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Urinary Incontinence: Treatment, Procedure, Cost and Side Effects

What is the treatment?

involuntary urination or defecation

How is the treatment done?

Urinary Incontinence is condition where there is loss of bladder control with an individual which leads you to use the washroom every now and then. The severity of this condition results in individuals that cannot even control their urge to urinate for a small amount of time. This condition is much more common in aged individuals but anyone can be affected with this condition due to disorders associated with the urinary tract. Many people experience minor leaks of urine whereas some discharge urine in small quantities at frequent intervals. When you are affected with this condition you can experience leakage of urine even when you do not want to and it happens due to an involuntary force such as coughing, sneezing or even during exercising. The neurologic infections also tempt you to discharge urine often and it is involuntary in nature. Other common symptom of this condition is that you experience overflow incontinence, this means that you keep drizzling urine until your bladder is completely empty. This condition might be temporary in nature and thus you need medical attention to cure this condition as it causes irritation and various problems to carry out day to day activities. Some drinks and foods might also increase the urge to urinate more. This condition might also be caused by urinary tract infections and constipations.

Who is eligible for the treatment? (When is the treatment done?)

The treatment begins with a test of urinalysis which detects the exact problems that you are facing and the causes of the same as well. The course of treatment requires certain behavioral techniques such as bladder training. In the process of bladder training you are trained to control yourself from frequent urges to urinate. Double voiding is also a common technique. In this process when you urinate, you stop once and then continue urinating after some time. You should have a chart of fluid and diet management where you avoid foods and drinks that increase the rate of urination. Certain exercises are advised to follow. These exercises are known as pelvic floor muscle exercises. In women to prevent the urge to urinate they are sometimes prescribed with certain urethral inserting which is a tampon like device that prevents leakage of urine. Sometimes surgeries such as sling procedures, bladder neck suspensions and prolapsed surgeries are advised to clear the urinary tract infections and help you to filter out the urine properly into the pelvis of your kidney. Certain anti infection medicines are also prescribed to ease out the symptoms that you face. This conditon might run in the family as well for which you should be cautious from an early stage.

Who is not eligible for the treatment?

If you face difficulty in controlling your urge to urinate and that causes you pain in your bladder along with leakage of urine while sneezing, coughing or during exercises then seek help of your medical expert as you might have a condition of urinary incontinence and you are eligible for this treatment.

Are there any side effects?

If you have donated a kidney then seek medical attention as the course of treatment may be different if you have one kidney.

What are the post-treatment guidelines?

Some common side effects of the treatment procedure are irritation, fatigue and insomnia. If the treatment is not carried out properly then you might develop urinary tract infections.

How long does it take to recover?

You should avoid certain drinks and foods that improve the chances of frequent urination and follow the exercises that are required. You should also continue with the medications and look out for the reoccurrence of the symptoms.

What is the price of the treatment in India?

If you undergo a surgery then you should recover within a week. If you are prescribed with medications and exercises then you should notice favorable changes within a month. However you must carry out proper treatment and a suitable diet otherwise the symptoms can reoccur again.

Are the results of the treatment permanent?

The price of the surgeries depends on the facilities of your healthcare provider and these surgeries range from Rs. 10,000 to Rs. 25,000. The medications and therapies range approximately from Rs. 1,000 to Rs. 3,000.

What are the alternatives to the treatment?

The results of the treatment vary from person to person on how their urinary tract responds to the medications and surgeries. On an average, the treatment resulted in many favorable changes.

Safety: Condition Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

Rs. 1,000 to Rs. 25,000

Popular Health Tips

Urinary Incontinence - Different Treatment Modalities That Can Be Followed!

DNB (Urology), MS - General Surgery, MBBS
Urologist, Delhi
Urinary Incontinence - Different Treatment Modalities That Can Be Followed!

Urinary incontinence refers to the inability to control bladder movements. While it does not affect the person’s health, it can be an embarrassing condition. The severity of this condition can range from passing small amounts of urine every time you sneeze or cough, to getting a sudden strong urge to urinate without the time to get to a toilet. Urinary incontinence is not a disease by itself but rather is a sign of another underlying condition. It may be caused as result of childbirth, age, menopause, prostate, or a neurological disorder.

