The urodynamic study will yield data about bladder sensation, capacity, and presence or absence of unstable contractions. For the sphincter, it reveals data about length and closure pressure and behavior during filling and voiding. The urodynamic study takes only about 20 minutes and gives you a lot of valuable information. Its principal components are PVR, the filling phase and voiding phase. Treatment Options Behavioral approaches, which Vapnek chooses as first-line treatment, include bladder training, decreasing fluid intake, changing medication schedules, assisted regular toileting, pelvic muscle floor exercises and biofeedback.
Medical therapy includes anticholinergics, hormones, a-agonists and other medications.
Surgical procedures are bladder neck suspensions, sling procedures and artificial urinary sphincter implantation. Miscellaneous treatments include electrical stimulation and injectable materials such as collagen. It's a horse race, and I'm not going to tell you which is better. Studies of hormones to treat stress incontinence show variable response, with some showing increases in urethral closure pressure. There are many different kinds and multiple treatments, and no one should have to live with it, no matter how old or infirm.