Urinary Incontinence Treatment Options
Your Advanced Urology doctor works closely with you to create an incontinence treatment plan that best suits your needs, lifestyle and treatment preferences.
Common Urge Incontinence Treatments
These include bladder antispasmodic and bladder relaxant class drugs known as anticholenergics. These drugs act to calm or quiet the bladder to help control urge incontinence and urinary frequency
Behavioral or Physical Therapy
This therapy includes pelvic muscle exercises or kegel exercises. These exercises and therapies may be enhanced with biofeedback and electrical therapy.
Botox Bladder Injections
Botox injections into the bladder can last 6-8 months.
Sacral Nerve Stimulation (InterStim® Therapy)
This therapy is designed to help patients with bladder control problems such as bladder leakage, urinary urgency, frequent urination or urinary retention that does not respond to medications or when medications cause intolerable side effects.
InterStim Therapy, or sacral nerve stimulation, uses mild electrical pulses, which stimulate the sacral nerves located just above the tailbone that help control bladder function. This option is helpful for patients who do not respond to conservative therapies such as physical therapies or medications.
Prostate Heat Treatment (microwave treatment) or TURP (laser removal of internal enlarged prostate)
This procedure can help with urge incontinence for men with an enlarged prostate (BPH).
Common Stress Incontinence Treatments
Macroplastique Urethral Bulking Injection
The Macroplastique Urethral Bulking Injection is a less invasive treatment option for women with stress urinary incontinence caused by Intrinsic Sphincter Deficiency (ISD). The injection contains a water-soluble gel and a permanent silicone-based implant that helps to bulk or increase the size of the urethra, allowing it to close properly and prevent the leakage of urine. Many patients report immediate symptom relief. The procedure is performed in our offices during a 30-minute procedure under local anesthesia.
Drugs are not usually helpful for stress incontinence. Occasionally topical estrogen has been helpful.
Sling Procedures for Women
This is an incontinence surgery where a small piece of material resembling a hammock is placed under the urethra to give it support to prevent leakage by keeping the urethra closed.
Urethral Slings for Men
If stress incontinence is ongoing for more than 6 months to a year after prostate surgery, the male urethral slings such as the Advance or Virtue slings are placed under the urethra to help keep the urethra closed.