How Do You Treat Incontinence After Surgery?


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Doctors treat post-surgical incontinence based on the severity and nature of the condition. Treatments range from simple changes in lifestyle and behavioral techniques, including special diets, fluid intake regulation and pelvic exercises, to anticholinergic drugs such as oxybutynin. Some cases require additional surgery, according to the University of Maryland Medical Center.

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Treatments for stress incontinence caused by a hysterectomy include practicing Kegel exercises designed to strengthen the muscles of the pelvic floor or receiving collagen injections or sling surgery, reports Everyday Health. In men, doctors treat incontinence caused by surgeries such as a radical prostatectomy or transurethral resection of the prostate based on the type of incontinence that has developed, notes the UMMC. These treatments include dietary changes for weight loss, avoidance of caffeine and alcohol consumption, bladder training, pelvic floor muscle exercises for men, and electrical stimulation, WebMD reports.

Those with incontinence that does not respond to behavioral and lifestyle changes usually treat it with alpha-blockers that relax smooth muscles, extended-release anticholinergics that relax the bladder or antidepressants. Surgical options to treat surgery-related incontinence include suburethral or midurethral sling surgery, a laproscopic retropubic colposuspension to adjust the position of the bladder or the implantation of a artificial sphincter to treat sphincter dysfunction, explains the UMMC.

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