Urge Urinary Incontinence / Overactive Bladder

EmSella® is a revolutionary FDA approved, non-invasive and painless treatment for all types of urinary incontinence, pelvic floor prolapse, and vaginal relaxation. It strengthens the pelvic floor muscles by focusing electromagnetic waves causing the muscles to contract and relax, exercising them in a similar way to Kegel exercises.

Pelvic floor PT can be used to strengthen pelvic floor muscles such that symptoms of prolapse are less bothersome. PT can also help address the urinary and fecal symptoms associated with prolapse. The pelvic muscles are evaluated for strength, coordination, and tone. 

There are several medications approved to treat the symptoms of overactive bladder (OAB). All the medicines essentially work in the same way by decreasing the nerve impulses to the bladder that cause it to contract and leak, thereby helping to control strong sudden urges, frequency and urge incontinence. Common side effects of all the OAB medicines include dry mouth, constipation and blurred vision.

Oral Medications

• Detrol LA (tolteradine ER)
• Ditropan XL (oxybutinin ER)
• Enablex (darifenicin)
• Sanctura XR (tropsium chloride)
• Toviaz (fesoteradine fumarate)
• Vesicare (solifenacin succinate)
• Myrbetriq (mirabegron)
• Gemtesa (vibegron)

It’s important to realize that medications for OAB often do not resolve symptoms on their own and are meant to be used in conjunction with behavioral modifications (bladder retraining and avoidance of dietary irritants) to achieve bladder control. Patients who are compliant with taking their medication, stay committed to their bladder retraining and adhere to their diet restrictions enjoy an excellent response with resolution of their symptoms.

Botox® injections are not just for wrinkles on your face. They also can be used to help if you have ongoing bladder continence issues. Botox® is one option to treat urge incontinence or overactive bladder in people who have not had success with other treatment options.

eCoin® is the first implantable tibial nerve stimulator approved by the FDA. The eCoin® device contains a primary battery and once programmed, automatically delivers intermittent stimulation to the tibial nerve to reduce UUI symptoms. The device does not require ongoing patient management of a power source or a stepped programmer.

Axonics® Therapy is a Sacral Neuromodulation treatment that uses an implanted device to deliver electrical stimulation to the sacral nerves, helping to regulate bladder and bowel function and manage symptoms such as urinary incontinence.

Interstim® is a form of Sacral Neuromodulation, which is a treatment technique that involves implanting a device to deliver electrical stimulation to the sacral nerves, helping to regulate bladder and bowel function and manage symptoms such as urinary and fecal incontinence.