4. Surgical Intervention
The American College of Obstetricians and Gynecologists lists three types of surgery for urinary incontinence. Your physician may suggest surgically implanting a sling to lend support to the urethra and prevent urine leakage. A colposuspension is a surgical procedure in which a surgeon attaches the neck of the bladder to nearby structures in order to raise and support the urethra. If neither of these procedures is appropriate for you, your doctor may recommend urethral bulking. This strategy involves injecting a bulking agent into the tissues around the urethra to narrow the opening and prevent leakage.
3. Medical Devices
The use of medical devices may help to prevent urinary leakage. A urethral insert is a plug that you can insert into the urethra to prevent the flow of urine during times of heavy activity. This device can be messy to use and you must remove it after a few hours of use. Meanwhile, a pessary is a device that can be inserted into the vagina to support the pelvic area. The use of a pessary requires a visit to your physician for a fitting. Some women find this device to be uncomfortable or irritating.
2. Nerve Stimulation
Percutaneous Tibial Nerve Stimulation is a treatment for urinary incontinence in which electrodes are placed on the tibial nerve, near the ankle. According to the Simon Foundation for Continence, a device then sends electrical impulses through the nerve to the sacral nerve plexus at the base of the spine. As the device stimulates the sacral nerve plexus, it decreases the symptoms associated with an overactive bladder and urinary incontinence. Patients undergo 30-minute treatments once a week for 12 weeks.