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Step 1
Have a physical exam. Your doctor will want to check for any abnormalities. In women a pelvic exam will help rule out tumors pressing on the bladder. In men an exam will be performed to check for an enlarged prostate.
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Step 2
Undergo a series of tests. Bladder control problems may be treated in different ways depending on the cause. Having a series of tests will help your doctor determine the cause of the problem. Tests likely ordered include a urine test, and ultrasound. Your physician may want a cystoscopy which will allow the doctor to view the inside of the bladder.
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Step 3
Make lifestyle changes. Avoid drinking excess alcohol which increases the need to urinate and may irritate the bladder. Maintain a healthy weight. Excess weight puts strain on the bladder.
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Step 4
Take medications. Medications are available which help relax the muscles of the bladder and prevent spasms. Your physician can evaluate your symptoms and decide if you are a candidate for medication.
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Step 5
Discuss surgical options. Depending on the cause of your bladder control problems surgery may be indicated. Surgery may help strengthen weak pelvic floor muscles that are causing stress incontinence. The position of the neck of the bladder may be surgically changed to allow urine to be released from the bladder differently, which may elevate some forms of incontinence.
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Step 6
Contact the National Association for Incontinence and The American Urological Association. Both organizations can provide you with educational information and suggestions on dealing with a bladder control problem. They also have information on support groups in your area.
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Step 7
Consider non-invasive treatment options. Discuss behavior methods such as bladder retraining with your physician. Acupuncture and pelvic strengthening exercises such as Kegels may benefit some individuals.
