakage, medication currently only treats urge urinary Incontinence and overactive bladder. If you are suffering from mixed urinary incontinence (a combination of stress and urge incontinence), you may benefit from using medication for urge incontinence. However, you may need additional treatments to decrease bladder leakage related to stress urinary incontinence.

 

Surgical Treatment Options for Stress Urinary Incontinence

If non-surgical options have not solved your stress urinary incontinence, it may be time to consider a more permanent surgical solution.2 One surgical option your doctor may recommend is a sling procedure.

A sling procedure corrects stress urinary incontinence by supporting your urethra to keep it in its correct position.3 The operation is a minimally invasive outpatient surgery.2,3  A sling corrects bladder leakage, or stress incontinence, by providing support to the bladder neck and urethra. After a sling procedure, most women can regain better control of their bladder.4 It is important to know that future pregnancies may negate the effects of the surgical sling procedure and you may once again become incontinent.5

There are different types of sling procedures, including a Transobturator, a Suprapubic, a Retropublic and a Single Incision— each of which implants the device using a different method or approach. Your doctor will discuss the differences and which type of procedure might be best for you.2 Know what questions to ask your doctor with this list here on FemalePelvicSolutions.com.

 

“In a recent study, 113 women had the Altis® sling implanted, and after two years: 90.4% of women state they are “much better” or “very much better” than they were before” 4

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