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You don’t have to live with bladder or bowel incontinence. The Center for Women o­ffers a full treatment program to help you resume a more fulfilling lifestyle.
Behavior Therapy
Behavior therapies are noninvasive, inexpensive, and have no side effects. They include bladder retraining, pelvic muscle exercise, biofeedback, dietary changes, and timed voiding.
Physical Therapy
An evaluation of the pelvic floor muscles may determine that a form of physical therapy is needed. This may include advanced exercises, biofeedback, stimulation therapy, or other therapies to strengthen pelvic floor muscles.
When conservative treatments are unsuccessful, medication may be prescribed. There are several different types of bladder and bowel medications to choose from to treat symptoms consistent with overactive bladder and bowel.
Sacral Neuromodulation (SNM)
SNM may be indicated for urinary control and fecal incontinence in patients that have failed or could not tolerate more conservative treatments, including medications. This sacral nerve stimulation is an effective treatment for patients with urge incontinence, fecal incontinence, urinary frequency, urinary urgency, and/or urinary retention.
Posterior Tibial Nerve Stimulation (PTNS)
PTNS helps control urinary urgency and frequency without medication or surgery by stimulating nerves through gentle electrical impulses. It works by modifying the signals to the bladder to achieve bladder control. You should start seeing a change in your symptoms after 6 treatments. The therapy consists of 30-minute weekly sessions for 12 weeks. An occasional repeat session may be needed to sustain your improvement.
Sometimes surgery is required to adjust the bladder, open blockages, or repair pelvic muscles. For example, when the tissues of the urethra become weakened, urine may leak through the urethral opening due to insufficient muscle strength. A surgical approach widely used today involves a urethral sling, often referred to as an SIS, TOTVT, or TVT. This outpatient surgery places the sling or tape to restore continence.


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