Kegel Exercises

• Perform kegel exercises to strengthen the muscles that control urine flow.
  Kegel exercises are meant to strengthen the muscles that help hold urine. Incontinence happens when the bladder muscles contract to force urine out or sphincter muscles are not strong enough to hold back urinary flow.
  Strengthening these muscles can be done by completing some simple exercises that can be done anywhere once you know which muscles to contract and release. According to the NKUDIC, women should imagine sitting on a marble and trying to pick up the marble with their vagina. Do not use stomach, leg or buttocks muscles while doing the exercise and do not practice while urinating.
  
  

Bulking Agents

• Ask your doctor if you are a good candidate for bulking agent injections.
  Injections of collagen and carbon spheres into the tissue around the bladder and urethra are used to thicken the tissue and close the bladder's opening to treat stress incontinence. This type of incontinence often happens when a woman sneezes, coughs or laughs, which puts too much pressure on the bladder to hold the urine. This is one of the most common types of incontinence in women.
  The body tends to flush out these bulking agents over time, so injections must be repeated to have a continued desirable effect. Allergies are sometimes a problem in some patients and testing for reactions may have to take place before this therapy is administered.
  
  

Medication

• Anticholinergics are a group of medications that prevent bladder muscle spasms that cause certain types of incontinence. If a doctor determines that these prescription drugs could remedy the cause of your incontinence, you may begin taking them with a low expectation of side effects. Most commonly patients experience dry mouth, but it is possible that the drugs may cause blurred vision, constipation, flushing or increased heart rate in some people.
  
  

Pessary

• A pessary is a device inserted into the vagina that is a treatment option for stress urinary incontinence and several other gynecological conditions, according to the American Academy of Family Physicians.
  Pessaries for urinary incontinence are best suited for pregnant women, older women that are too high risk for surgery and women who have had surgery to correct the problem without success. The device works by increasing the outflow resistance by elevating the bladder neck and compressing the urethra.