Treatment to combat urge incontinence

Progressively, over the last six months, I’ve been experiencing the sudden powerful urge to urinate. I used to be able to hold on until the urge passed but I’m recently less able to prevent having an accident. I have taken to wearing an incontinence pad when out and about, which has proved to be a wise precaution. Now I ask the question: can anyone suggest a medication (natural or pharmaceutical) that will stop or weaken the bladder muscle contractions so my natural capacity of my bladder can give me back my old ability to contain more urine before I need to go?

Hi @Borg3of21,

Have you raised this with your GP? I’d recommend that you speak to your GP about this to explore medication options or refer you to a specialist. We have more information on this here -

I’m sure you’ll receive some useful advise from our members soon, however, in the meantime feel free to chat to one of our advisers about this in more detail via our helpline on 0808 800 0303.

Best wishes,

Hello,I’ve had the same problem,I take Oxybutinin Hydrochloride once daily,if 2 are taken they make you very very dry and you cannot quench your thirst,bye.

Hi Reah
I will take up my urge incontinence problem with my GP since I have an appointment with him shortly. The reason for raising the topic here was to possibly get some practical advice, rather than just accept the ‘drugs’ approach offered by my GP.

Hi @Borg3of21,

I completely understand. Hopefully you’ll get some more useful advise from our members. :slightly_smiling_face:

Best wishes,

Hi Wag
Thanks for telling me about Oxybutinin Hydrocloride. Unfortunitely I already live with a dry mouth, especially at night, so maybe that’s not ideal for me, but I’ll consider it further.

I take Solifenacin (vesicare) which works very well, especially for urge incontinence and for preventing me from having to go to the loo all the time. It doesn’t cause a dry mouth like oxybutinin. There is also a similar medicine called Darifenacin but i find the Solifenacin seems to work better for me.

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I’m starting a course of treatment at the hospital on Friday called PTNS.
Percutaneous Tibial Nerve Stimulation for urge incontinence. It involves needles similar to accupuncture ones put into ankle area and impulses go to the bladder. It’s a bit more technical than that, but the idea is to help the bladder to contract when needed. Think it’s a 12 week course. I’ll keep u updated on what happens…hopefully

That sounds very interesting. I’ve not heard of this treatment before. I have heard that electrical stimulation of the vagus nerve can sometimes be effective. I have tried, as a result of watching a YouTube video about resetting the vagus nerve, using a ‘Pain Gone’ pen but I can’t honestly say it helped. Good luck with your treatment, and let me know how you get on.

Is Solifenacin (vesicare) available without a perscription? I like the idea of it not causing a dry mouth. I’ll investigate it further. Thanks Rubyduby!

My own experience is that I don’t get the dry mouth I did with oxybutinin plus I found it became less effective over a period of time. I’m sure Solifenacin is POM I’m afraid.

Hi Borg3of21. I have the same problem, and feel the ‘urge’ whenever I sit for a period, and then stand up. On the suggestion of my urologist I tried pelvic floor exercises, easy to do but to no effect. I then tried solifenacin for 6 months, no side effects but no help. For the last 6 weeks I have been taking mirabegron a stronger newish drug. It seems to work a bit, but that may be wishful thinking! The Urologist said it can take 6-8 weeks to work. So far no side effects. If it helps I will update you later. Good luck, There is always the plastic bottle!

Hi Peter
Clugal exercises, I have been told, are generally innefective in combatting urge incontinence. Developing a strong sphincter muscle helps ride-out the urges of a too powerful bladder muscle contraction but it’s sometimes teeth-gritting stuff. Yes, plastic bottles may offer a solution, as might good quality blotting paper! Well, perhaps not!

I saw my GP about this and she prescribed DITROPAN, 1 tablet twice a day. They worked really well but I am female. There must be a male equivalent.

Just seen the answer from Wag. That is the chemical name for Ditropan. I do not get really thirsty but sometimes have a dry mouth.

Update on my PTNS treatment.
Week 7 of 12 week course. No improvement. It’s usually from week 6 some notice a difference but some can take up to the full 12 weeks. I believe it’s once a month top up after 12 weeks. I’m keeping my fingers and ‘everything else’ crossed that it works for me. I’ll let you know

Hi Sash, how’s the PTNS going? Have you noticed any effects so far?

Just another thing to piss me off ( excuse the pun, and the language).
It is getting to the point where I have to plan very carefully where I go because of my bladder. The urge to go can come on very quickly.
I worry about the fact that I may smell as there is sometimes a small leak.
Who do you ask " Do I smell of pee?".
Are there any natural remedies?

Just don’t eat asparagus!

I am madly doing lots of pelvic floor exercises to keep this particular demon at bay for as long as I can.


Hello again,I too get a dry mouth but a good drink of water before bed usually does the trick,when my GP first put me on them I had to take 10mg 3 times a day,which was too much for me,I felt like they were really dehydrating me and so thought I was dying,but then he dropped my doseage down to once a day and now i’m ok with it,but on the other hand side have a kidney condition called IGA nephropothy and the way they treat that is with blood pressure tablets,one in a morning and one at night,and they make you want to per,so I 'm thinking now they I take a tablet to stop what 2 tablets are making me do,silly really but I seem fine blood pressure kidney and water works ways now,so I’m sticking with that,I feel I was you i’d maybe try a ,5mg one to see if it helps you and if not go on a 10 mg oxybutinin,you never know it might help you get on with your life without Allways having to hover around where the toilets are whilst your out and about,good luck,bye.

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