Minimally Invasive Urology & Stone Center

Non-surgical Treatment

Treating urinary incontinence depends on the type of incontinence diagnosed as well as its severity.

  • Lifestyle modification – your doctor may recommend lifestyle changes, such as avoiding alcohol and caffeine, losing weight or increasing your physical activity.
  • Behavioral techniques:
    • Biofeedback – to help gain awareness and control of pelvic floor muscles.
    • Bladder training – delaying urination after you get the urge to go, or urinating, then waiting a few minutes and trying again. This can help you learn how to empty your bladder.
    • Schedule toilet trips – going to the bathroom according to a schedule rather than waiting for the urge to go.
  • Physical therapy – exercises to strengthen your pelvic floor muscles (e.g., Kegel exercises).
  • Electrical stimulation – gentle stimulation may strengthen pelvis floor muscles.
  • Medications:
    • Anticholingergics – these medications calm overactive bladders and help with urge incontinence.
    • Estrogen – Estrogen in the form of a vaginal cream or patch may help rejuvenate urethra and vaginal tissue.
    • Imipramine – an antidepressant that may help those who suffer from both urge and stress incontinence.
    • Dulozetime – an antidepressant that may help with stress incontinence.
  • Medical devices:
    • Urethral insert – a tampon like device that is used to prevent leaking urine during a certain activity, such as an aerobic activity.
    • Pessary – a stiff ring inserted into the vagina the helps hold up the bladder to prevent leading urine.