Special Devices
Sometimes devices can be used to strengthen the pelvic muscles. Weighted cones are devices like a tampon that a woman places in her vagina twice a day. When she contracts her pelvic muscles to keep the cone in place, the muscles are strengthened. Another device used is called a pessary. It supports the pelvic organs. It also helps prevent leak-age by pressing against the urethra. The pelvic muscles also can be made to contract by using electrical stimulation. This may help women who were not helped by other treatments.

Surgical Treatment
Surgery has different risks than drug or behavioral therapy. If you are thinking about surgery, you should know the chances of success as well as the complications that could occur. Factors that put extra pressure on the pelvic muscles add to the problem of urinary incontinence.

Make the following changes in your lifestyle, before and after your surgery, if they apply to you. It can increase your chances for solving the problem:

• Stop smoking
• Get treatment for lung diseases
• Lose weight
• Avoid constipation
• Avoid heavy lifting