Treatment for this condition can take many forms:

  1. Medication: Urinary incontinence may be treated by many different types of medications depending on the underlying cause. Anticholinergics may be prescribed to calm the bladder muscles and reduce the urge to urinate frequently. Alpha blockers are typically prescribed to men to help them relax the prostate and bladder neck muscles so as to be able to pass urine freely. For women suffering from incontinence due to hormone fluctuations, topical estrogen may be helpful.
  2. Behavioral techniques: The patient will also be taught techniques to help control the bladder. This includes scheduling toilet visits every few hours rather than waiting for the urge to urinate. To avoid overflow incontinence, the patient may be advised to follow a double voiding process. This involves urinating, waiting for a few minutes and urinating again. Cutting back on diuretics such as alcohol, caffeine, etc can also help. In addition, regular exercise and physical activity can help ease the issue.
  3. Pelvic Floor Exercises: Pelvic floor exercises or Kegel exercises can help strengthen the pelvic muscles and prevent leakage. This involves contracting the pelvic muscles, holding them for a few seconds and then releasing them. Ideally, the patient should be able to hold the contraction for 10 seconds. This exercise should be performed in three sets of 10 repetitions each. It is very effective in treating stress and urge incontinence.
  4. Medical devices: Women suffering from severe urinary incontinence can consider the implantation of medical devices to help control the bladder. This includes a urethral insert to prevent leakage and a pessary or stiff ring to hold up the bladder muscles.
  5. SurgerySurgery is usually considered only as a last resort. This could be in the form of a sling procedure, bladder neck suspension, prolapse surgery or inserting an artificial urinary sphincter. These procedures may be used to treat many different types of incontinence.
1971 people found this helpful

Urinary Incontinence in Old Age - 4 Ways To Help You Manage It!

Urologist, Gurgaon
Urinary Incontinence in Old Age - 4 Ways To Help You Manage It!

Are you experiencing loss of bladder control? This might indicate that you are suffering from a health condition known as urinary incontinence. This involuntary leakage of urine is common in old age and may occur due to health hazards, such as Parkinson’s disease, an enlarged prostate, diabetes, and also due to prostate surgery. This is an embarrassing and irritating condition.

For aged people suffering from urinary incontinence, there are several ways of treatment. Here are the top treatment methods:

  1. Several food items such as caffeine, carbonated drinks and soda lead to bladder irritation and worsen the urinary incontinence symptoms. Alcohol being a diuretic is harmful too as it increases the urine amount. You must avoid coffee, carbonated drinks and alcohol for improving the urinary incontinence symptoms. You also need to make several dietary adjustments for treating urinary incontinence. Avoid spicy, acidic food which aggravates this condition.
  2. Stress is something which worsens the symptoms of urinary incontinence. In order to recover, you must try and eliminate all forms of stress. Attempt relaxation techniques like breathing exercises and meditation. Biofeedback is also essential for the observation of your bladder muscle contractions via a monitor. A behavioural technique called bladder training is also considered effective. Here, you have to urinate every hour, even though you do not feel the urge to. Try to increase the time between your bathroom breaks and slowly you will gain control over your urination urge.
  3. Flexing your muscles for gaining control over urinary incontinence is also very important. You can undertake Kegel exercises for boosting your pelvic muscle strength. You need to identify the specific muscles which will help you to stop the passing of gas. You can also try pads and undergarments which are disposable. These will prevent leaks, and skin irritation and odour problems.
  4. Certain medicines are used for treating urinary incontinence in older people. Many of the medicines help in relaxing the muscles so that unwanted bladder contraction is prevented. Other medicines block nerve signals to your bladder. In some cases, drugs are used to shrink an enlarged prostate. The ultimate option of urinary incontinence treatment in old age is surgery. A male sling is a common option in which a certain material gets wrapped around your urethra in order to compress it. Artificial sphincter is used as well for urinary incontinence treatment, where a cuff is used for closing the urethra and the urine is released when the pump is squeezed for opening the cuff.

If you experience any symptom of urinary incontinence, it is important for you to visit a doctor as soon as possible. This will enable you to have early diagnosis and treatment.

2 people found this helpful

Urological Health - 7 Tips To Maintain It!

MBBS, MS - General Surgery, MCh - Urology
Urologist, Lucknow
Urological Health - 7 Tips To Maintain It!

