Bladder Control Problems (cont.)
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Treatment depends of the type and severity of the incontinence. Many of these treatments require a commitment on your part to master the technique and practice it daily. Discuss all of the treatment options with your health-care provider before making a decision together.
Some medications that you may take for other medical conditions can cause incontinence. Review your medications with your health-care provider. If a medication is causing the problem, an alternative may be available.
Urge incontinence: Treatment is focused on eradicating the underlying cause. If your health-care provider is unable to identify a reversible cause, the focus of treatment becomes reducing symptoms. Treatment may include the following:
Stress incontinence: In general, surgical treatment is far more successful than nonsurgical treatment. Medications generally do not work well in stress incontinence. Nonsurgical methods cure very few people, although symptoms may improve for up to 88%.
Overflow incontinence: No effective medication is available for this condition, which usually occurs in people with longstanding diabetes, bladder outlet obstruction, or lumbar spine injury/disease. The cornerstone of treatment is catheterization.
No matter what type of incontinence you have, medical treatment can take some time to take effect. During treatment, or if medical treatment does not work for you, you have the following alternatives:
George Lazarou, MD, FACOG
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In the practice of physical medicine and rehabilitation, voiding disorders are usually a result of neurologic conditions, such as spinal cord injury (SCI) or disease, cerebrovascular accident (CVA), traumatic brain injury (TBI), multiple sclerosis (MS), or dementia.