Treatment for urinary incontinence varies depending on the type of incontinence. The first step in treatment is accurate diagnosis of the type of incontinence involved. Diagnosis involves a simple history and physical examination which often is all that is necessary. Additional tests may be necessary in more complicated cases. This test involves measuring the pressures in the bladder, urethra and rectum to determine the behavior of the bladder.
Treatment consists of both surgical and medical components.
Medical therapy consists of medications, hormone replacement, pelvic floor exercises, weight reduction, bladder retraining and avoiding foods that can irritate the bladder. All of the above medical components can cure or significantly reduce urinary incontinence of the different types. Another medical option that is available for stress incontinence is the use of a pessary. A pessary is small device of varying shape and sizes that is inserted in the vagina to help prevent urinary incontinence. Surgical treatments are available but are only effective with stress type urinary incontinence.