The urinary system in both men and women are susceptible to infections and many other internal disorders. Although many of the disorders may be caused due to underlying diseases or hereditary causes, many others may be caused due to bad life style habits as well as personal hygiene issues. Personal hygiene issues will not only lead to infections, but if left unchanged, may cause more serious problems such as tumors overtime. However, with the help of some basic tips and following some daily routine, you can ensure good urological health overtime. Some of these are mentioned below:

  1. Drink plenty of water daily: This is applicable to both men and women and it is important, especially in a country like India where hot and humid conditions prevail for most of the time. A common figure quoted most of the time is 2 to 3 liters of water daily although this is quite arbitrary and may change from person to person and climate to climate. What is important is that you should remain hydrated and calculate an ideal amount of water consumption. This is necessary to stop stone formation in the gallbladder, kidney, ureter and other areas of the genitourinary system.
  2. Cleaning tips for men: It is important to ensure proper hygiene for good penile health. Uncircumcised males should retract their foreskin while taking a bath and clean out the smegma or white accumulations from around the glans. This will reduce the chances of inflammations and urinary tract infections from occurring. Circumcised males should thoroughly wash the penis as well to keep it clean.
  3. Regular ejaculation: Men are advised to ejaculate regularly either through masturbation or through sexual stimulation as it is beneficial in many ways. Ejaculation helps clear the tracts, exercises the prostate and also keeps the pattern of proper blood flow to the penis active. It maintains urological health as well as you sexual health.
  4. Don’t hold your urine for too long: Although this is especially applicable for women, it can be bad for men too. Holding the urine within your body for too long may result in an infection and may also make your bladder muscles weaker resulting in urinary incontinence later in life. Women, especially should be careful as they have a shorter urethra leading from the bladder and thus are more prone to getting urinary tract infections in this manner.
  5. Avoid harsh soaps and use milder ones to regularly cleanse the groin area: The groin is one of the moistest areas, as it remains covered up most of the time. This makes it an ideal breeding ground for bacteria. It is important that you clean this area every day thoroughly with mild soap. Also, after urination, women should wipe front to back i.e. from the opening of the vagina towards the anus while wiping down after urinating or cleaning. This is to ensure that fecal bacteria don’t get into the vagina as it can cause a host of infections.
  6. Tips for sexual intercourse: It is important for both men and women to urinate, wash and clean after sexual intercourse as this can help clean the bacteria that may have come from one partner’s genitals into the other. Women should especially follow this advice as it can help keep many infections at bay.
  7. Changes in certain foods: Reduce caffeine intake through tea or coffee as it can irritate your bladder. It can also act as a diuretic which makes you urinate frequently. This will result in your bladder becoming weaker. Also reduce salt intake as it can increase blood pressure and end up damaging the kidney to the point of permanent kidney damage or kidney failure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2298 people found this helpful

Non-Surgical Treatment For Female Urinary Incontinence!

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Non-Surgical Treatment For Female Urinary Incontinence!

What is Urinary Incontinence?

Urinary incontinence is the unintentional discharge of urine. Urinary incontinence may manifest itself in different forms. This may include an overactive bladder, mixed or transient incontinence.

Causes of Incontinence-
Incontinence may be a result of weakened or damaged pelvic floor muscles or an obstruction in the bladder. It most often occurs in women after pregnancy and menopause. Rapid weight gain or a genetic pre-disposition can increase the risks of incontinence. With increasing age, the chances of incontinence increase.

Urinary incontinence can be non-surgically treated by a few simple measures. These include-

  1. Lifestyle Modifications- Obesity has been linked to urinary incontinence in women. A healthy and balanced diet with an adequate amount of physical exercise will help control your weight. You should also cut down on the amount of alcohol and caffeine that you consume. You should also regulate the amount of fluids that you consume. Drinking too little or too much can worsen incontinence.
  2. Pelvic Floor Muscle Exercises- The muscles of the pelvic floor are the ones that control urine flow. They are situated around the urethra and the bladder. Urinary incontinence may be caused by damaged or weakened pelvic floor muscles. Exercises designed to strengthen and tighten these muscles called kegel exercises are recommended by physicians to control urination. This exercise involves the repeated contraction and relaxation of the pelvic muscles.
  3. Bladder Training- Bladder training is a behavioral therapy that helps increase the time interval between bouts of urination. It also increases the amount of fluids that the bladder can hold before you feel the urge to empty it. It requires that you follow a fixed schedule for urination irrespective of your urge to urinate. The intervals are progressively increased.
  4. Incontinence Products- There are sanitary products like fluid soaking pads and pants that help manage incontinence. They help manage any accidental leakages that might occur.
  5. Medications- There are medicines that help regulate urination and strengthen muscles that control urine flow.
    • Duloxetine is a medicine that increases urethral muscle tone and helps to keep it closed. It is an oral medicine that should only be administered under the doctor’s supervision.
    • Antimuscarinics which commonly include tolterodine, oxybutynin, and darifenacin help regulate urination if you urinate frequently.
    • Mirabegron might be prescribed by your physician in an attempt to relax the bladder muscles. This will allow it to store urine for longer periods of time.

