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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Urinary Incontinence

My Dr. gave me oxybutynin er 5mg tab to take once a day for bladder control. I have been on it a week and it has not worked at all? I have no control over my bladder, and this medicine is not working at all! I am 66 years old and I need a life. I have to wear diapers day and night. Can I up the dosage and take twice a day? I would appreciate any help. Thank you very much. Bonnie Hamilton
posted on Tue, 20 May 2014
Twitter Thu, 17 Dec 2015 Answered on
Twitter Fri, 18 Dec 2015 Last reviewed on
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Urologist,  's  Response
hello
Thanks for query .
You have not mentioned your gender in your query .

Assuming that you are female The urgency for urination that you have is due to UTI secondary to post menopausal (Senile ) Urethral stenosis that is common in females at this age .

consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Endoscopic evaluation and calibration of urethra
4) Urodynaemic study of bladder .

In the mean while start taking Darifenacin once daily along with antibiotics like Cefixime and Nitrofurantoin twice daily .

Further treatment will depend upon result of these tests and final diagnosis.

Dr.Patil.

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Suggest Treatment For Urinary Incontinence

hello Thanks for query . You have not mentioned your gender in your query . Assuming that you are female The urgency for urination that you have is due to UTI secondary to post menopausal (Senile ) Urethral stenosis that is common in females at this age . consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Endoscopic evaluation and calibration of urethra 4) Urodynaemic study of bladder . In the mean while start taking Darifenacin once daily along with antibiotics like Cefixime and Nitrofurantoin twice daily . Further treatment will depend upon result of these tests and final diagnosis. Dr.Patil.