Behavioral Techniques
Scheduled toileting: The patient goes to the bathroom at regular 2-4 hour intervals. The goal here is to frequently empty the bladder and therefore keep the patient dry. This is frequently recommended for frail elderly or bedridden patients who may allow their bladder to get too full, and they are not physically able to get to the bathroom before they begin to urinate.
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Pharmacologic treatments
Oral medications are the initial mode of treatment for urge incontinence. Oxybutynin chloride (Ditropan) and tolterodine (Detrol) are anticholinergic medications that cause relaxation of the smooth muscle of the bladder, and are therefore effective in patients with urge incontinence.
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Surgical treatments
All forms of incontinence can be treated surgically. Surgical correction should be considered only after all conservative options have been exhausted. The long-term success rates are excellent with surgery, though complications do infrequently occur. These include infection, bleeding, continued incontinence, and even inability to urinate.
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