Urinary incontinence is prevalent mostly in older women and its treatment is a big part of their health and well-being.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2366 people found this helpful

Stress Urinary Incontinence - Ways To Treat It Effectively!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, DNB - Urology
Urologist, Gurgaon
Stress Urinary Incontinence - Ways To Treat It Effectively!

Stress urinary incontinence is the unintentional loss of urine. It is a disorder causes urine leakage on application of stress pressure upon the body. This means that when you are coughing, lifting heavy weights or involved in other high-pressure activities urine might leak out of the bladder. Although it is not a life-threatening disorder, you have to take appropriate action to cure it. Women are more vulnerable to stress incontinence than men.

Common causes of the disorder Stress Urinary Incontinence

Some of the common causes of Stress Urinary Incontinence in women include urethra infection, taking powerful medicines, pelvic surgery, etc. Some women are more susceptible to the disorder after their childbirth. Prostate surgery is also one of the common causes of the disease in women.

Ways to diagnose the disorder

The effective way to diagnose the stress urinary incontinence in men is through examining their genitals. In women, a doctor can diagnose the disorder through a pelvic test. The rectal examination is also an effective test to diagnose the disorder.

Effective treatment options for the disease

If you are suffering from stress urinary incontinence, you may feel embarrassed, isolate yourself, or limit your work and social life, especially exercise and leisure activities. With treatment, you will be able to manage stress incontinence and improve your overall well-being. The treatment options for stress urinary incontinence mainly count on the impact of the life of a person. You can treat the disorder through taking medicines, changing your lifestyle, surgery, as well as through the Pelvic floor muscle exercise.

  1. Medicines: Drugs are suitable to treat the disorder if it is mild. Your family doctor will prescribe one or more drugs to have better control over the medical condition. There are drugs that aids you greatly in relaxing your bladder muscles. The therapy involves the application of cream into their vagina.
  2. Lifestyle changes: These changes include drinking the right amount of liquids, avoiding holding the urine, eating fiber-rich foods, quitting smoking, avoiding alcohol, maintaining a healthy weight, avoiding some foods, keeping the glucose levels under control, if the patient is suffering from diabetes.
  3. Pelvic floor muscle exercise: The exercise will make the muscles in the pelvic floor of the patient stronger. Some of the pelvic floor strengthening exercises include Kegel exercises, Biofeedback, Pelvic floor physical therapy, as well as vaginal cones.
  4. Surgery: If any of the above-mentioned treatments do not work, then surgery is the ultimate way to treat stress urinary incontinence. Some of the surgical options include Artificial urinary sphincter, Anterior vaginal repair, Bulking injections, Retropubic suspensions, Male sling, Vaginal sling procedures, and Tension-free vaginal tape.

Whenever the symptoms of stress urinary incontinence trouble you, it is better to contact your family doctor immediately.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1887 people found this helpful

Popular Questions & Answers

I am suffering from Continuous pc muscle pain and tightness from past 3 years and now from past 6 months I am facing little bit urine leakage problem as well as my urine flow is weak now, kindly tell we what should I do?

M. Ch. (Urology), MS General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Urologist, Nashik
You need a detailed evaluation. Ultrasound and routine laboratory investigations will help shed some light into your problem. You may need a urodynamic study depending upon clinical and ultrasound findings.
1 person found this helpful

My father is 81. He has frequent urge of urination. His PSA is 0.19 ng/ml. Prostate 4.67×4.51×4.69 cm. Vol-51.78 ml. PVR 171.87 ml. All other USG Abdomen study is normal. He is diabetic and BP patient but controlled by medicines. Please suggest what to do?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Considering his symptoms and high pvrv value you can plan for prostate surgery after getting his fitness from anaesthesia point of view. He must be taking flodart since long.
3 people found this helpful

Hi, I have a little bit urge to urine after urinray at night till I sleep. I have seen on internet that it is a condition of prostate cancer. Kindly help me.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
You are not in age group of prostate cancer. Don't worry. Just get USG abdomen and pvrv and urine routine and culture and sensitivity done. It could be due to uti.
1 person found this helpful

Hello Doctor, I do not know exactly the problem but if I drink water 1 or 1.5 glass the kidney gets out of control means I have to go for washroom continuously in the gap between 5 to 10 mins and it will continue for at least 30 to 45 mins. So I request you that can you find out what exactly my problem is? Thank you.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
First you get USG abdomen and pvrv and urine routine and culture and sensitivity done. If reports are normal then start tab solifenacin 5 mg twice daily for 15 days and see how is the response.

