Urge urinary incontinence can be treated by;
Pelvic Floor Exercises
Exercises can help you control your bladder when you get strong urges to pass urine.
Bladder retraining
A specialist pelvic floor physiotherapist can help with bladder retraining, which can reduce urgency and also relax an overactive pelvic floor.
Retraining involves learning to increase the time interval between passing urine, so the bladder does what you want. Training helps break the cycle of frequency going to the toilet (frequency) or feeling a strong urge to pass urine (urgency), which can lead to urge incontinence. Urine passed at further increasing intervals over a period of weeks and months.
Medications
Urge incontinence can be treated with medicines that reduce overactivity or spasm of the detrusor muscle of the bladder including Ditropan, Betmiga & Vesicare.
Vaginal Estrogen Treatment
Low estrogen levels can cause vaginal atrophy or genitourinary syndrome of menopause (GSM) which is associated with symptoms of urinary urgency, frequency, discomfort, irritation, feeling of recurrent UTIs and needing to get up at night excessively.
Vaginal estrogen replacement therapy for peri or post-menopausal women with urge incontinence and vaginal atrophy due to genitourinary syndrome of menopause (GSM) can be a very effective treatment.
Bladder Botox
Surgery is not usually effective for urge incontinence