Treatment

Stress Incontinence

■ Kegel exercises strengthen urethral muscles.

■ Estrogen therapy X

■ Alpha-adrenergic drugs 5

■ Surgical repair (usually Burch procedure or Kelly plication) O

Urge Incontinence

■ Anticholinergics

■ Calcium channel blockers

■ Tricyclics

■ Timed voiding: Patient is advised to urinate in prescribed hourly intervals before the bladder fills.

■ Surgery is rarely used to treat urge incontinence.

Overflow Incontinence

Due to Obstruction

Relieve obstruction.

Due to Detrusor Underactivity

Treat possible neuro causes:

■ Diabetes mellitus

■ B12 deficiency

X J3

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