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How Is Stress Incontinence Treated? continued...

To do Kegel exercises, pretend you are trying to stop the flow of urine or trying not to pass gas. When you do this, you are contracting the muscles of the pelvic floor. While doing these exercises, try not to move your leg, buttock, or abdominal muscles. In fact, no one should be able to tell that you are doing Kegel exercises.

Kegel exercises should be done every day, five sets a day. Each time you contract the muscles of the pelvic floor, hold for a slow count of five and then relax. Repeat this 10 times for one set of Kegels.

Weight loss: Stress incontinence has been linked to obesity.

Timed voiding: Record the times that you urinate and when you leak urine. This will give you an idea of your leakage "patterns" so that you can avoid leaking in the future by going to the bathroom at those times.

Bladder training: In bladder training, you "stretch out" the intervals at which you go to the bathroom by waiting a little longer before you go. For instance, to start, you can plan to go to the bathroom once an hour. You follow this pattern for a period of time. Then you change the schedule to going to the bathroom every 90 minutes. Eventually you change it to every two hours and continue to lengthen the time until you are up to three or four hours between bathroom visits.

Another method is to try to postpone a visit to the bathroom for 15 minutes with the first urge. Do this for two weeks and then increase the amount of time to 30 minutes and so on.

Device: The doctor can insert a device called a pessary into the vagina to stop stress incontinence. A pessary is a ring that, when inserted, puts pressure on the urethra in order to keep it in its normal location. Doing so can reduce urine leakage. Possible side effects from using a pessary include vaginal discharge and infections.

Injections: Bulking agents are substances that are injected into the lining of the urethra. They increase the size of the urethra lining. Increasing the size creates resistance against the flow of urine. Collagen is one bulking agent that is commonly used. If successful, periodic injections may be needed.

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