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Outside the United States, PTNS is also used to treat fecal incontinence. PTNS can be used as a primary therapy. Treatment for overactive bladder and fecal incontinence may begin with pharmacological therapies before PTNS is administered. Unlike the variety of OAB drugs available PTNS is more effective and produces far fewer side-effects. [1]
Additionally, despite the novel treatment options (slings, urethral bulking injections, stem-cell therapy), AUS is considered to be the gold standard surgical management both for stress incontinence in men and for urinary incontinence developed as a complication of surgery, such as prostatectomy, cystectomy and TURP. [8] [4] [3]
The relative effectiveness of surgical options for treating fecal incontinence is not known. [2] A combination of different surgical and non-surgical therapies may be optimal. [2] A surgical treatment algorithm has been proposed for FI, [3] although this did not appear to include some surgical options. Isolated sphincter defects may be ...
The Malone antegrade continence enema (MACE), used to treat fecal incontinence, is like the Mitrofanoff procedure as it uses the Mitrofanoff principle and, thus, can be considered an analogous procedure. [8] As fecal and urinary incontinence frequently co-exist, a MACE is often created at the same time as a continent catheterizable urinary ...
In more extreme cases, taking medications, getting Botox injections, and even having surgery may help, per the NIDDK. Pelvic floor physical therapy can also help to strengthen the muscles involved ...
Treatment depends on the type of neurogenic bladder and other medical problems. Treatment strategies include catheterization, medications, surgeries or other procedures. The goals of treatment focus on preserving the structure and function of the upper urinary tract, and on improving the quality of life for patients with neurogenic bladder. [2]
Vibegron, sold under the brand name Gemtesa, is a medication for the treatment of overactive bladder. [1] [5] [6] Vibegron is a selective beta-3 adrenergic receptor agonist. [1] The most common side effects include headache, urinary tract infection, common cold, diarrhea, nausea, and upper respiratory tract infection. [5]
Benefits appear similar to other medications in the class. [4] It is taken by mouth. [1] Common side effects include dry mouth, constipation, and urinary tract infection. [1] [2] Severe side effects may include urinary retention, QT prolongation, hallucinations, glaucoma, and anaphylaxis. [1] [3] [2] It is unclear if use is safe during ...
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