4 Effective Treatments for Urinary Incontinence in Men

There is no single treatment for urinary incontinence that works for all men. The treatment that your urologist recommends will depend on the type of urinary incontinence you are having and the severity of the symptoms on your life. At St Pete Urology in St Petersburg, Fl, urologists may even consider your lifestyle and your treatment preferences, beginning with the simpler treatment options before going for the complex ones.

In fact, many men usually regain urinary control after changing a few of their habits and engaging in exercises to strengthen their bladder muscles. But if the behavioral treatments fail to yield desirable results, the urologist may choose to apply a continence device or prescribe medications. In some men, surgery is the right treatment for their urinary incontinence.

If there is no cancer, infection or other underlying cause of urinary incontinence that can only be cured by surgery, the urologist will complete the treatment in stages, starting with behavioral changes and performing surgery only as a last resort. Here are the 4 treatments that are effective for urinary incontinence in men.

1. Behavioral treatments

For some men, treatment of urinary incontinence is as simple as planning for regular bathroom trips or limiting fluid intake to certain times of the day. This type of therapy for UI is called bladder training or timed voiding. So at St Pete Urology in St Petersburg, Fl, the urologist may recommend some changes in your urinary habits, diet or lifestyle to help you gain control over your bladder. As you regain control, you will be able to extend the time you take between bathroom trips. Bladder training (timed voiding) also includes Kegel exercises for strengthening pelvic muscles to enable the bladder to hold urine longer.

2. Medicines

Urologists prescribe medicines that can help to improve bladder control in men with urinary incontinence. The medicines work in different ways, with some blocking abnormal nerve signals sent at the wrong time while others slow down urine production. Still other medications help relax bladder muscles or shrink an enlarged prostate. The most common drugs used for urinary incontinence in men include:

(a) Alpha-blockers: Drugs such as Doxazosin (Cardura), Terazosin (Hytrin), Alfzosin (Uroxatral) and Tamsulosin (Flomax) are used to relieve urinary incontinence caused by bladder outlet obstruction and prostate enlargement. These drugs relax the smooth muscles of the bladder neck and prostate, encouraging the normal flow of urine and preventing abnormal contractions of the bladder, which may cause incontinence.

(b) Imipramine: The drug Tofranil, which belongs to the tricyclic antidepressants class, works by relaxing muscles and blocking nerve signals that might lead to bladder spasms. This helps to relieve urinary incontinence in men.

(c) Antispasmodics: Drugs such as tolterodine (Detrol LA), trospium chloride (Sanctura), solifenacin succinate (VESIcare), darifenacin (Enablex), oxybutynin (Ditropan XL) and Finasteride (Proscar) work by relaxing bladder muscles and relieving muscle spasms, which in turn helps to relieve urinary incontinence.

(d) 5-alpha reductase inhibitors: Drugs such as dutasteride (Avodart) and finasteride (Proscar) inhibit the production of DHT, a male hormone believed to be responsible for prostatic enlargement. When administered, the 5-alpha reductase inhibitors relieve urinary incontinence through the shrinking of an enlarged prostate.

3. Self-catheterization

Urologists at St Pete Urology in St. Petersburg may recommend self-catheterization for men having overflow incontinence due to a weak bladder or a blockage. The catheter (a thin, hollow tube) is inserted through the urethra to reach the bladder and help drain the bladder in men having urinary incontinence. In some cases, urologists may recommend self-catheterization when their evaluations have established that surgery is not ideal for their patients.

4. Surgical treatments

If you are suffering from urinary incontinence because of a nerve-damaging event, such as radical prostatectomy or spinal cord injury, then surgery is the best treatment for the condition. The surgery performed may be a urinary diversion, male sling or artificial sphincter.

(a) Urinary diversion surgery: If all the bladder function has been lost or the bladder must be removed after nerve damage, the urologist may consider an operation to create a urinary diversion. During this procedure, the surgeon will create a reservoir by removing a small piece of your small intestine and then redirecting the ureters to the reservoir. A stoma (an opening in the lower abdomen that is used to drain urine into a bag or through a catheter) also may be created by the surgeon.

(b) Male sling surgery: In the sling procedure, the surgeon boosts the support for the urethra by wrapping it with a strip of material and then attaching the ends of the strip to your pelvic bone. The sling will ensure there is constant pressure on the urethra and that the urethra does not open unless the patient consciously decides to release the urine.

