Tratamento da incontinência urinária | A Loja do Avô

Treatment of urinary incontinence | Avô's Shop

June 27, 2025

Urinary incontinence treatment

In most cases, incontinence is a curable and easily treatable condition, especially when detected at an early stage.

If you suspect you may suffer from urinary incontinence, consult a urologist.

Treatment depends on the type of incontinence:

For stress urinary incontinence, treatment may involve behavioral retraining, physiotherapy, Kegel exercises, or minor surgery.

Kegel exercises are slow and fast contractions of the pelvic floor to strengthen stretched muscle fibers. Kegel exercises can be done at home and do not require medical supervision.

How to perform Kegel exercises?

You can do these exercises standing, sitting or lying down.

The muscles to work are those we feel when we try to hold back urine.
Contractions:

Contract your pelvic floor muscles and hold for 5 seconds.
Breathe gently and relax for 5 seconds.
Repeat in sets of 10; it is recommended to perform the exercises at least 3 times a day.

The results of these treatments for urinary incontinence begin to be noticed after 3 months, and most women improve their urine control one year after starting the exercises.

Contract your glutes and lift them off the floor as you inhale. Stay in this position for 3 to 5 seconds. Slowly return to the starting position by lowering your back from top to bottom as you exhale. Repeat 3 times.

For urgency incontinence treatment, the doctor may use the following methods to control bladder overactivity:

Bladder training (bladder habits);

Lifestyle habit retraining, such as liquid intake schedules, control of alcoholic beverages, caffeine, control of fat, sugar, spicy food consumption, for example;

Various types of medication to relax the bladder muscle;

Intravesical injections of botulinum toxin, which also provide relaxation of the bladder muscle;

Neuromodulation - The treatment requires the implantation of an electrode that comes into contact with the nerves involved in controlling bladder and urethra function. These electrodes remain connected to an external impulse generator that provides a low-voltage electrical stimulus to the nerves, producing the desired effects. This mechanism resembles that of a cardiac pacemaker, which is implanted to correct cardiac arrhythmia and is based on a system very similar to an electrode connected to an electrical stimulus generator. There are different forms of neuromodulation for the treatment of bladder problems and urinary incontinence. Sacral neuromodulation is the most common, with the highest number of applications and the best results. It can be used to treat patients with urinary incontinence, overactive bladder, difficulty urinating, or chronic pelvic pain. As it involves a minimally invasive procedure, it is generally reserved for patients who have not shown improvement with conservative treatments such as medication and physiotherapy. A great advantage of sacral neuromodulation is that its effects can be tested before definitive implantation of the bladder pacemaker, which allows the doctor and their patient to decide if the treatment is effective within a few days.

In overflow or regurgitation urinary incontinence, treatment largely involves removing the obstacle that causes the bladder to become unable to perform the necessary mechanism to expel urine, and a growing volume of urine accumulates inside it.