Not all tests need to be performed in every patient. The urine specimen and cystometry are the more important ones. Surgery is only helpful in stress incontinence, which is why the correct diagnosis is important. Less weight means less strain on the bladder. This may not resolve the problem completely but it will be extremely helpful.
Estrogens are important in maintaining healthy pelvic tissues.
After the menopause, when the ovaries stop producing estrogen the pelvic tissues may become weaker leading to stress incontinence. Hormone replacement may be prescribed in the form of cream, patches or tablets to strengthen the pelvic tissues. This can be very effective in controlling urge incontinence. Control of other diseases such as diabetes Fluid intake. Limiting fluid intake before long journeys, going out or at might can help reduce incontinence by keeping the bladder relatively empty.