Non-surgical Treatment Options

Non-surgical Treatment for Prolapse

Pelvic Muscle Exercises
Exercises, also known as Kegels, which strengthen the support of the pelvic organs to treat stress urinary incontinence and prevent prolapse

Worn in the vagina like a diaphragm, pessaries are devices that come in a variety of shapes and sizes to support the vagina, bladder, rectum and uterus

Woman walkingNon-surgical Treatment of Urinary Incontinence

Pelvic Muscle Exercises
Exercises, also known as Kegels, which strengthen the support of the pelvic organs to treat stress urinary incontinence; click here for specific instructions on how to perform Kegel Exercises.

A variety of techniques that teach bladder and pelvic muscle control through positive feedback provided by an electronic device or a health professional when the desired action is performed

Bladder Training
Gradually increasing times between scheduled trips to the bathroom to teach a patient with urge incontinence to urinate according to a timetable; click here for instructions about Bladder Training.

Bladder Diet
Improving frequency and urgency by avoiding dietary irritants to the bladder.
Click here for a copy of the Bladder Diet

Treating urge incontinence with prescription medication

Prescription medication treats symptoms of urge incontinence by decreasing the intensity of involuntary bladder contractions that cause a strong desire to void. They also increase the volume of urine the bladder can hold before an involuntary bladder contraction occurs. They do not increase the time interval between an involuntary bladder contraction and the need to empty the bladder in response to a strong desire to void, prior to an incontinence episode. This is why bladder training remains an important treatment option for urge incontinence in addition to prescription medications.

Prescription medications for treating urge incontinence can be taken by mouth. The major side effect of these medications is dry mouth. Recent advances in drug development have improved compliance with these prescription medications including a once-a-day formulation and alternative delivery methods designed to reduce unwanted side effects such as bladder instillations or skin patches.

Click on the following links for further information about these prescription medications for treating urge incontinence:

Oxytrol® Patches
Ditropan® XL
Detrol® LA

New prescription medications for treating urge incontinence are presently being developed and should receive FDA approval for marketing in the U.S. soon

Supportive and Occlusive Devices
Wearing specially designed pessaries for treating stress incontinence.

Pelvic Floor Electrical Stimulation
Delivering electrical current to the pelvic floor through vaginal or anal probes for the treatment of urge and mixed incontinence.