Duloxetine: used off-label for the treatment of incontinence
Radio-frequency collagen remodeling (Renessa)
Periurethral injection of bulking agents
Surgery: most commonly a mid-urethral sling
Urge incontinence:
Pelvic muscle rehabilitation with physical therapist
Bladder training or timed voiding
Bladder diet
Prescription medication
Electrical stimulation
Botox injection
Neuromodulation (Urgent PC or Interstim)
Mixed incontinence:
a combination of therapies used to treat stress and urge incontinence.
Pelvic organ prolapse:
Pessary
Pelvic reconstructive surgery
Type of surgery will depend on the condition, goals of surgery, age of patient, general medical condition.
Desire for sterilization:
Long term birth control: intrauterine device (IUD)
Traditional laparoscopic tubal ligation
Hysteroscopic tubal occlusion (Essure)
Menorrhagia (excessive menstrual bleeding):
Hormonal contraceptives
Hormone-releasing intrauterine device
Endometrial ablation
Hysterectomy (removal of the uterus)
