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Diseases » Incontinence » Treatments
 

Treatments for Incontinence

Treatments for Incontinence

The list of treatments mentioned in various sources for Incontinence includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Vitamin B12 - possibly used for related vitamin B12 deficiency

Incontinence: Marketplace Products, Discounts & Offers

Products, offers and promotion categories available for Incontinence:

Incontinence: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Drugs and Medications used to treat Incontinence:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Incontinence include:

Latest treatments for Incontinence:

The following are some of the latest treatments for Incontinence:

Hospital statistics for Incontinence:

These medical statistics relate to hospitals, hospitalization and Incontinence:

  • 0.016% (2,051) of hospital consultant episodes were for faecal incontinence in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 96% of hospital consultant episodes for faecal incontinence required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 29% of hospital consultant episodes for faecal incontinence were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 71% of hospital consultant episodes for faecal incontinence were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • more hospital information...»

Hospitals & Medical Clinics: Incontinence

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Incontinence:

Hospital & Clinic quality ratings » »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Incontinence, on hospital and medical facility performance and surgical care quality:

Medical news summaries about treatments for Incontinence:

The following medical news items are relevant to treatment of Incontinence:

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Book Excerpts: Treatment of Incontinence

Treatments of Incontinence: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Incontinence.

Incontinence: Treatment
(In a Page: Signs and Symptoms)

  • Treat reversible causes appropriately (e.g., antibiotics for UTI, discontinue offending medications)
  • Stress incontinence
    –Pelvic exercises (Kegel's) or electrical stimulation
    –α-adrenergic medications to increase urethral tone
    –Local estrogen replacement treatment
    –Pessaries prevent urine loss during stress maneuvers
    –Surgical therapy may be indicated
  • Urge incontinence
    –Estrogen replacement therapy (local or oral)
    –Medications include oxybutynin and tolteridine
    • Overflow incontinence
      –Improve bladder contractility
      –Remove outlet obstruction (enlarged prostate, defects in penis, prolapsed uterus or urethra)
      –Neuropathic conditions may require intermittent catheterization to improve symptoms
  • Functional incontinence
    –Remove physical mobility barriers
  • '>

    » READ BOOK EXCERPT ONLINE »

    Source: In a Page: Signs and Symptoms, 2004

    Enuresis: Treatment
    (In A Page: Pediatric Signs and Symptoms)

    • UTI
      –Empiric antibiotics (e.g., co-trimoxazole) after culture
      –Adjust antibiotics based on bacterial sensitivities
      • Primary nocturnal enuresis
        –Behavioral measures (limit fluids at night, enuresis alarms, reward system)
        –Consider pharmacologic treatments (i.e., DDAVP) for short-term use (e.g., vacations, sleepovers)
      • Dysfunctional voiding
        –Unstable bladder of childhood
        –Treat with anticholinergic agents (e.g., oxybutynin)
        –Other causes are treated with behavior interventions (e.g., timed voiding and positive reinforcements)
        –Manage constipation, if present
    • Nephrogenic DI: Treat with large volumes of fluid intake, close attention to fluid status during acute illnesses
    • Central DI: Treat with DDAVP

    » READ BOOK EXCERPT ONLINE »

    Source: In A Page: Pediatric Signs and Symptoms, 2007

    Neurogenic bladder: Treatment
    (Professional Guide to Diseases (Eighth Edition))

    The goals of treatment are to maintain the integrity of the upper urinary tract, control infection, and prevent urinary incontinence through evacuation of the bladder, drug therapy, surgery or, less commonly, neural blocks and electrical stimulation.

    Techniques of bladder evacuation include Credé’s method, Valsalva’s maneuver, and intermittent self-catheterization. Credé’s method — application of manual pressure over the lower abdomen — promotes complete emptying of the bladder. After appropriate instruction, most patients can perform this maneuver themselves. Even when patients perform this maneuver properly, however, Credé’s method isn’t always successful and doesn’t always eliminate the need for catheterization.

    Intermittent self-catheterization — more effective than either Credé’s method or Valsalva’s maneuver — has proved to be a major advance in the treatment of neurogenic bladder because it allows complete emptying of the bladder without the risks that an indwelling catheter poses. Generally, a male can perform this procedure more easily but a female can learn self-catheterization with the help of a mirror. Intermittent self-catheterization, in conjunction with a bladder-retraining program, is especially useful for patients with flaccid neurogenic bladder.

    Drug therapy for neurogenic bladder may include bethanechol and phenoxybenzamine to facilitate bladder emptying and propantheline, methantheline, flavoxate, dicyclomine, and imipramine to facilitate urine storage.

