Your symptoms, the diagnosis of the category of the incontinence and your physical condition will determine the treatment decisions. Investigations will range from Urine analysis, Post void residual measurement to more sophisticated tests like Urodynamic studies and pelvic ultrasound.

The type of incontinence, its severity and the underlying cause will determine the specific treatment for urinary incontinence. Our Gynaecologist may recommend a combination of treatments. If there is an underlying condition causing your symptoms, that condition may have to be managed first.

Initially, our doctor may recommend less invasive treatments but may go on to other options, depending on how you respond to the initial methods.

Behavioural techniques also play an important role in relieving the degree of the problem and you may be recommended a counselling session for Bladder training, Double voiding, Scheduling toilet trips, managing Fluid and dietary intake.

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Your doctor may recommend:

  • Bladder training, to delay urination after you get the urge to go. You may start by trying to hold off for 10 minutes every time you feel an urge to urinate. The goal is to lengthen the time between trips to the toilet until you’re urinating only every 2.5 to 3.5 hours.
  • Double voiding, to help you learn to empty your bladder more completely to avoid overflow incontinence. Double voiding means urinating, then waiting a few minutes and trying again.
  • Scheduled toilet trips, to urinate every two to four hours rather than waiting for the need to go.
  • Fluid and diet management, to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity also can ease the problem.

Training in Pelvic Floor Exercises may be given to strengthening the muscles that control urination. Known as Kegel exercises, these techniques are more effective for stress incontinence, but may also help urge incontinence.

Medication, Electrical stimulation, Medical devices like urethral inserts and pessaries also prove helpful in controlling the leakage.

If other treatments aren’t working, interventional therapies include Sling procedures, Bladder neck suspension, Sling procedures, Prolapse surgery

At Pearl Women’s Hospital & Yash IVF we specialise in the surgical management of urinary incontinence in women, using minimally invasive methods for a faster recovery and a less troublesome hospitalisation.

Are Alternative medicines useful?

There are no researched and proven alternative medicine therapies to cure urinary incontinence. Acupuncture and Yoga can provide limited benefit only.

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