(c) Artificial sphincter surgery: At other times, the urologist may decide to implant a device (artificial sphincter) that can keep the urethra closed until the patient reaches the bathroom and is ready to pass urine. This operation helps men with urinary incontinence due to weak sphincter muscles or nerve damage that has impaired the functioning of the sphincter muscle.

At St Pete Urology in St Petersburg, Fl, we know that urinary incontinence in men is an underreported and under-diagnosed problem, as many patients are too embarrassed to seek treatment. We apply a personalized, friendly, compassionate and multidisciplinary approach in the screening, diagnosis and treatment of urological problems. This approach ensures that all types of urinary incontinence are correctly diagnosed and treated promptly. If you suspect that you or your loved one is suffering from urinary incontinence, visit St Pete Urology for effective treatment. For more information on urological disorders, visit the “St Pete Urology” site.

Causes of Urinary Incontinence in Men

Urinary incontinence in men is the unintentional or accidental loss of urine. In the United States, up to 17 percent of men may suffer from urinary incontinence, with the frequency of the condition increasing with age. Urinary incontinence is not a disease but just the symptom of an underlying condition, such as a prostate problem, injury to the urinary tract or a disease of the nerve system.

There are three major types of urinary incontinence in men:

  1. Stress incontinence: It is the leakage of urine that occurs when the pressure inside the bladder increases when doing things such as sneezing, coughing, climbing or lifting.
  2. Urge incontinence: This is the accidental loss of urine that occurs when the need to urinate is too strong and uncontrollable.
  3. Overflow incontinence: This is the unintentional loss of urine characterized by dribbling or leakage of urine in small quantities. It can happen even when you do not feel the urge to urinate.

Causes of Urinary Incontinence in Men

There is no standout factor among the causes of urinary incontinence in men. However, prostate gland problems and their treatment are often the most common causes of UI in older men. The prostate, which is normally the size of an almond, is found at the opening of the bladder. The principal role of the prostate is adding fluid to the semen during ejaculation. The problem with the prostate gland is that it tends to increase in size as a man grows older and extend to the point of impeding or slowing down the flow of urine from the bladder.

Other common causes of male urinary incontinence are muscle and nerve control problems. At the opening of the bladder is a muscle called the urinary sphincter, which controls the opening and closing of the bladder. Anything that affects the muscle or nerve function of the sphincter can result in urinary incontinence. The common underlying factors in urinary incontinence include:

  1. Benign Prostatic Hyperplasia (BPH): Most men experience prostatic enlargement after the age of 40. As the prostate grows bigger, it compresses the urethra and may impede the flow of urine, resulting in urinary incontinence.
  2. Prostate surgery: The surgical removal of the prostate gland during the treatment of prostate cancer or BPH can damage or weaken the muscles controlling urine flow, resulting in stress urinary incontinence.
  3. Urinary tract infections: The infections can cause an overactive bladder, which may be characterized by urinary incontinence
  4. Diabetes: Diabetes can cause damage to the nerves or muscles controlling how the bladder opens and closes. It also can cause frequent urination or an overactive bladder. Obesity, which is quite common in type II diabetes, can make urinary incontinence worse by exerting more pressure on the bladder.
  5. Stroke: Stroke refers to brain damage that is caused by decreased flow of blood to the brain because of a clot or a leaking blood vessel. When stroke occurs there may be loss of muscle control and decreased sensation, which may lead to urinary incontinence. Stroke also can make it difficult for a man to get up and walk to the bathroom, which also contributes to urinary incontinence.
  6. Neurological diseases: The two most common neurological diseases that may cause urinary incontinence are Parkinson’s disease and multiple sclerosis. The conditions make it difficult for nerve signals to be sent and received between the central nervous system(CNS) and the bladder, increasing the risk of urinary incontinence.
  7. Spinal injury: Nerve impulses transmitted between the brain and bladder usually come through the spine. Therefore, any severe injury to the spine can lead to urinary incontinence.
  8. Temporary causes of urinary incontinence: Temporary episodes of urinary incontinence may be caused by drinking too much alcohol or caffeine, constipation, or depression. Medications such as diuretics for treating high blood pressure, medications for depression and over-the-counter medications containing decongestants or antihistamines also can cause urinary incontinence.

