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Medical Minute; Variety of Treatment Options for Incontinence
[Home Edition]
Los Angeles Times - Los Angeles, Calif.
Subjects: Urology, Urinary incontinence
Author: DENISE HAMILTON
Date: Oct 29, 2001
Start Page: S.4
Section: Health; View Desk
Text Word Count: 1368
 Abstract (Document Summary)

There are three categories of treatment for urge incontinence: behavioral modification, medical and surgical treatment. One type of behavioral modification is called "timed voiding." In "timed voiding," one goes to the toilet, say, every two hours. The idea is to get to the toilet and empty one's bladder before one has an "accident." Many foods and drinks are associated with urinary urgency. These include caffeinated and carbonated drinks, citrus drinks, alcohol and chocolate. Kegel exercises can also help prevent urge incontinence. Kegel exercises are voluntary contractions of the pelvic floor muscles that one tightens when one stops one's urinary stream or tries not to pass gas. These are also the muscles a woman uses to tighten her vagina. Additionally, these are the muscles that both men and women contract during an orgasm.

Another treatment for stress incontinence used primarily in men is the implantation of a silicone device called an artificial urinary sphincter. It's implanted under the skin of the scrotum and allows a man to open and close the artificial sphincter to give him bladder control. With women, it's implanted in the labia.

Think about a glass you fill up to the rim. If you add extra water, it can't be held by glass and it overflows. People who are diabetic sometimes can't empty their bladders and can suffer from overflow incontinence. With overflow incontinence, we have to find out why the person isn't able to empty the bladder. The treatment might be medications or surgery.

Reproduced with permission of the copyright owner. Further reproduction or distribution is prohibited without permission.
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