Online Urinary Incontinence Treatment
Get urinary incontinence treatment online without a clinic visit. If you leak when you cough, laugh, or exercise, or you are rushing to the bathroom and not always making it in time, a licensed online doctor can talk through your symptoms in private, work out the type of leakage you have, and send a prescription to the pharmacy you choose when it is medically appropriate.
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Hi Dr. Nicole, I have urinary incontinence. Can you give me a refill of my medicines?
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- Oxybutynin ER 5 mg
- Take one tablet once a day
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What are the treatment options for urinary incontinence?
Treatment for urinary incontinence depends on the type of leakage you have. Most people start with simple changes and exercises, and other treatments are added if those do not improve your symptoms.
- Pelvic floor exercises: Kegel exercises make the pelvic floor muscles stronger and can help stop leaks when you cough, sneeze, or lift.
- Bladder training: Going to the bathroom on a set schedule and slowly increasing the time between trips helps you relearn how to hold urine.
- Lifestyle changes: Cutting back on caffeine and alcohol, losing extra weight, quitting smoking, and keeping your bowel movements regular can reduce leaks.
- Prescription treatment: Medicines that calm the bladder muscles may help with urge incontinence and overactive bladder.
- Vaginal estrogen: After menopause, a vaginal estrogen cream or ring can help strengthen the tissues around the urethra.
- Devices and procedures: A vaginal pessary, bulking injections, or a urethral sling may be options when other treatments have not helped.
Our doctors can help you start the right exercises and prescribe medicine online. Pessaries, injections, and surgery are done in person, so a doctor can also tell you when seeing a specialist makes sense.
What medications can we prescribe online for incontinence?
Medicines are mainly used for urge incontinence and overactive bladder. These are some of the medicines our doctors can send an online prescription for:
- Anticholinergic medicines: oxybutynin, tolterodine, solifenacin, darifenacin, trospium, and fesoterodine help relax the muscles of the bladder, which can reduce sudden urges and leaks.
- Beta-3 agonists: mirabegron and vibegron relax the bladder in a different way. Vibegron is also approved for men who already take medicine for an enlarged prostate.
A doctor will check your health history before choosing one. Some overactive bladder medicines have been linked to memory problems in adults over 65, mirabegron can raise blood pressure, and both types can make it harder to empty your bladder if you already have trouble passing urine.
There are no FDA-approved medicines for stress incontinence, which is why pelvic floor exercises come first for leaks when you cough, sneeze, or lift.
What are the different types of urinary incontinence?
Urinary incontinence means you are not able to keep urine from leaking out. The type matters because each one is treated differently:
- Stress incontinence: Urine leaks when pressure is placed on your bladder, such as when you cough, sneeze, laugh, exercise, or lift something heavy.
- Urge incontinence: A sudden, urgent need to urinate that comes on before you can reach the bathroom. It is often part of overactive bladder.
- Mixed incontinence: Having both stress and urge incontinence.
- Overflow incontinence: Small amounts of urine leak from a bladder that is always full, often because an enlarged prostate is blocking the flow.
- Functional incontinence: Your bladder works normally, but arthritis or other problems make it hard to get to the toilet in time.
What causes urinary incontinence?
Urinary incontinence is not a disease by itself. It is a sign that something is affecting your bladder or the muscles that support it. Common causes include:
- Weak pelvic floor muscles: Often after pregnancy, childbirth, or pelvic surgery.
- Menopause: Low estrogen levels after menopause may weaken the urethra.
- Overactive bladder: The bladder muscles squeeze at the wrong times.
- Prostate problems: An enlarged prostate or prostate surgery can cause leaks in men.
- Nerve conditions: Diabetes, stroke, multiple sclerosis, or a spinal cord injury can affect bladder control.
- Short-term triggers: A urinary tract infection, severe constipation, or medicines such as water pills.
- Extra weight: Being overweight puts more pressure on your bladder.
Call 911 or go to an emergency room if you suddenly lose control of your bladder and also have weakness or numbness in an arm or leg, trouble walking or speaking, confusion, or loss of bowel control.
Do pelvic floor exercises and bladder training work?
Yes. Pelvic floor exercises and bladder training are recommended as the first treatment for most types of incontinence, including stress, urge, and mixed incontinence.
- Pelvic floor exercises: Squeeze the muscles you would use to stop the flow of urine, hold for a few seconds, then relax. Do not practice them while you are urinating.
- Bladder training: Keep a bladder diary, then slowly add about 15 minutes between bathroom visits.
- Give it time: It may take 4 to 6 weeks to notice an improvement, and leaks can come back if you stop the exercises.
- Check first: Some women have urinary symptoms because the pelvic floor muscles are always tight, and Kegels can make this worse. A doctor can tell you which exercises suit your symptoms.
- Get help with technique: Many women do not do these exercises correctly, and a pelvic floor physical therapist can show you how.
A doctor can help you start the right plan for your type of leakage and add medicine if exercises alone are not enough.
FAQs About Urinary Incontinence
How to get rid of urinary incontinence in females?
You can reduce the urge to urinate and improve urinary incontinence by avoiding energy drinks, acidic foods, artificial sweeteners, alcohol, and caffeine. Avoid these foods and beverages, especially at night. Also, practice pelvic floor exercises to train your bladder and strengthen your pelvic muscles.
What is the treatment for urinary incontinence in elderly females?
Treatment for older women usually starts with pelvic floor exercises, bladder training, and going to the bathroom on a set schedule. After menopause, a vaginal estrogen cream or ring may also help. If medicine is needed, a doctor will take your age into account, because some bladder medicines have been linked to memory problems in older adults. If a urinary tract infection is causing the leaks, you can get antibiotics online.
Could you outline the treatment options for stress urinary incontinence?
Stress incontinence means leaking when there is physical pressure on your bladder, such as a cough, a sneeze, or lifting. It is treated with pelvic floor exercises, bladder training, and behavior changes like losing extra weight and treating constipation. There is no FDA-approved medicine for it. If leaks continue, a specialist may offer a vaginal pessary, bulking injections, or surgery such as a urethral sling.
How can one address bladder leakage and frequent urination through treatment?
Bladder leakage with frequent urination is often a sign of overactive bladder, but a urinary tract infection, caffeine, diabetes, or an enlarged prostate can cause the same symptoms. A doctor will ask about your symptoms first, because the treatment depends on the cause. Overactive bladder usually starts with bladder training and cutting back on caffeine and alcohol, and medicine can be added if needed.
Is it common for individuals to experience leaking urine without awareness?
Yes, it can happen, and it is worth getting checked. Leaking without feeling it can be a sign of overflow incontinence, where the bladder does not empty fully, or of a nerve problem that affects how you sense a full bladder. Talk to a doctor if it is new or keeps happening. Get emergency care if it starts suddenly along with weakness or numbness in your legs or loss of bowel control.
What are the various treatments for overactive bladder, and how do they differ?
Overactive bladder treatment usually starts with bladder training, pelvic floor exercises, and cutting back on caffeine, alcohol, and fizzy drinks. If those are not enough, a doctor may prescribe an anticholinergic medicine or a beta-3 agonist. Both relax the bladder muscle, but they work in different ways. Anticholinergic medicines can cause dry mouth and constipation, while mirabegron can raise blood pressure. If medicine does not help, a specialist may offer Botox injections or nerve stimulation.
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