When to see a doctor

If you experience urinary incontinence symptoms such as inability to control the urge to urinate, overflowing, or leaking urine under stress, then you need to talk to a urologist. At St Pete Urology, St Petersburg, Fl, we encourage men not to feel embarrassed by the symptoms of urinary incontinence and wait too long before seeing a doctor because the condition can get worse. We have established a multi-disciplinary and compassionate, patient-centric approach to treating urological disorders in order to encourage all men with the symptoms of UI to seek prompt treatment. So, if you are experiencing any UI symptoms, visit St Pete Urology as soon as you can because seeing a urologist early increases the likelihood that you will get an effective treatment that will help you find relief. For more information, visit the “St Pete Urology” site.

What is Urinary Incontinence in Men?

What is Urinary Incontinence in MenAccidental or unintentional leakage of urine is called urinary incontinence (UI). While urinary incontinence in men is not a disease, it is usually a symptom of an underlying urinary tract problem, such as overactive bladder muscles, damaged or weak bladder muscles, nerve damage, and certain prostate conditions. In men, urinary incontinence can occur at any age, with young boys being slower than girls in developing bladder control and being more likely than girls to experience bedwetting (nocturnal enuresis). However, due to anatomical differences, adult men are less likely to experience urinary incontinence than adult women. In adult men, the prevalence of urinary incontinence increases with age, though UI is not an inevitable part of aging in men.Reasons for the occurrence of urinary incontinence in men

Urinary incontinence can happen when:

  1. The bladder muscles squeeze at the wrong time or if they squeeze too hard.
  2. The muscles around the urethra are either weak or damaged, allowing urine leakage even when you do not have a problem with your bladder squeezing at the wrong times.
  3. You frequently experience incomplete emptying of the bladder when you void, increasing the volume of urine in the bladder significantly and resulting in loss of urine when the bladder gets too full.
  4. There is a blockage of the urethra which causes urine build-up in the bladder and results in eventual leakage.

Types of urinary incontinence in men

Urinary incontinence can be either a short-term problem or a long-term issue. Short-term urinary incontinence in men is usually caused by an underlying health problem or an ongoing treatment while long-term (chronic) incontinence may be caused by a wide range of physiological problems. The types of urinary incontinence in men include:

  1. Stress incontinence: Leakage of urine when a man sneezes, coughs, laughs, lifts something, changes position, or performs an activity that strains or puts stress on his bladder.
  2. Urge incontinence: It is an urge to urinate that is usually so strong that a man can’t make it to the toilet in time. This type of urinary incontinence can happen when the bladder squeezes at the wrong time, resulting in loss of urine even when the bladder has only a small quantity of urine. Overactive bladder is a common example of urinary incontinence, though not all men with overactive bladder will experience leakage of urine.
  3. Overflow incontinence: Occurs when a man has the urge to urinate but can only release a small amount of urine at a time. Since the bladder does not empty fully as it should, the urine remaining in the bladder leaks at a later time.
  4. Functional incontinence: Occurs when a man cannot make it to the bathroom in time either because he is not able to walk on his own or because something prevents him from reaching the bathroom promptly.
  5. Total incontinence: When a man’s sphincter muscles can no longer work, urine will always leak and the man will have no control on when to urinate. This is called total incontinence.

Causes of urinary incontinence in men

Different types of urine incontinence have different causes.

  1. Stress incontinence: Can occur after the prostate gland is removed or when there is damage to the nerves or the sphincter, which reduces the support afforded to the lower part of the bladder.
  2. Urge incontinence: Occurs when bladder muscles squeeze extremely hard and make it difficult for the sphincter to hold back urine. As a result of hard squeezing, a man will experience a very strong urge to urinate.
  3. Overflow incontinence: Can occur when something blocks the urethra, resulting in the build-up of urine in the bladder. Overflow incontinence may be caused by enlarged prostate, prostate cancer, a narrow urethra, or weakened bladder muscles.

In men, urinary incontinence is usually related to prostate problems and various treatments. Nevertheless, excessive drinking of alcohol may make incontinence worse while over-the-counter or prescription drugs such as antidepressants, sedatives, diuretics, narcotics and sedatives can affect the type of symptoms experienced.

