How to Treat Genital Prolapse And Urinary Incontinence?

Things to note:

• Detrusor overactivity: bladder training, fluid restriction and physiotherapy.
• Stress incontinence: pelvic floor exercises.
• Surgical procedures as dictated by the diagnosis at specialist care.

Medical Treatment:

• Treat urinary tract infections and underlying conditions, as appropriate.

For detrusor overactivity as demonstrated on urodynamic studies:

• Oxybutynin, oral, 2.5 mg 12 hourly, increasing to 5 mg 6 hourly. Specialist initiated.

Note:

• Dry mouth is a common side effect of treatment.

When to refer:

• All patients with prolapse.
• Patients not responding to therapy.
• Incontinence:
• Stress incontinence as surgical repair will be likely.
• Total incontinence as a fistula has to be excluded.
• Urge incontinence resistant to 3 months Medicine.
• Mixed incontinence (both stress and urge incontinence present) as surgery will play a role.