How to Manage Incontinence Without Surgery

If you have urinary incontinence, you are not alone. 15 million adults in the U.S. suffer from some form of incontinence. Urinary incontinence occurs for a number of reasons, including – pregnancy, childbirth, menopause, surgeries such as abdominal, low back and hip, chronic constipation, and being overweight. In this blog, we are going to take a look at ways to manage urinary incontinence without surgery.

Before we delve into managing urinary incontinence without surgery, let’s review the types of incontinence that you may be experiencing.

  1. Overflow incontinence: Overflow is when you experience frequent or constant dribbling of urine as a result of your bladder not emptying completely.
  2. Functional incontinence: Some people have difficulty getting to the bathroom quick enough. This could be a result of a physical or mental impairment. People that suffer from arthritis may have difficulty unbuttoning their pants or getting up from a seated position to walk to the bathroom.
  3. Stress incontinence: Some people experience incontinence from pressure being put on the bladder. This can occur when coughing, sneezing, exercising or lifting something heavy.
  4. Urge incontinence: This happens when you have a sudden intense urge to urinate and an involuntary loss of urine. People with this type of incontinence often have to urinate often, including throughout the night. This may be caused by a minor condition, such as infection, or a more severe condition such as diabetes or a neurological disorder.
  1. Mixed incontinence: This means that you are experiencing more than one type of urinary incontinence.

Incontinence Treatment Methods

There are different treatment methods for urinary incontinence that depend on the type you have, its severity and the underlying cause. On many occasions, your incontinence may require a combination of treatments that are all available at ProTouch.

Behavioral Techniques

  1. Scheduled toilet trips – Attempt to urinate every 2 – 4 hours instead of waiting for the need to hit.
  2. Bladder training – This is when you delay urination after you get the urge to go. Begin by trying to hold it for 1 minute every time you feel an urge to urinate. This is intended to lengthen the time between trips to the toilet until you’re urinating only every 2 – 4 hours.
  3. Double voiding – This technique is when you attempt to pass urine more than once during a bathroom visit to avoid overflow incontinence. At ProTouch, we develop unique plan to address post void residual.
  4. Fluid and diet management – Decreasing your intake of alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity also can combat incontinence.
  5. Abdominal and Lower Back Mobility and Stability Exercises: Where the dysfunctions are corrected and proper function is restored.
  6. Pelvic Floor Exercises: When you visit our office, one of our pelvic floor therapists will evaluate you to decide what type of pelvic floor exercises are best for your needs. Based on the evaluation results, we will individualize treatment to strengthen your pelvic floor muscles and to improve their function. These exercises will need to be done frequently to strengthen the muscles that help control urination. Zarina Vitebsky is an NJ + NY expert in pelvic floor therapy with years of experience.
  7. Pelvic Floor Internal Therapy: This is to address (bladder, uterus, colon/rectum) to organ prolapse premise on bladder and pelvic floor that contributes to incontinence pelvic floor therapy. Also, constipation is the leading contributor to incontinence due to prolonged sitting on the toilet causing bladder descend and pressure onto the color from the bladder.

If you are looking for ways to eliminate urinary incontinence without surgery and restore urinary function, we, at Protouch, are happy to help. Contact us today to schedule an evaluation with our pelvic floor team.

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