    When conservative treatment fails, surgery may correct the structural impairment through transurethral resection of the bladder neck, urethral dilatation, external sphincterotomy, or urinary diversion procedures. Implantation of an artificial urinary sphincter may be necessary if permanent incontinence follows surgery for neurogenic bladder.

    » READ BOOK EXCERPT ONLINE »

    Source: Professional Guide to Diseases (Eighth Edition), 2005

    Neurogenic bladder: Treatment
    (Handbook of Diseases)

    The goals of treatment are to maintain the integrity of the upper urinary tract, control infection, and prevent urinary incontinence through evacuation of the bladder, drug therapy, surgery or, less commonly, neural blocks and electrical stimulation.

    Bladder evacuation

    Techniques of bladder evacuation include Credé’s method, Valsalva’s maneuver, and intermittent self-catheterization.

    Credé’s method (applying manual pressure over the lower abdomen) and Valsalva’s maneuver (performing forced exhalation against a closed glottis) promote complete emptying of the bladder. (For patient-teaching information, see Dealing with neurogenic bladder.)

    After appropriate instruction, most patients can perform Credé’s method themselves; however, even when performed properly, this method isn’t always successful and doesn’t always eliminate the need for catheterization.

    CLINICAL TIP: Credé’s method can result in autonomic dysreflexia in patients with spinal cord injuries. With this medical emergency, blood pressure rises to potentially fatal levels because of stimulation of the sympathetic nervous system.

    Intermittent self-catheterization — more effective than either Credé’s method or Valsalva’s maneuver — has proved to be a major advance in the treatment of neurogenic bladder because it allows complete emptying of the bladder without the risks that an indwelling urinary catheter poses.

    Drug therapy

    With neurogenic bladder, drug therapy may include bethanechol and phenoxybenzamine to facilitate bladder emptying, and propantheline, methantheline, flavoxate, dicyclomine, and imipramine to facilitate urine storage.

    Surgery

    When conservative treatment fails, surgery may correct the structural impairment through transurethral resection of the bladder neck, urethral dilatation, external sphincterotomy, or urinary diversion procedures. Implantation of an artificial urinary sphincter may be necessary if permanent incontinence follows surgery for neurogenic bladder.

    » READ BOOK EXCERPT ONLINE »

    Source: Handbook of Diseases, 2003

    Urinary incontinence: Patient counseling
    (Signs & Symptoms: A 2-in-1 Reference for Nurses)

    To prevent stress incontinence, teach the patient Kegel exercises to help strengthen the pelvic floor muscles. If appropriate, teach the patient self-catheterization techniques. Reassure your patient that episodes of incontinence don’t signal a failure of the program. Encourage him to maintain a persistent, tolerant attitude.

    » READ BOOK EXCERPT ONLINE »

    Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

    Enuresis: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ Administer medications, such as imipramine, desmopressin, or an anticholinergic, as indicated.

    ▪ Provide emotional support to the child and his family.

    Patient teaching

    ▪ Encourage the parents to accept and support the child.

    ▪ Teach the parents and child how to manage enuresis at home.

    ▪ Discuss bladder training if the child has detrusor muscle hyperactivity.

    ▪ Teach the use of an alarm device, if appropriate, for the child age 8 and older.

    ▪ Explain any underlying causes of the enuresis and its treatment.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007

    Urinary incontinence: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ Prepare the patient for diagnostic tests, such as cystoscopy, cystometry, and a complete neurologic workup. Obtain a urine specimen.

    ▪ Implement a bladder retraining program. (See Correcting incontinence with bladder retraining.)

    ▪ If the patient's incontinence has a neurologic basis, monitor him for urine retention, which may require periodic catheterizations.

    Patient teaching

    ▪ Explain the underlying disorder and treatment plan.

    ▪ To prevent stress incontinence, teach the patient how to perform Kegel exercises to help strengthen the pelvic floor muscles.

    ▪ Teach the patient self-catheterization techniques, as appropriate.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007

    Fecal incontinence: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ Maintain proper hygienic care, including control of foul odors.

    ▪ Provide meticulous skin care.

    ▪ For the neurologically capable patient with chronic incontinence, provide bowel retraining.

    ▪ Take measures to allay the patient's embarrassment.

    ▪ Provide emotional support for the patient.

    Patient teaching

    ▪ Teach the patient to perform Kegel exercises to strengthen abdominal and perirectal muscles.

    ▪ Discuss how to maintain proper hygiene.

    » READ BOOK EXCERPT ONLINE »

    Source: Nursing: Interpreting Signs and Symptoms, 2007



     » Next page: Doctors and Medical Specialists for Incontinence

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