Treatments

Congratulations to you for taking an important first step in addressing issues with continence. Urinary incontinence affects as many as 17-25 million Americans. Experts estimate that greater than 12 billion dollars is spent each year on incontinence and related problems. Approximately 85 percent of those affected with urinary incontinence are women. One out of every four women between the ages of 30 and 59, and 50 percent of the elderly, suffers with urinary incontinence. It affects people not only physically, but emotionally, psychologically and socially. It may lead to embarrassment, social isolation and depression and prevent its sufferers from fully participating in normal daily activities.

With a thorough assessment, we are able to offer several treatment options, which may include:

Noninvasive Therapies:
• Bladder retraining
• Toileting programs (habit training, prompted voiding)
• Pelvic floor muscle rehabilitation
• Dietary management
• Fluid management
• Constipation prevention/management
• Patient education

Rehabilitation Therapies:                                   
• Pelvic floor muscle rehabilitation using biofeedback or a referral to Physical Therapy)
• Intermittent catheterization instruction

Devices:                                                                 
• Fitting of devices (intermittent catheterization, catheters)
• Pessary placement

Drug Therapy:                                                  
• Anticholinergic/OAB drugs
• Antibiotics
• Topical estrogen
• IC treatments
• Elmiron
• Bladder instillations

Surgical Interventions:                                         
• Stress urinary incontinence surgery
• Sub-urethral sling procedures
• Transobturator sling surgery
• Pelvic organ prolapse surgery

Other Treatments:                                            
• Indwelling catheterization
• Skin care product recommendations and care
• Absorbent products and devices recommendations
• Referrals for dietician, psychologist, and physical therapy

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