Non-surgical Treatment Options



Uterine Prolapse

Pelvic muscle exercises (PME)
Also known as Kegel's exercises, they strengthen the support of the pelvic organs and are most commonly used to treat stress urinary incontinence. PME techniques are also useful in prolapse prevention. Once the symptoms of prolapse are severe, however, these exercises are of little benefit.

Pessary
A device worn in the vagina like a diaphragm. Pessaries are used to support the vagina, bladder, rectum and uterus as necessary. They come in a variety of shapes and sizes, so a doctor or nurse must fit them

Urinary Incontinence

Pelvic Muscle Exercises (PME)
Also known as Kegel exercises, PME techniques are an effective treatment option for stress incontinence. Most women require guidance from a medical professional to learn how to contract the pelvic floor muscles correctly.

Biofeedback
This term refers to a variety of techniques that teach patients bladder and pelvic muscle control by giving positive feedback when the patient performs the desired action. This feedback can be from an electronic device or directly from health professional.

Bladder Training
This treatment for urge incontinence involves teaching a patient to urinate according to a timetable rather than an urge to do so. Gradually, the scheduled time between trips to the bathroom is increased as the patient's bladder control improves.

The Bladder Diet
This is a list of dietary irritants to the bladder. Avoiding the items on this list can greatly improve such bladder symptoms as frequency and urgency.

Medications
There are a number of drugs that are used in the treatment of urge incontinence.Four commonly prescribed drugs are Detrol, Ditropan XL, Oxytrol patch, and Sanctura

Occlusive devices
Several types of pessaries are available that are designed specifically for the treatment of stress incontinence. These are especially useful for women who leak urine during specific activities such as exercise. There is also a new device that fits in the urethra and acts like a plug. This device is called FemSoftTM.

Pelvic Floor Electrical Stimulation (PFES)
Vaginal or anal probes that deliver electrical current to the pelvic floor may be useful in the treatment of urge and mixed