Urinary incontinence evaluation and treatment

Your doctor’s first step will be to assess which type of urinary incontinence you have– stress, urge, mixed or overflow. You may be asked to cough or perform other simple functions that typically cause leakage. This is called a bladder stress test. Your doctor may also perform another test called a Bonney test to check for stress incontinence. You may be asked to keep a bladder diary, and ultrasound or a catheter can be used to see if there is leftover urine in your bladder after urinating.
If initial tests are not conclusive, you may undergo urodynamics testing.
Stress incontinence may be helped with a surgery. If you have overactive bladder (urge incontinence), you may benefit from medications that ease muscle contractions. Other treatments for incontinence include a pessary ring (a vaginal insert which provides structural support to the bladder) or a urethral insert (a plug that physically stops urine from leaking out). Pelvic floor muscle training and specific lifestyle changes may also help to reduce urinary incontinence.
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