Diagnosis and treatment

The diagnosis of urinary incontinence involves a medical history and a physical examination, but also may include keeping a bladder diary. Your urologist will examine you physically and ask some questions about your past health and current symptoms before ordering any tests. Usually these steps will enable your urologist to determine the cause of your urinary incontinence. But at other times, particularly when your symptoms have more than one cause or have an unclear cause, the urologist may include urodynamic testing and an ultrasound in order to come up with a more accurate diagnosis.

The treatment offered will depend on the type of incontinence and how the condition is affecting your life. Generally, urologists treat urinary incontinence in men using medicines, behavioral treatments (such as Kegel exercises and bladder training), surgery, or a blend of two or more of these therapies. A few men may require surgery to regain their bladder control, but most men do not. Apart from the treatments offered by the urologist, there are a few things that men can do at home to help them regain control over their bladders. Such actions include:

  1. Cutting back on caffeine-containing drinks, such as tea and coffee. Alcohol should be reduced to not more than 1 drink per day while fizzy drinks such as soda pop also should be reduced.
  2. Eating foods highly rich in fiber to prevent constipation.
  3. Keeping a healthy weight.
  4. Stopping cigarette smoking. Talk to your urologist about stop-smoking medicines and programs.
  5. Practicing double voiding whenever you urinate. This means trying to lose as much urine as you can, relaxing for a short while, then going again.
  6. Visiting the bathroom many times per day. It is important to wear clothes that you can remove with ease and make your route to the bathroom as clear and quick as possible.
  7. Engaging in simple pelvic-floor exercises, such as Kegels.
  8. Using a diary to monitor your urinary symptoms and any leakage of urine. This will help you and your urologist choose the best treatment for you.

Are you experiencing symptoms of urinary incontinence? Do not feel embarrassed to inform your urologist about them. Most men with urinary incontinence can be helped or effectively cured. At St Pete Urology located in St Petersburg, Fl., we fix all urinary incontinence issues affecting men. We have done this for many decades and have some of the best technologies and techniques to help men regain control over their bladders. For more information, visit the “St Pete Urology” site.

5 Essential Reasons Why Women Should See A Urologist

Urologists are not only specialists for men but also providers of essential medical services for women. Trained to treat urinary tract problems both medically and surgically, urologists offer the best treatment for bladder control issues and other disorders of the female urinary tract and reproductive system. So when faced with urological issues at any stage of life, women may need to see these doctors for quick resolution of the problems. In fact, women should consider seeing urologists when having frequent urges to urinate, leaking urine, pain in the sides or back, bloody urine, and burning or pain during urination. The 5 essential reasons why women should see a urologist are:

1. Overactive bladder

Characterized by a sudden, uncontrollable urge to urinate, waking more than once at night to urinate and urinating 8 or more times in 24 hours, overactive bladder affects many women of all ages and has several potential causes. Since treatment for the condition is dependent on the identified cause, it is important to see a urologist to carry out tests in order to determine the cause and recommend the best treatment. At St. Pete Urology in St. Petersburg, doctors use specialized testing and recommend personalized treatment for women with overactive bladder.

2. Urinary incontinence

Bladder control problems can affect women of all ages and are a very common issue. By definition, urinary incontinence is the loss of bladder control which can lead to accidental leakage of urine. For example, women with urinary incontinence (UI) have trouble holding urine, particularly when they cough, sneeze or exercise. Caused by obesity, pregnancy later in life, childbirth and even menopause, UI affects roughly 57 percent of women between the age of 40 and 60. Treatments for the condition include exercises for strengthening pelvic muscles, medication, implanted devices, injections and surgery.

3. Recurrent urinary tract infections (UTIs)

Even though urinary tract infections commonly occur in women and can be quickly treated with antibiotics and other measures, recurrent infections may be a sign of a larger issue requiring the attention of a urologist. Women experiencing two or more urinary tract infections in 6 months, or even three or more UTIs in one year should see a urologist to explore the possibility of having a recurrent problem. The urologist will diagnose the issue using kidney scans, culture test and other tests, identify the actual cause of the recurrent infection, and recommend effective treatment for breaking the series of recurrent infections.

