Incontinence therapies include behavioral modification, Kegel exercises, and change in urination habits. Treatments include pessaries, medications, pelvic muscle strengthening, and surgery.
Dr. Pinson offers his extensive training, years of experience and commitment to each patient’s health to ensure that you attain the treatment that’s best for you.
Incontinence pessaries are plastic devices, similar to vaginal contraceptive diaphragms, which are used to either lift the bladder or to apply compression to the urethra during activities that are known to cause leakage. They are successfully used for the treatment of stress urinary incontinence and vaginal or uterine prolapse. They are a low risk treatment option when compared to surgery for symptomatic urinary incontinence. About half of the women who are successfully fitted with a pessary will continue to use it on a long-term basis.
A number of medications are available that increase sphincter or pelvic muscle strength or relax the bladder, making it able to hold more urine. Medications are prescribed for all kinds of incontinence, but they are generally most helpful for urge incontinence.
Pelvic muscle strengthening
Biofeedback is a tool to help patients learn how to perform pelvic muscle exercises (Kegel exercises). The patient must be motivated to actively participate in training sessions and follow through by practicing at home in-between sessions. The goal of biofeedback-assisted pelvic muscle exercise is the facilitation of voluntary control over the process of urination.
Biofeedback-assisted pelvic muscle exercises incorporate the use of an electronic or mechanical device to relay visual and/or auditory evidence of pelvic floor muscle tone to the patient. This alerting or cueing assists the patient’s efforts to effectively perform pelvic muscle exercises.
Both males and females can use the voluntary muscle of the pelvic floor to control urination. In females this muscle may be damaged, particularly by pregnancy, leading to weakness of the sphincter mechanism, and stress incontinence.
Patients who are active participants in training sessions and follow through by practicing at home in-between sessions, have seen great improvement in their symptoms in as little as 6 to 8 weeks.
Surgery may include pelvic floor reconstruction, bladder neck suspension or sling procedures, and implantation of an artificial urinary sphincter or sacral nerve stimulator. However, low-risk surgical alternatives, such as da Vinci Robotic Surgery, are also available.