How dangerous is a count of 20 pus cells which culture showed Pneumo. aeruginosa in the urine and what is the course of treatment. Polymyine E was the only medication sensitive to this bacteria.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
20pc are not very dangerous. But if patient is sick and only polymyxin is sensitive then it needs to be given with caution under supervision.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Difficulty In Urination
Difficulty urinating can be a result of anatomical abnormalities within the genitourinary tract.In men, enlargement of the prostate gland, due most commonly to benign prostatic hyperplasia and less commonly to prostate cancer, can cause difficulty urinating.
Play video
Urinary Problems
Briefing on Urinary problems in men and women
Play video
Stress (Urinary) Incontinence
Causes and Treatment For Unintentional Loss of Urine
Play video
Urine Irritation Problem
Why Urine irritation problem occurs?

Hello everyone I am doctor Gaurav Nigam. I am a pediatrician by profession. I want to talk about a very common complaint which mostly parents come with especially of one or two month old babies.

They tell me that mostly these children are crying a lot passing out urine. The thing is they go from one doctor to the other doctor so many times that they have given this medicine and that medicine whereas there is no medicine required for it. Each and every one of us has a bladder and that bladder gets filled with urine. The thing in these children is that bladder is very small compared to their size. What happens is when the urine fills in it gets distended. It cannot be compared to the feeling of discomfort and that is the reason why baby cries.

So when the bladder fills baby cries and when he passes out the urine the bladder gets empty and baby stops crying. This is a classical cycle which happens every time when a baby passes out urine in certain cases of course. And this is an absolutely normal thing. So for this thing you don't really have to seek the doctor. I think that should solve a lot of queries of a lot of parents.

If you want to seek any help any query that you have for me. You can contact me through lybrate.
Play video
Urinary Incontinence - Common Causes & Treatment

I am Dr. Punnam Gupta.

Today I will explain about incontinence of urine. Basically Incontinence, what is incontinence of urine? You can t control your urine, that is called incontinence of urine. Basically urine, urinary muscles are whatever muscles is there that is actually work in vaulterily, than we need to control it. There is stress in incontinence, over loaded bladder and infectious diseases. Stress in incontinence is basically person with stress. Any kind of stress can be there. That is called incontinence stress, of urine. In person who is in stress, like any kind of stress, you can say, he has to go to toilet but he doesn t get the right place to go. That is also stress.

And person who is working, long hour working, they have, don t have time to go there if he cured the urinary bladder then that is also incontinence, stress in urinary. In fact this is the very common in the young generation, who is working in the multinational companies and all, but sometimes it s a disease but the disease is neuropathy disease hogya. And then diabetes, high blood pressure and any cardiac and third is overloaded bladder. Always bladder full, you, person keeps always full bladder because all the time he is on work or any kind of thinking, that is also called overloaded, overloaded bladder and it s also incontinence of urine. And second is infectious bladder, infectious bladder can t control the urine.

Second is age factor. Age factor is also very important because after 60s or 50s or menopause bladder, female organ become very loose and weak that can t control the urine. Then we have, we have, we can rehabilitate the person if, you know about the what is incontinence and it is treatable and manageable. You can rehabilitate your urinary bladder that is called kegel exercises you can improve your urinary bladder with the kegel exercises, but everybody says kegel exercises, kegal exercises, everybody do kegel exercises but you need to learn the right way of kegel exercises that for that you have to consult the physiotherapist to learn all this things and a part of this, some people have perhaps to uterus that is also, is incontinence, cause of incontinence of the urine.

So for these things you need to know how you improve these things, so have to do bit of exercises and reduce your stress. Improve your lifestyle, and exercise should important for the person who has these kind of problem. And then you, if you know, if you have in, if you have doubt about key I have these kind of symptoms then you need to consult physiotherapist or you can make a urinary diary, so that we can check out with the urinary diary you will get the book from Google, you will get download this diary and try to fill that, follow that procedure, how to fill that diary and if you feel k there is some symptoms which is match with me, you must consult the physiotherapist who work with the pelvic floor muscles, and it is treatable if you are a person is above 60, that time I can say it s a very difficult to improve the muscles power but, I can say that you can rehabilitate yourself, you can manage yourself.

So you must consult to physio who works with the pelvic floor exercises, pelvic floor anatomy and everything. If you need any consultation you can contact to the Lybrate.
Having issues? Consult a doctor for medical advice