Treating Incontinence in Women: Nonsurgical Methods

Nonsurgical treatments

Treatment for stress urinary incontinence includes:

• Bladder training, such as urinating on a schedule.

• Lifestyle changes, such as weight loss and increased activity if incontinence is due to being overweight.

• Medicines, if bladder training has not helped. Medicines may relax the bladder and increase the amount it can hold.

• Pelvic floor muscle exercises.

• Medical devices such as a pessary and electrical nerve stimulation.

Lifestyle changes

These changes may include:

• Losing weight. Excess weight puts extra pressure on the pelvic floor muscles. Exercising and eating right can help you lose weight. This helps other treatments work better.

• Making certain changes in your diet. Some foods may make you need to urinate more, so it may be good not to have them. These include caffeinated drinks and alcohol. If you have constipation, it can make incontinence worse. In that case, your health care provider may recommend that you eat more fiber. Ask your provider if these or other changes in your diet might be helpful.

• Quitting smoking. Smoking can lead to a long-term (chronic) cough that strains pelvic floor muscles. Smoking may also damage the bladder and urethra.

Pelvic floor muscle exercises

There are exercises you can do to help strengthen your pelvic floor muscles. The pelvic floor muscles act as a sling to help hold the bladder and urethra in place. These muscles also help keep the urethra closed. Weak pelvic floor muscles may allow urine to leak. To strengthen the pelvic floor muscles, do the specific exercises daily as instructed. In a few months, the muscles will be stronger and tighter. This can help prevent urine leakage.