4. Kidney stones

While kidney stones are a more common problem in men than women, about 7 percent of women will have kidney stones at some stage of their life. There is a higher risk for a woman to develop kidney stones if she does not drink enough water, frequently eats meals high in protein, takes medicines that can cause kidney stones as a side effect, has had a stone before, has certain diseases, or is over 50. The stones can form in the bladder, ureters or kidneys and may be passed out on their own with high fluid intake or removed through different treatment options. If you are a woman experiencing extreme pain on your back, side, lower abdomen, groin, or pain during urination, vomiting, nausea or blood in urine, please visit St. Pete Urology in St Petersburg for immediate help.

5. Fallen bladder and bladder cancer

The bladder is usually held in position by the pelvic floor. But when the pelvic floor is stretched or weakened, particularly due to aging, menopause, obesity or prior pelvic surgery, the bladder may drop into the vagina, resulting in complications such as overactive bladder, urinary tract infections and urinary incontinence. Pelvic floor prolapse (also called fallen bladder or cystocele) can be corrected either surgically or nonsurgically by placing a pessary in the vagina to hold up the organs. Apart from fallen bladder, urologists are also recommended to treat bladder and kidney cancer.

Conclusion

If you are experiencing symptoms such as blood in urine, frequent urination, burning or pain when urinating, or pelvic pain, call or visit St. Peter Urology for help. Our urologists offer top-of-the-line comprehensive urological services to women and are committed to patient satisfaction. Evaluation of urological conditions includes a complete patient history, medical exam, urodynamics (bladder EKG), imaging, cytoscopy and all necessary lab tests. For more information on the treatment of urological conditions in women, visit the site, St Pete Urology.

Women’s Health: Do Women See A Urologist?

It is a common mistake to believe that only men see urologists. In fact, women are more likely than men to have a urinary problem at some stage of life. When it comes to a condition affecting the urinary tract, bladder or kidneys, a urologist is the expert who can offer the best treatment. Urologists see women, men and children to treat common disorders of the urinary system.

Women’s Urological Conditions

(a) Overactive bladder: A woman with an overactive bladder experiences a sudden, frequent or hard-to-control urge to urinate, wakes up more than once at night to urinate, or urinates eight or more times in 24 hours. A urologist will perform various tests to diagnose the disorder and then recommend treatment according to the cause.

(b) Urinary incontinence: Characterized by a loss of bladder control that often results in accidental leakage of urine, urinary incontinence affects up to 57% of women between 40-60 years and requires the attention of a urologist.

(c) Urinary tract infections (UTIs): Urinary tract infections can cause serious complications if they spread to the kidney. They require prompt and effective treatment. Since women are more susceptible than men to UTIs because of their anatomy, they should see a urologist if they have frequent or persistent infections.

(d) Fallen bladder: Because the bladder is held in position by the pelvic floor, it may drop onto the vagina when the pelvic floor is weakened or stretched due to obesity, menopause, aging or prior pelvic surgery. A woman should see a urologist with experience in female urology to correct a fallen bladder.

(e) Painful bladder syndrome (interstitial cystitis): Interstitial cystitis (IC) comes with lower belly and bladder discomfort, a feeling that the bladder is always full, and a sudden and severe urge to urinate (even up to 60 times per day), which can interfere with everyday activities. Some women have been forced to skip social events or avoid travelling away from home, while some find sex uncomfortable or painful due to the condition. Women who have the disorder need to see a urologist.

(f) Urinary stones: Urinary stones are hard masses that form in the kidneys, bladder or ureters. While drinking 2-4 quarts of water in 24 hours may help to move a urinary stone, a urologist can break them apart with ultrasound-based treatment or remove them surgically.

(g) Cancer: Women can have cancer in the bladder, bladder lining, kidneys or urethra. The cancer may show signs such as pain during urination, lower back pain, blood in urine and frequent visits to the bathroom. Seeing a urologist may help to detect and treat the cancer early.

Ideally, women should see a urologist when experiencing:

  • Pelvic pain
  • Burning sensation or discomfort when urinating.
  • Frequent urination
  • Blood in urine
  • Pain in the back or sides
  • Leaking urine

At St Pete Urology, we have specialized urology services that cater to the unique needs of women. We deal with many urological conditions affecting women, including incontinence, pelvic organ prolapse, bladder infection, overactive bladder, kidney stones and cancer. Male or female, feel free to contact St Pete Urology when you have a urine or bladder issue.

