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This content does not have an English version. This content does not have an Arabic version. See more conditions. Bladder control: Medications for urinary problems. Products and services. Bladder control: Medications for urinary problems Learn about medications used to treat bladder control problems, including how they work to treat urinary incontinence and possible side effects. By Mayo Clinic Staff. Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information.
Please try again. Something went wrong on our side, please try again. Show references Bladder control problems in women urinary incontinence. Accessed May 9, Lukacz E. Accessed August 4, Medical student curriculum: Urinary incontinence. American Urological Association. Female stress urinary incontinence.
National Association for Continence. Hersh L, et al. Clinical management of urinary incontinence in women. American Family Physician. DeMaagd GA, et al. Management of urinary incontinence.
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Vitamins for MS: Do supplements make a difference? This procedure can identify whether you have involuntary muscle contractions or a stiff bladder that's not able to store urine under low pressure.
Our caring team of Mayo Clinic experts can help you with your overactive bladder-related health concerns Start Here. A combination of treatment strategies may be the best approach to relieve overactive bladder symptoms. The pelvic floor muscles work like a hammock to support the pelvic organs, including the uterus, bladder and rectum. Kegel exercises can help strengthen these muscles. Men's pelvic floor muscles support the bladder and bowel and affect sexual function.
Behavioral interventions are the first choice in helping manage an overactive bladder. They're often effective, and they carry no side effects. Behavioral interventions may include:.
Pelvic floor muscle exercises. Kegel exercises strengthen your pelvic floor muscles and urinary sphincter. These strengthened muscles can help you stop the bladder's involuntary contractions. Your doctor or a physical therapist can help you learn how to do Kegel exercises correctly. Just like any other exercise routine, how well Kegel exercises work for you depends on whether you perform them regularly.
After menopause, vaginal estrogen therapy can help strengthen the muscles and tissues in the urethra and vaginal area. Vaginal estrogen comes in the form of cream, suppository, tablet, or ring, and can significantly improve symptoms of overactive bladder. Medications that relax the bladder can be helpful for relieving symptoms of overactive bladder and reducing episodes of urge incontinence.
These drugs include:. Common side effects of most of these drugs include dry eyes and dry mouth, but drinking water to quench thirst can aggravate symptoms of overactive bladder. Constipation — another potential side effect — can aggravate your bladder symptoms. Extended-release forms of these medications, including the skin patch or gel, may cause fewer side effects.
Your doctor may recommend that you sip small amounts of water or suck on a piece of sugar-free candy or chew sugar-free gum to relieve dry mouth, and use eyedrops to keep your eyes moist.
Over-the-counter preparations, such as Biotene products, can be helpful for long-term dry mouth. To avoid constipation, your doctor might recommend a fiber-rich diet or use of stool softeners.
OnabotulinumtoxinA ON-ah-boch-yoo-lih-num-tox-in-A , also called Botox, is a protein from the bacteria that cause botulism illness. Used in small doses directly injected into bladder tissues, this protein relaxes the muscles. Studies show that it may be useful for severe urge incontinence. The temporary effects generally last six months or more, but repeat injections are necessary. Side effects from these injections include urinary tract infections and urinary retention.
If you're considering Botox treatments, you should be willing and able to catheterize yourself if urinary retention occurs. During sacral nerve stimulation, a surgically implanted device delivers electrical impulses to the nerves that regulate bladder activity sacral nerves.
The unit is placed beneath the skin of the buttocks, near the sacral nerves. One procedure uses a thin wire placed close to the sacral nerves — which carry signals to your bladder — where they pass near your tailbone. This minimally invasive procedure is often done with a trial of a temporary wire implanted under the skin in your lower back. Sometimes it may be done as an advanced procedure in which the permanent electrode is implanted and a longer trial is performed.
Your doctor then uses a hand-held device connected to the wire to deliver electrical impulses to your bladder, similar to what a pacemaker does for the heart.
If it helps with your symptoms, a permanent, battery-powered pulse generator is surgically implanted to help regulate the nerve rhythm. This procedure uses a thin needle that is placed through the skin near your ankle to send electrical stimulation from a nerve in your leg tibial nerve to your spine, where it connects with the nerves that control the bladder.
PTNS treatments are delivered once a week for 12 weeks to help treat symptoms of overactive bladder. You will likely need maintenance treatments every three to four weeks to keep symptoms under control.
Surgery to treat overactive bladder is reserved for people with severe symptoms who don't respond to other treatments. The goal is to improve the bladder's ability to store urine and reduce pressure in the bladder. However, these procedures won't help relieve bladder pain. They stop involuntary contractions that bring on the urge to urinate. Other drugs help strengthen the tissues around your bladder that may have become weak. The stronger tissue can help improve your bladder control.
The largest class of drugs used to treat OAB is anticholinergic drugs. They work by blocking a chemical in your body called acetylcholine. This chemical sends a message to your bladder to contract. By blocking this chemical, these drugs reduce the contractions that cause you to release urine.
In studies that compared the drugs, all anticholinergics worked equally as well in treating OAB. Anticholinergics are sold under different brand names. Some are also available as generic drugs. These medications include:. All of these drugs except for Oxytrol come as either tablets or capsules that you take by mouth. Oxytrol is available as a skin patch. Seniors have the greatest risk of side effects from these drugs. These medications may also cause drowsiness and an increased risk of falls in seniors.
Oxybutynin may cause more side effects than the other drugs in this class. However, taking oxybutynin in its extended-release form may reduce some of the side effects. Anticholinergics may also worsen dementia symptoms and should be used with caution in people with this disease.
The only drug in this class is mirabegron Myrbetriq. It works by relaxing the smooth muscle in the walls of your bladder. This effect helps your bladder hold more urine.
This drug is available as a tablet that you take by mouth once per day. It interacts with several other drugs. Flavoxate is the only drug in this class. This is an older drug. These drugs are used to treat depression, but they may help relieve some OAB symptoms. An antidepressant that your doctor may prescribe for OAB is desipramine.
This oral drug works by relaxing your bladder while also contracting the muscles at the neck of your bladder. These actions may reduce your urge to urinate. They also help control leakage and improve bladder control.
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