Another alternative is an artificial urinary sphincter or a vaginal cape, which is surgically inserted through the vagina to support the bladder and urethra without sutures, said Nancy Muller, executive director for the National Association for Continence. The newest device, Capio, allows doctors to lift the bladder and straighten the sphincter by wrapping vaginal tissue around the urethra to strengthen it. The effects are more immediate, and a catheter is required four to five days after the outpatient procedure. Most people, though, are reluctant to talk about their urinary incontinence, preferring that their doctor bring it up, Muller said. Our culture is geared toward cleanliness and personal hygiene, she said.
Embarrassment is a major barrier from bringing up health problems in general.
People should record their urinary problems, such as how many times they get up at night or the amount of accidents they have, before going to the doctor. They should also drink lots of water, eat foods high in fiber and cut back on caffeine and alcohol, Muller said.