Debunking 4 Myths about Urinary Incontinence

Urinary incontinence is an embarrassing condition affecting more than 200 million people globally. Characterized by bladder leakage, painful urination, strong urge to urinate and incomplete emptying of the bladder, the condition can negatively impact the quality of life of affected individuals by restricting their ability to participate in various activities. Riddled with several misconceptions and accompanied by considerable stigma, bladder leakage is a highly misunderstood condition that even those affected do not want to talk about. Yet by debunking some of the myths associated with the condition and establishing a clearer understanding of the problem, affected individuals can get on the right track for healthy and happy bladder management. Here are four of the more common myths about urinary incontinence:

Myth 1: Only the elderly experience urinary incontinence.

Even though the risk of urinary incontinence increases with age, virtually any person can experience incontinence at any stage of life. For instance, bladder weakness typically affects 1 in every 3 women above the age of 18 with many young women experiencing sensitive bladder symptoms after pregnancy and labor. Urinary incontinence can also result from an enlarged prostate, nerve damage, weakened pelvic muscles, medical conditions such as obesity, onset of menopause in women due to a drop in estrogen levels, infection, and as a side effect of certain medications.

Myth 2: Reducing fluid intake reduces urinary incontinence.

Limiting fluid intake may sound like a brilliant idea since drinking plenty of water increases the frequency and urgency of urination. However, it has been shown that drinking adequate amounts of fluid in small doses throughout the day helps to prevent leakage. In fact, severe limitation of fluid intake can make urine more concentrated, increasing the risk of bladder irritation and worsening urinary incontinence. Drinking enough water also helps to reduce odors. Doctors recommend that you sip water between meals, avoid fluids for two hours before bed, and reduce or avoid citrus juices, caffeine, carbonated beverages and alcohol.

Myth 3: Surgery is a necessary treatment for urinary incontinence.

While surgery is one effective treatment for incontinence, it comes with more risks than other treatment options. For instance, invasive surgical procedures such as sling surgery and retropubic suspension have associated risks such as difficulty urinating and worsened incontinence. Therefore, affected individuals should always be offered the option of trying nonsurgical treatment first and only opt for surgery when nonsurgical options fail. In fact, for most people, simple lifestyle changes, medications for relaxing the bladder and treating urinary infections, medical devices like pessaries, weight loss, dietary changes, and pelvic floor muscle exercises provide considerable improvement in symptoms. Surgery should only be considered as a last resort.

Myth 4: Delaying urination strengthens the pelvic floor.

While many think that delaying going to the bathroom can help to strengthen the pelvic floor, the truth is that this can overstretch the bladder, resulting in a flaccid and dysfunctional bladder. Therefore, for a person living with urinary incontinence, it is important to avoid actions that may weaken your bladder and instead seek immediate medical treatment. Remember, urinary incontinence may be a symptom of an underlying medical condition that requires a prompt visit to a urologist. So stop living quietly with urinary incontinence and thinking that you can crudely wish it away. Talk to your doctor about what could be causing the problem and what might be the best individual treatment option for you. For more information on managing urinary incontinence, visit the St Pete Urology website or make an appointment for a consultation with a urologist.

Artificial Sphincter for Male Incontinence

Male incontinence is rarely life-threatening, but it often hampers a normal lifestyle. It may result in damp undergarments, skin rashes, skin irritation, limited physical activity, reduced social contacts and relationships, and even male impotence or diminished interest in sex. The urologists at St Pete Urology can prescribe one of many different treatments for male incontinence, including medications, biofeedback techniques and exercise programs. However, for patients who do not respond to these treatments, the surgical implantation of an artificial sphincter is the best option. Urologists will carefully evaluate the patient before recommending an artificial sphincter. [Read Full Article…]

How to Prevent UTI with Urinary Incontinence

If left untreated, Urinary Tract Infections can lead to complications such as Urinary Incontinence. Know how to prevent this from happening by following these helpful tips from the urology specialists at St Pete Urology. For more information about UTI, call us at (727) 478-1172 or visit us in St Petersburg, Florida

Bladder Incontinence – Factors for Urinary Incontinence

Urinary incontinence in general term is the loss of bladder control or an involuntary loss of urine. There are approximately 13 million people in the U.S with bladder control problems. The causes of incontinence can be surgery, childbirth or hormonal loss post-menopause and age. There are many treatment options available to help people with urinary incontinence. Your doctor can prescribe an appropriate treatment according to the severity and cause of the incontinence.

Click this link here to know more about incontinence treatment.