There is no such thing as the best way to treat postoperative urinary incontinence. Urinary incontinence can be categorized into three types: urge incontinence, filling incontinence, and stress incontinence, and appropriate treatment should be implemented according to the cause of the disease as well as the condition. For example, filling incontinence caused by urethral stenosis can be dealt with by catheterization, oral medication, and urethral dilatation can be taken if necessary.
1. Urge incontinence: postoperative incontinence may be due to bladder infection, in this case need to be actively anti-infective treatment, commonly used drugs are levofloxacin, amoxicillin and so on. If urinary incontinence occurs after surgery because of overactive bladder, drugs such as tolterodine and solinacin can be used to relax the bladder muscle.
2. Filling incontinence: If filling incontinence occurs after surgery because of urethral stricture, intermittent catheterization as well as oral tamsulosin, doxazosin and other medications can be used, and urethral dilatation can be carried out if necessary.
3. Stress incontinence: Clinical modalities used to treat stress incontinence are more varied, such as pelvic floor muscle exercises, the use of adrenergic agonists (e.g., ephedrine), and surgical treatments (e.g., suspension, artificial sphincter implantation).
In addition, postoperative incontinence may be transient or temporary and usually does not require specific treatment. If postoperative incontinence occurs, professional medical help should be sought.