What have you tried, personally or for your LO, to remedy mixed bladder incontinence for an elderly woman with dementia?

Your next step is diapers, bed pads and frequently supervising her to go to the BR. If this is impossible, then MC is next. Your profile describes moderate to advanced dementia. So why is she still driving?

Incontinence comes along with dementia. In fact, my mother became incontinent before we even knew she had dementia!! We were on the elevator at her ALF one evening, she & I, and she 'couldn't hold it in' and peed full on, all over the carpet on the floor of the elevator! She was mortified. From that evening on, she wore Depends pull up's 24/7. And she was diagnosed with progressive dementia shortly thereafter; that was 2016; she died in 2022, with her incontinence worsening the entire time. No meds helped her, she had no surgical procedures, and did no exercises; the dementia prevented that from happening.

When she went into Memory Care, the CGs toileted her every 2 hours, and woke her around 4 am for a Depend's change and/or a trip to the toilet.

It is what it is, part and parcel of the dementia and that whole situation.

And yet another excellent reason to get mom placed in AL where others take on that duty too. Getting her toileted and changed out of soiled Depends.

You can ask her doctor about meds but I would think thats the first thing that would have been tried. I would even wonder how they thought she would be able to do pelvic exercises with Dementia. My Mom forgot what it meant to "push". Really, she is incontinent. It comes with Dementia. They either forget how to "hold" it or the brain can no longer send messages to the muscles to "hold" it.

What I suggest is if she drinks coffee, tea or sodas, cut them out. They irritate the bladder and make you go. Cut out liquids an hour or two before bed.

The only operation I know of is the sling. The bladder tends to "drop" as we age. This causes the bladder not to void completely. Which causes UTIs. So they use a "sling" to bring the bladder back up. Not sure if it helps with that "urge". I think the meds are more for the urge. If she no longer has control of her muscles, she is going to pee constantly. Maybe trying to take her to the bathroom every two hours will help.