How We Can Help
Urinary Incontinence Treatment Information
We will consult with you to determine the best treatment method, which may include the following:
- Counseling on lifestyle modifications for pelvic floor health. Some lifestyle choices can impact incontinence, such as smoking (chronic cough makes pelvic floor relaxation worse) and weight management (excess weight can exacerbate stress incontinence).
- Medication to help manage symptoms. For example, oxybutynin (Ditropan) may be used if you have some bladder irritability.
- Physical therapy. An in-depth evaluation will be completed by a licensed physical therapist specially trained in the area of pelvic floor therapy. We will discuss evaluation findings with you and develop a plan of care with your goals in mind. Treatment may include exercise, postural corrections, bladder re-training, biofeedback and soft tissue mobilization among other interventions.
- Pessary device. During this procedure a pessary (a silicon device similar to the outer ring of a diaphragm) is positioned to hold up the bladder, vagina or bowel.
- Outpatient surgeries for urinary incontinence. Your IU Health surgeon can place a urethral “sling” around your urethra to lift it back into normal position and exert pressure on it to aid urine retention. Another option is collagen injection to reinforce deteriorating muscles that support the urethra.
- Surgery for pelvic organ prolapse. When a pelvic organ, such as the bladder, drops from its normal position and pushes against the sides of your vagina, the condition is called pelvic organ prolapse. Your IU Health specialist can perform a procedure to correct the prolapse in several ways: vaginally, abdominally, laparoscopically (through a small incision) or robotically using the da Vinci Surgical System®.
- Graft placements. Your doctor may place synthetic or biological mesh to enhance the effectiveness of pelvic organ surgeries performed to correct prolapse.
- Sacral neuromodulation. This treatment for bladder dysfunction involves implanting an electrode near the sacral nerve, which helps control bladder function.
- Surgery for pudendal nerve entrapment. The pudendal nerve is a nerve in the pelvic region that carries sensation from the external genitalia to various pelvic muscles responsible for bladder control. Your IU Health surgeon can perform a minimally invasive surgery to relieve pressure on a pinched (entrapped) pudendal nerve.
- Fistula repair. Your doctor can perform surgery to correct an abnormal opening between the urinary tract and vagina (fistula) that leads to urinary incontinence.
- Botulinum (“Botox”) bladder injection. Botox injections can significantly relax the bladder to relieve an overactive bladder.
Urinary Incontinence Locations & Physicians
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Urinary Incontinence Support Services
Resources for women who are experiencing urinary incontinence are available from a variety of organizations.
A Sampling of Urinary Incontinence Support Services
National Association for Continence
This national nonprofit organization is dedicated to improving the quality of life of people with incontinence, voiding dysfunction and related pelvic floor disorders.
National Kidney and Urologic Diseases Information Clearinghouse
This service of the National Institute of Diabetes and Digestive and Kidney Diseases is part of the National Institutes of Health and provides information about diseases of the kidneys and urologic system to people with kidney and urologic disorders.
Urology Care Foundation
This organization promotes urology research and education.
Association for Pelvic Organ Prolapse Support
This nonprofit organization is a global initiative to increase awareness of pelvic organ prolapse and provide support and guidance to women navigating the physical, emotional, social and sexual impact of pelvic organ prolapse.
National Library of Medicine
Part of National Institutes of Health, this is the world’s largest medical library.
National Women's Health Information Center
This is the United States Department of Human Services’ website dedicated to women’s health information.