Management of Incontinence in Women: Check for UTI ,DM ,diuretic use ,faecal impaction ,palpable blader,GFR Stress incontinence, Pelvic floor exercises may help. Intravaginal electrical stimulationmay also be effective but is not acceptable to many women A ring pessary may help uterine prolapse,eg while awaiting surgical options include Burch Colpasuspension and sling procedures a variety of minimal access techniques (eg tension free vaginal tape) are also available .Urge Incontinence ,the patient of incontinence Examine for spinal cord and CNS signs (including cognitive test.p70& p85) and for vaginitia-traet with estriol 0.1% cream(eg ovestin; 1 applicator dose twice weekly for a few months) -consider cyclical progesterone if for prolonged use and no hysterectomy to avoid risk of uterine cancer Bladder trainig (may include pelvic floor exercises) and weight loss are important Drugs…
Incontinence in Women