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To evaluate the condition / incontinence; you need an investigation called as video urodynamics which tells about the integrity of muscles of bladder and sphincters of bladder. A pelvic floor electromyography and MRI of the lower back/spine may also be sometimes needed. These investigations guide for the exact treatment protocol. Incontinence occur due to many causes like, sphincter or bladder muscle not functioning properly, bladder muscle is too irritable (which can occur in infection), spinal cord problem (involve the bladder nerves) etc. Following is the treatment;
A. Behavioral modifications;
a) timed voiding,
b) bladder training,
c) Kegel exercises
B. Electrical stimulation:This is a procedure in which small electrodes are placed in pelvic floor. The electrodes produce electric pulses that cause contraction of the muscles of the pelvis and the urethra. This strengthens these muscles to help reduce the incidence of urge incontinence.
c) propantheline (Pro-Banthine) and
D. Surgical treatments for incontinence; Implanting the InterStim electronic device.
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