There are a number of therapeutic devices that can be used to treat urinary incontinence. Your doctor will help you determine which one is best for your needs.
In addition to using incontinence underwear, your doctor may also recommend bladder training, fluid management and diet changes. If these don’t relieve your symptoms, your doctor may prescribe Kegel exercises or a nerve stimulator (also called a peripheral nerve stimulator). This is a device that stimulates the sacral nerves.
Vaginal Pessary
The Vaginal Pessary is a therapeutic device that can help women who have pelvic organ prolapse (POP) or stress urinary incontinence. It helps support the bladder, urethra and uterus and can be used to treat cystocele or rectocele (where the wall of the rectum bulges into the vagina).
The pessary should be fitted by a doctor in a medical office. They will do a pelvic exam and try different sizes until you find the correct size to fit your body.
Once the pessary is in place, you will need to follow a schedule for its removal and cleaning. You will also need to have regular follow-up appointments with your gynecologist.
Many women are able to clean their pessaries on their own. However, it is a good idea to get regular check-ups with your gynecologist to ensure the pessary is working properly and not causing any complications.
Fillers
Urinary incontinence is often caused by a problem with your bladder. It can happen when you laugh, sneeze or cough, or when you suddenly need to go to the bathroom.
To treat this, your doctor can inject a bulking agent into the area around your urethra. These fillers can include hyaluronic acid-dextraneur combination (Zuidex), carbon beads, calcium hydroxylapatite and ethylene vinyl alcohol copolymer.
Zuidex is a liquid gel containing dextran, a hyaluronic acid derivative, and polylactic acid. It is injected into the submucosa at two or more sites, either distal to the bladder neck, or mid-urethral.
Injections are usually done under local anaesthesia and the treatment can be done in the office, or through a small incision under the skin. Other treatments include sacral nerve stimulation and pelvic floor exercise.
Disposable Urinary Incontinence Devices
Disposable urinary incontinence devices are therapeutic devices that can help manage the symptoms of involuntary loss of urine or feces. They include disposable liners, pads, and protective underwear.
Incontinence is a common problem that affects millions of people. It causes physical discomfort, embarrassment, social isolation, and even depression.
The newest products can help you manage incontinence without the need for hospital-based treatment. These products are also convenient and easy to use.
These products can be used alone or with other incontinence supplies such as disposable briefs, reusable underwear, and sanitary napkins. They come in a variety of absorbency levels to suit most bladder and bowel needs.
Pads, liners, and protective underwear "catch" leaks, pull moisture away from skin, and allow you to go longer between changes. Many are treated with odor-absorbing compounds such as baking soda or fragrance. However, they may cause skin irritation for some people.
Injections
Injections can be a therapeutic device for urinary incontinence, especially for stress or urge incontinence. The injections are placed into the bladder muscle and urethra, either in the office or through an outpatient procedure.
The injections may be made of Botox or a substance called hyaluronic acid that is usually made from collagen (the fibrous tissue found in cows). They are also used to treat overactive bladder syndrome by relaxing the muscles that cause you to go to the bathroom too often.
The results of this trial have shown a short-term advantage of MPQ injections compared to pelvic floor muscle exercises and home training for women with stress incontinence caused by urethral hypermobility that has not responded to conservative treatment. But there are still many questions about long-term effectiveness and safety. Several more trials are needed to determine if MPQ injections are the best option for symptomatic treatment. Moreover, a number of other treatments have been shown to be effective for certain types of incontinence, so the choice must always be made with your health care professional.
