Incontinence Stress Treatment
Treatment for stress incontinence depends on the severity of the symptoms and the underlying cause. Treatment for mild stress incontinence may include behavioral therapy, bladder training, and Kegel exercises. More persistent symptoms may be treated with medication, surgery, or electrical stimulation of the muscles that control the flow of urine.
Treatment options for stress incontinence include:
- Avoid caffeine and alcohol
- Weight loss for obesity
- Behavioral therapy for urinary incontinence:
- Relaxation techniques
- Pads and protective garments
- Bladder training:
- Delaying urination when you have the urge to urinate
- Urinating twice, in order to completely empty the bladder
- Maintaining a schedule for urination
- Kegel exercises:
- Strengthen the pelvic muscles
- Medical devices:
- Urethral inserts
- Vaginal cone for urinary incontinence
- Biofeedback for urinary incontinence:
- Stimulator implant:
- Electrical stimulation of the pelvic muscles for urinary incontinence
- Sacral nerve stimulator
- Medications for urinary incontinence:
- Radiofrequency therapy:
- Radiofrequency energy is used to heat tissues in the lower urinary tract. After the tissue heals, urinary leakage may be lessened.
- Botulinum toxin type A:
- Bladder injections may be helpful in the setting of an overactive bladder
- Bulking agent injections:
- Collagen or carbon-coated zirconium beads are injected into the tissue surrounding the urethra to help keep it closed.
- Surgery for urinary incontinence:
- Artificial urinary sphincter
- Sling procedures
- Bladder neck suspension
- Urinary catheter:
- A rubber tube is inserted through the urethra and into the bladder
- Pads and protective underwear
For more information:
Incontinence Stress Kegel Exercises
Kegel exercises can be effective in the treatment of stress incontinence.
Kegel exercises suppress the urge to urinate by contracting the muscles that control urination. This gradually increases the time between voiding. The goal is to have at least 2 hours between voiding during the day, and 6-8 hours between voiding at night.
How to perform Kegel exercises:
- Contract your muscles upward and inward while voiding, so that you can stop the flow of urine.
- Hold this position for a count of 6 seconds.
- Release the urine for a count of 6 seconds.
- Repeat the above one more time before emptying your bladder.
Incontinence Stress Questions For Doctor
The following are some important questions to ask before and after the treatment of stress incontinence.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- Do I need a special exercise program?
- What else can I do to reduce my risk for urinary incontinence?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Incontinence Stress Specialist
Continue to Incontinence Stress Home Care
- Nuotio M, Jylha M, Luukkaala T, Tammela TL. Urgency, urge incontinence and voiding symptoms in men and women aged 70 years and over. BJU Int. 2002 Mar;89(4):350-5. 
- Siegel SW, Catanzaro F, Dijkema HE, Elhilali MM, Fowler CJ, Gajewski JB, Hassouna MM, Janknegt RA, Jonas U, van Kerrebroeck PE, Lycklama a Nijeholt AA, Oleson KA, Schmidt RA. Long-term results of a multicenter study on sacral nerve stimulation for treatment of urinary urge incontinence, urgency-frequency, and retention. Urology. 2000 Dec 4;56(6 Suppl 1):87-91. 
- Zinner N, Harnett M, Sabounjian L, Sandage B Jr, Dmochowski R, Staskin D. The overactive bladder-symptom composite score: a composite symptom score of toilet voids, urgency severity and urge urinary incontinence in patients with overactive bladder. J Urol. 2005 May;173(5):1639-43.