TREATMENT INCONTINENSIA
Some simple steps can be done to change people's behavior:
1. Behavior change techniques, such as accustom themselves to urinate every 2-3 hours to keep the bladder relatively empty.
2. Avoiding drinks that can cause bladder irritation, such as beverages containing caffeine.
3. Drink 6-8 glasses / day to prevent concentration of urine, because urine is too concentrated can irritate the bladder.
4. Stopping the use of drugs can cause side effects on the bladder.
Treatment for urge incontinence.
1. Allowing myself to urinate on a regular basis.
2. Bladder training techniques that form the pelvic muscle exercises and biofeedback.
3. Drugs that relax the bladder, for example propantelin, imipramine, hisiamin, oxybutynin and disiklomin.
Treatment for incontinence due to stress.
1. In women who suffer from stress incontinence may be given tablets of estrogen or estrogen cream applied directly to the vagina.
2. Drugs that help strengthen the sphincter (eg phenylpropanolamine or pseudoephedrine) should be given concurrently with estrogen.
3. If there is weakness of the pelvic floor muscles, then do Kegel exercises and biofeedback.
4. Patients can use the pads to absorb a small amount of urine that usually come out in times of stress.
5. In more severe cases, which do not respond to treatment above, can be performed surgery to remove the bladder and urethra to strengthen. Or it could be given an injection of collagen around the urethra.
Excess flow treatment for incontinence.
If the cause is enlarged prostate or other blockage, then do:
- Surgery to remove part or all of the prostate.
- Finasterid drug delivery can often reduce the size of the prostate or stop its growth, so no need for surgery or surgery can be postponed.
- Administration of drugs to relax the sphincter (eg, terazosin).
If the cause is weakness of bladder muscle contractions, it is done:
- Administration of drugs that increase the contraction of the bladder (eg betanekol).
- Pressing the lower abdomen (just above the bladder) can help empty the bladder.
- Catheterization (small tube fitting through the urethra) to empty the bladder and prevent complications (eg recurrent infections and kidney damage).
Total incontinence treated with a variety of surgical procedures. One is to replace the sphincter does not close properly with the artificial sphincter. Treatment for psychogenic incontinence is a psychotherapy that is usually performed in conjunction with changes in behavior and use of tools that could wake the child when he started wetting the bed or medication to prevent contractions of the bladder. To patients who are depressed can be given anti-depressants.
If incontinence can not be fully controlled by a variety of specific treatments on top, then to protect the skin and allows the patient continues to feel dry, comfortable and able to perform social activities, then the patient can use a bandage and clothing in particular.
