What treatment options are available for incontinence?
August 20, 2022 | 90,00 EUR | answered by Ben Busse
Dear doctor,
My name is Georg Ullmann and I have been suffering from incontinence for some time now. This unpleasant situation greatly affects me in my daily life and I am looking for possible treatment options to solve my problem.
Incontinence occurs both during the day and at night and significantly affects my quality of life. I constantly have to rush to the bathroom, can hardly go on outings anymore, and feel insecure in social situations. I have already tried to alleviate my symptoms through targeted pelvic floor exercises and special exercises, but without success.
I am therefore very interested in alternative treatment options that could help me treat my incontinence. What medications are available to improve my bladder weakness? Are there surgical interventions that could permanently eliminate my symptoms? What other therapy approaches are there that could help me solve my problem and improve my quality of life?
I am willing to undergo various treatment methods to finally overcome my incontinence. Please give me an overview of the available options so that I can make an informed decision. I thank you in advance for your help and advice.
Sincerely,
Georg Ullmann
Dear Mr. Ullmann,
Thank you for your open words and trust. I am sorry to hear that you are suffering from incontinence and that this is affecting your quality of life. It is understandable that you are looking for solutions to overcome this problem and lead a normal life again.
Incontinence is a common issue and can have various causes. There are different types of incontinence, such as stress incontinence, urge incontinence, or mixed incontinence. It is important to identify the exact cause of your incontinence in order to choose the best possible treatment option.
Regarding your question about medications to improve bladder weakness: There are various medications that can be used to treat incontinence. For example, anticholinergics, which reduce bladder activity, or Mirabegron, which increases bladder capacity. These medications can be taken in consultation with your doctor to alleviate your symptoms.
Surgical interventions are another therapy option for long-term treatment of incontinence. For stress incontinence, a surgery such as the placement of a urethral sling may be considered. For urge incontinence, sacral nerve stimulation or bladder augmentation can be performed. However, these procedures should always be carefully considered and discussed with your treating physician.
In addition to medications and surgeries, there are also other therapy approaches that could help you overcome your incontinence. These include physiotherapy, biofeedback training, acupuncture, or the use of incontinence products such as pads or catheters.
It is important that you seek advice from a specialist in urology to develop an individualized treatment strategy tailored to your specific needs. Together, you can discuss the different options and make a decision that helps improve your quality of life.
I hope this information was helpful to you, and I am happy to assist you if you have any further questions. I wish you all the best on your journey to overcoming incontinence.
Best regards,
Ben Busse, Urologist
