Urinary incontinence is a common condition that affects men and women of all ages. At Precision Urology, we offer the following treatment options to stop urinary incontinence.
- Behavioral and Physical Therapy: These therapies are considered the first line of defense for urinary incontinence because they are incredibly effective at strengthening the muscles of the pelvic floor.
- Medications (for urge incontinence): We may recommend a combination of prescription medications to help patients control their urinary incontinence. Some of these medications include anticholinergics (Atropine), beta-3 selective adrenergic agonists (Myrbetriq), and antidepressants (Imipramine and Duloxetine). Each medication has a unique role in managing a patient’s urinary incontinence.
- Medical Devices: Medical devices such as a urethral insert or vaginal pessary may be considered for patients with moderate to severe cases of urinary incontinence. Depending on the type of device used, these therapeutic tools can stop the flow of urine, alter the position of the urethra or bladder, or support the safe evacuation of urine from the bladder. Some devices, like a vaginal pessary, are made out of compounds like latex or silicone to ensure comfort, support, and cleanliness.
- Interventional Therapies: When behavioral therapies and medications are not enough to control incontinence, the physicians at Precision Urology may perform minimally invasive, interventional procedures. For example, our physicians offer bulking agents like Macroplastique or Coaptite to control stress or urge incontinence. During this procedure, the physician injects the bulking agent near the urethra to reduce urge frequency and leakage in order to improve urethral function. Botox injections reduce bladder spasms or contractions of the bladder to treat urinary incontinence. Another way to treat incontinence caused by overactive bladder is through Urgent PC, also known as Percutaneous Tibial Nerve Stimulation-PTNS.
- Surgical Procedures: We believe having a urologist who is also a surgeon helps patients achieve complete relief from their urinary incontinence if interventional therapies, medications, and lifestyle changes are not enough to control incontinence. Therefore, our physicians offer the suburethral/midurethral sling, bladder neck suspension, and artificial urinary sphincter procedures to help patients obtain a more permanent solution for their incontinence.