Exersises called Kegel exercises, or pelvic muscle exercises, are used to strengthen the muscles that surround the openings of the urethra, vagina, and rectum (see box). Do these exercises three or more times a day. In time, you may be better able to hold urine.

Diet
The doctor may suggest that you drink fruit juices to help reduce the risk of bladder infection. You also may need to cut down on caffeine, which acts as a diuretic. It is found in coffee, tea, and soft drinks. A high-fiber diet may be prescribed to help with bowel control and to prevent constipation.

Medicines
Sometimes a medication that softens stools is prescribed along with a special diet to help control intestinal symptoms. A medication that puts bulk in the stool also may be given with a high-fiber diet. There are special medicines that help to control urination. These drugs suppress bladder contractions. Other drugs will help prevent leakage by increasing the pressure inside the urethra. If there is a urinary tract infection, antibiotics may be needed. Some of these drugs have some side effects.

Surgical Repair
Pelvic support problems may be corrected by surgery. The type of support problem you have will decide whether surgery is done through the vagina or abdomen. It is best to put off surgery for pelvic support problems until you have completed your family. This is because if you have uterine prolapse, your doctor may suggest that your uterus be removed as a part of the procedure. If the uterus is left in place, a later vaginal delivery may increase the chances that a cystocele or rectocele will recur. If you have severe pelvic support problems and wish to keep your uterus so that you might still have children, discuss this with your doctor.

If you decide to have surgery, you should be aware of the risks:

• The operation may fail to correct your symptoms, and more surgery may be needed later.
• Chronic pain, discomfort, or pain during sex may persist if they were present before the sur-gery.
• Surgery may not correct your urinary or bowel problems.