Customer question:
How is urinary incontinence treated? Anonymous customer's question
Pharmacist's answer:
Treatment will depend on several factors, such as the type of incontinence, age, and general health and mental state. Your doctor will likely perform a thorough medical history and physical examination.
Your doctor may recommend:
- Bladder exercises: You can start by trying to hold your urine for 10 minutes every time you feel the urge. The goal is to increase the time between trips to the bathroom until you start urinating every 2.5 to 3.5 hours.
- Double urination: This helps you learn to empty your bladder more completely and avoid overflow incontinence.
- Go to the bathroom on a schedule: Urinate every two to four hours instead of waiting until you feel the need to urinate.
- Fluid and diet management: You may need to reduce or avoid alcohol, caffeine, or acidic foods. The problem can also be alleviated by reducing fluid consumption, losing weight, or intensifying physical activity.
- Pelvic floor muscle exercises: Your doctor may recommend that you do these exercises more often to strengthen the muscles that help control urination. These techniques, also known as Kegel exercises, are particularly effective for stress incontinence.
Medications commonly used to treat incontinence include:
- Anticholinergics: These medications can calm an overactive bladder and may be helpful for urge incontinence.
- Mirabegron: is a medicine used to treat urge incontinence; it relaxes the bladder muscles and increases the amount of urine your bladder can hold. It can also increase the amount you can urinate once, helping empty your bladder more completely.
- Alpha blockers: in men with urge incontinence or overflow incontinence - these drugs relax the muscles of the bladder neck and muscle fibers in the prostate and make it easier to empty the bladder.
- Topical estrogen: Using a small dose of topical estrogen in the form of a vaginal cream, ring, or patch can help tone and relax the tissues in the urethra and vaginal areas.
Interesting reading: Urinary incontinence