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    Incontinence & Overactive Bladder Health Center

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    Mixed Incontinence

    Treatment for Mixed Incontinence continued...

    These treatments may include:

    Behavior Modification: If your diary shows a pattern of urination, your doctor may recommend that you use the bathroom at regular intervals to minimize leaking. Doing Kegel exercises regularly can help strengthen muscles that are involved in urine control. To learn how to do Kegel exercises, go to the bathroom and urinate. Halfway through, try to stop the stream of urine. This will help you identify the muscles you need to contract for Kegel exercises. Once you identify the muscles, do not practice while urinating. Do the exercises for about five minutes a day as you go about your day. After a few weeks to a month you should start to notice some improvement.

    Medications: For the urge incontinence component of mixed incontinence, doctors may prescribe a medication called an anticholinergic to help relax bladder muscles to prevent spasms. Alternatively, your doctor may change a medication you are taking, such as high blood pressure medications that increase urine output and can contribute to incontinence.

    Biofeedback: This technique can help you regain control over muscles that contract when you urinate by helping you better become aware of your body's functioning.

    Neuromodulation: For urge incontinence that does not respond to behavioral modification or medications, your doctor may recommend neuromodulation, a therapy that involves using a device to stimulate nerves to the bladder. If a trial of the device shows it is helpful, the device is surgically implanted.

    Vaginal Devices: For stress incontinence in women, doctors may prescribe a device called a pessary that is inserted into the vagina to reposition the urethra and reduce leakage. For mild stress incontinence, inserting a tampon or a contraceptive diaphragm -- prior to exercise or activities that are likely to lead to leakage -- may offer a similar benefit.

    Compression Rings and Clamps: For men, these devices fit over the penis to close off the urethra. They must be removed before going to the bathroom.

    Injections: To minimize leaking from stress, doctors may inject bulking agents into tissues around the bladder neck and urethra. The procedure takes about a half hour and is done with local anesthesia. Because the body may eliminate certain bulking agents over time, repeat injections may be necessary.

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