What is the main cause of urge urinary incontinence?

Urge incontinence happens when people have a sudden need to urinate and cannot hold their urine long enough to get to the toilet. It may be a problem for people who have diabetes, Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, or stroke.

What is the first-line treatment for urge incontinence?

Conservative therapies (e.g., behavioral therapy and lifestyle modification) should be the first-line treatment for stress and urge urinary incontinence. Pharmacologic interventions (e.g., anticholinergics) should be used as an adjunct to behavioral therapies for refractory urge incontinence.

Which drug is used to treat mixed urge and stress incontinence?

Imipramine (Tofranil) is a tricyclic antidepressant. It makes the bladder muscle relax, while causing the smooth muscles at the bladder neck to contract. It may be used to treat mixed incontinence — a combination of urge and stress incontinence.

Which nursing action is most appropriate for a client who has urge incontinence?

Prompted voiding or scheduled toileting is most appropriate.

What are the best treatments for urge incontinence?

Anticholinergics. These medications can calm an overactive bladder and may be helpful for urge incontinence. Examples include oxybutynin (Ditropan XL), tolterodine (Detrol), darifenacin (Enablex), fesoterodine (Toviaz), solifenacin (Vesicare) and trospium chloride. Mirabegron (Myrbetriq).

How do you stop urge incontinence?

Prevention

  1. Maintain a healthy weight.
  2. Practice pelvic floor exercises.
  3. Avoid bladder irritants, such as caffeine, alcohol and acidic foods.
  4. Eat more fiber, which can prevent constipation, a cause of urinary incontinence.
  5. Don’t smoke, or seek help to quit if you’re a smoker.

What is the best medication for urge incontinence?

Can urge incontinence be cured?

Urge incontinence can be treated with a variety of behavioral treatments, medications, electrical stimulation, or with surgery. Sometimes a combination of treatments is used.