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Urology/Urinary Incontinence


  My 80 year old mother in law is suffering from Urinary incontinence.Medicines for urinary incontinence has been given for last 4 days and is being continued.If the medicinal treatment does not respond,what other steps can be taken to give her relief.We are trying to avoid surgical procedures.With thanks.


Your options for treatment are a bit limited.  There are several types of incontinence and the type needs to be clarified to properly answer your question.

Medications for incontinence are typically used for "urgency" or "overactive bladder" type leakage problems.  If she responds to this, then some medication orcombination of medications might work.  Other treatments for urge incontinence other than medications include Foley catheters, pads or diapers,  botox and dietary adjustments (monitor urine production, reduce any dietary caffeine).

Treatment of other types of incontinece depend on the nature of the leakage problem.  For example, surgery can help with "stress" incontinence (associated with straining, laughing, standing, coughing) but will not help with the "urgency" type of leakage.

Your best information will come a local urologist who can review the particular issues in this case and give you advice.  


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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