Non-surgical Bladder Treatments

Depending on your medical assessment, the UW Health urology program may recommend several non-surgical treatment options for voiding dysfunction/incontinence.
These options may include:  
  • Behavior modification: This option involves the adjustment of fluid intake and the patient's voiding schedule to control overactive bladder symptoms. For some patients, simple chages in the timing or amount of fluid intake and/or the use of timed voiding may avert episodes of urgency and urge incontinence.
  • Pelvic floor muscle rehabilitation: This therapy involves strengthening the pelvic floor muscles to enable better control of urgency and overactive bladder symptoms. Biofeedback, a non-invasive modality to measure and record pelvic floor muscle activity, can be used to teach proper pelvic floor muscle exercise technique and monitor patient progress.
  • Insertable devices: Problems with pelvic prolapse which may accompany bladder symptoms can be addressed with temporary prostheses such as a pessary (a ring-shaped device placed in the vagina to help reposition and support the bladder or uterus). Urethral inserts may be used for selected patients with stress incontinence.
  • Medications: To control overactive bladder, commonly used medications include Detrol LA, Ditropan XL and Oxytrol. These medications are intended for long-term use and are generally better tolerated than the generic form of oxybutinin.