Urinary Incontinence

Urinary Incontinence is a medical condition, in which uncontrollable urine loss occurs. The overall episodes of Urinary Incontinence increase  Urinary Incontinencesignificantly with age.

Approx. one out of three older individuals have some problems with bladder control and women are two times as likely as men to be affected. Urinary Incontinence is classified on the symptom pattern, such as stress, urge, total, or overflow incontinence.

1. Stress Incontinence is an uncontrolled urine loss, when sneezing, coughing, lifting heavy objects, or straining is suddenly increasing abdomen’s pressure. Stress incontinence is most likely to occur in women and it may be resulted from urinary sphincter’s weakness. In men, stress urinary incontinence can follow prostatectomy (removal of the prostate).

2. Urge Incontinence is a urination urgent desire followed by uncontrolled urine loss. Women can have urge Incontinence with mixed incontinence (varying stress incontinence degrees) or by itself. Urinary tract infection is the most common sudden cause of this condition. However, urge Incontinence is most common type of incontinence in elderly without infections and cause is frequently unknown. Major causes of this condition in elderly include overactive bladder and neurological problems such as dementia and stroke.

3.  In Total Incontinence, the urine always drips from the person’s urethra during night and day. It happens when the urinary sphincters don’t close properly. Some children have such incontinence’s type caused by birth abnormality, where the urethra did not close off as a tubes. Total incontinence in women is usually caused by urethra and bladder’s neck injury during giving birth. In men, such type of urinary Incontinence is usually caused by injury from urethra and bladder’s neck surgery.

4. Overflow Incontinence is uncontrolled urine small amount leakage from a full bladder. The leakage happens when the person’s bladder becomes insensitive and enlarged because of chronic urine retention. In adults, bladder outlet blockage is commonly resulted from prostate cancer or benign prostate enlargement in men. Sometimes, the blockage may be resulted from urethra or bladder’s neck narrowing. In some cases, overflow incontinence can be caused by constipation. Many drugs, such as narcotics and anticholinergic drugs may cause this type of urinary Incontinence, based on problem history and physical evaluating. The test of urine done to check whether an infection is persists. The urodynamic evaluation specific tests during urination may determine incontinence mechanism and appropriate treatment. Another test consists of urine flow measurement rate, may show whether the muscles of the bladder may contract strongly enough to expel the urine and whether urine flow is obstructed.

Stress urine incontinence is confirmed by observing urine loss with straining or coughing, and in women, examining the vagina. The treatment of the urine incontinence depends on causes and needs taking some steps to change behavior. Many individuals may keep bladder under control by such techniques as urinating at regular intervals, every two to three hours, avoiding bladder irritants such as caffeine-consisting beverages and drinking plenty of fluid to prevent the urine from becoming concentrated. Drugs that affect function of the bladder, must be stopped. Special treatment such as outlined below, may be tried. In Urge Incontinence, drugs that relax the bladder such as Dicyclomine, Oxybutynin, Hyoscyamine, Imipramine, and Propantheline, can be beneficial. Stress incontinence may be relieved by drugs that help tighten the sphincter, such as pseudoephedrine or phenylpropanolamine combined with estrogen. Overflow Incontinence is usually treated by surgery. The drug such as Finasteride may reduce prostate size or stop its growth, so the surgery may be deferred or avoided. Total Urinary Incontinence can be treated with different surgical procedures. For instance, the urinary sphincter that does not close properly, can be replaced with artificial sphincter.

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2 Responses to “Urinary Incontinence”

  1. symptom diagnosis Says:

    Urinary incontinence is quite a common ailment, especially for women who have had kids – their muscles are often not as tight as they used to be, which can affect their ability to hold in their urine.

  2. Kristen Says:

    More information on incontinence, symptoms, therapies and treatments can be found at http://www.nafc.org. The National Association for Continence is the world’s largest and most prolific consumer advocacy organization dedicated to public education and awareness about bladder and bowel control problems, voiding dysfunction including retention, nocturia and bedwetting, and pelvic floor disorders such as prolapse.

    Check out our blogs! http://nafcpowderroomtalk.blogspot.com/ or http://bladderbreak.wordpress.com/

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