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Percutaneous tibial nerve stimulation (PTNS), also referred to as posterior tibial nerve stimulation, is the least invasive form of neuromodulation used to treat overactive bladder (OAB) and the associated symptoms of urinary urgency, urinary frequency and urge incontinence.
[47] [48] Exercising the muscles of the pelvis such as with Kegel exercises are a first line treatment for women with stress incontinence. [44] Efforts to increase the time between urination, known as bladder training, is recommended in those with urge incontinence. [44] Both these may be used in those with mixed incontinence. [44]
Overactive bladder is characterized by a group of four symptoms: urgency, urinary frequency, nocturia, and urge incontinence. Urge incontinence is not present in the "dry" classification. [12] Urgency is considered the hallmark symptom of OAB, but there are no clear criteria for what constitutes urgency and studies often use other criteria. [1]
For men, the most cost-effective design is an incontinence pad in a diaper format. [13] For women, incontinence pads that are in the form of disposable pull-ups are generally preferred, however there is a higher cost associated with this type of solution. [13] For women who are in nursing homes, diapers are preferred at night. [13]
A urethral bulking injection is one type of treatment for incontinence in women. Urethral bulking injections are considered by a clinician when the woman has urinary sphincter dysfunction, urethral hypermobility, persistent stress urinary incontinence after a urethral sling or urethropexy, or stress urinary incontinence in women who cannot undergo surgery due to other illnesses or conditions.
Kegel exercises may have benefits in treating urinary incontinence in both men and women. [10] Kegel exercises may also increase sexual gratification, allowing women to complete pompoir and aiding men in reducing premature ejaculation. [5] The many actions performed by Kegel muscles include holding in urine and avoiding defecation.
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