bladder retention

  I have been on the drug Detrol for three weeks and it is not helping.  My g.p. said that if this drug did not help I was probably suffering from bladder retention.  I urinate on avg. 14 times a day with medium flow.  I have strong urges to urinate every time I urinate.  I cannot hold urine for more that five minutes from the urge to urinate and if I try I wet myself on the way to the restroom.  My mother and grandmother have the same problem.  I do not want to have any kind of surgery.  What can I do?
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Dear Sheri,
Incontinence ( the involuntary loss of urine) is a very common and bothersome
problem that affects a large number of individuals of both sexes in a variety of age groups.The most common causes are stroke, diabetes, and medications. Bladder retention is caused by inadequate emptying of the bladder.
Detrol, is a medication that clams the bladder by decreasing the stimulation of the nerves that supply the bladder. It is given in 2mg tablets two to three times per day. Another  medication is ditropan. It however causes more side effects such as dry mouth and constipation. I would urge to try and increase the dose of either of these medications to three times per day. Also it is very important to decrease the fluid intake to less than 5 glasses of fluid per day. Avoid all caffeinated beverages. Try these measures. If this does not work consider seeking the advice of a urologist. This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).
HFHS MD-KR
*keyword : incontinence