Table of Contents
What Urinary Incontinence
Urinary Incontinence – The sudden, intense need to urinate and the rush to get to a bathroom is called an “urgency.” If you have urge incontinence and don’t get to the toilet in time, you may leak urine.
Urge incontinence most often an overactive bladder although sometimes cause never discovered. Urge incontinence is the most common type of incontinence in older people.
Types of Urinary Incontinence
Other types of urinary incontinence include the following.
- Stress incontinence – when you suddenly leak urine because of increased pressure in your bladder. It could be from sneezing, coughing, or lifting a heavy object.
- Stress incontinence (also known as chronic urinary retention) occurs when the bladder does not empty properly and urine spills. It can be caused by weakening the bladder muscles or a blockage in the urethra (the tube carries urine bladder to the body). Stress incontinence is rare in women.
Symptoms Of Urge Incontinence
Urge incontinence is a sudden, intense urge to urinate, followed by an involuntary loss of urine. The bladder muscle contracts, and you may notice that the warning that you need to urinate is only a few seconds. As a result, you may not make it to the bathroom on time, and as a result, you may leak urine unintentionally.
Some people feel a similar sense of urgency when they hear running water. You may also need to urinate more regularly than other people, including night. If you have any of these symptoms, see a doctor.
Causes Of Urge Incontinence
Urge incontinence can be temporary or permanent. It can help by your lifestyle, underlying disease, or physical problems. However, there is usually no apparent cause.
The causes of temporary urge incontinence are listed below:
- A urinary tract infection, such as cystitis. The urinary tract up of your kidneys, two ureters (tubes that connect each kidney to the bladder), your bladder, and your urethra.
- Alcohol and caffeine. These are diuretics (which cause water to from the body by increasing the amount of urine your kidneys make) and bladder stimulants, which means they can cause you to need to urinate suddenly.
- Overhydration: Drinking a lot of fluids increases the amount of urine produced.
- Constipation.
Persistent urge incontinence changes in a part brain that controls urination. These changes alter the nervous system’s ability to control the bladder.
The causes of persistent urge incontinence are:
- Diseases that affect your nerves, such as multiple sclerosis and Parkinson’s disease
- Menopause, as a lack of estrogen, contributes to the weakening of vaginal tissue, which causes irritation and can worsen urinary urgency
- An illness or injury that interferes with mobility, making it difficult to get to the bathroom quickly
- Brain disorders, such as stroke and dementia
- Bladder cancer or bladder stones
- Irritable bowel syndrome
Diagnosis Of Urge Incontinence
The doctor will primary ask about your symptoms and medical history. Then, he will test a sample of your urine to make sure a urinary tract infection does not cause your incontinence. Your doctor may also do a blood test to check that your kidneys are working correctly.
Your doctor may ask you to keep a bladder diary for at least three days. It means recording how much you drink when you urinate, the amount of urine produced, whether you had an urge to urinate, and the number of times you had an involuntary leak.
You referred to a urologist (a doctor who specializes in identifying and treating conditions of the urinary tract) or, if you are a woman, a gynaecologist (a doctor who specializes in women’s reproductive health problems) or an (a doctor who specializes in urinary and associated pelvic problems in women).
Your doctor may examine you. For example, a rectal (anal) exam will check for constipation or nerve damage to the bladder. In men, the rectal exam will determine the prostate. If you’re a woman, your doctor will check to see if your pelvic floor is weakened and look for prolapse (organs near your vagina, such as your uterus, bowel, or bladder, descend from their normal position).
These tests can also allow your doctor to determine if you have a problem with mental function or an underlying disease, such as multiple sclerosis, that may be causing incontinence.
You may need to have a urodynamic test. This test measures bladder pressure and urine flow. A thin, flexible tube, called a catheter, is inserted into your bladder through your urethra—water through the catheter and your bladder pressure.
Please note that the availability and use of these specific tests may vary from country to country.
Treatment Of Urge Incontinence
There are several ways to help yourself if you have been diagnosed with urge incontinence. These include:
If you are overweight or obese, lose the excess weight. Exercise and a healthy food can help you lose extra weight. The World Health Organization recommends getting 150 minutes (two and a half hours) of moderate exercise a week. You can do it for 30 minutes at least five times a week.
Try not to consume as much caffeine or drink decaffeinated coffee or tea.
Eat plenty of fruits, vegetables, and other foods that contain fibre. Will it help prevent constipation? You may need to beverage more or less fluid. Your doctor will be bright to advise you on this matter.
Urinate often so your bladder doesn’t get full.
Use absorbent pads to soak up leaks; you can buy them at pharmacies and supermarkets.
Your doctor may recommend bladder training, either alone or with other therapies. Bladder training involves relearning how to urinate and ignoring or suppressing the urge to urinate by gradually increasing the time between urination. So, although used in stress and mixed incontinence cases, Is women with urge incontinence.
Physical Therapies For Urinary Incontinence
Your doctor will usually ask you to do pelvic floor muscle exercises (Kegel exercises). These exercises, if done correctly, can strengthen your bladder muscles and help you control your urine.
To do pelvic floor exercises, contract the muscles you would use to hold your urine and hold them for a count of three. Your doctor will recommend that you do these exercises frequently for several minutes. These exercises are helpful but are most often for stress incontinence.
If you have trouble doing pelvic floor muscle exercises, your doctor or nurse recommends biofeedback. Biofeedback therapy uses a computer and electronic instruments to tell you when you are using the correct pelvic floor muscles.
If you are a female, your doctor may recommend vaginal cones. They are weights worn in the vagina, which help strengthen the pelvic floor.
Medications For Urinary Incontinence
Your doctor may prescribe medication if pelvic floor muscle and bladder exercises are not practical. Anticholinergics are the most commonly prescribed medications for urge incontinence. These relax the bladder muscles and help reduce the number of times you need to urinate.
Anticholinergics come in tablets, liquid, or patches. The most commonly prescribed drugs in this category are oxybutynin and tolterodine. Newer drugs in this category are solifenacin, darifenacin, fesoterodine, and trapezium. Your doctor might consider these drugs if oxybutynin and tolterodine are not effective. Always consult your doctor, and read the patient information leaflet that comes with the medicine.
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Non-surgical Treatments
Botulinum toxin type A (for example, Botox) may be injected into the bladder to help relax overactive muscles. For example, a flexible tube-like instrument called a cystoscope passed through the urethra into the bladder, and botulinum toxin type A injected with a fine needle.
This procedure can done under overall anaesthesia (which means you will be asleep during the process) or local anaesthesia (which completely blocks pain from the area, and you will be awake during the procedure).
The effects last nine to twelve months.
Neuromodulation (also known as sacral nerve stimulation) may offer if physical treatments or medications don’t work for you.
It involves stimulating the nerves to the bladder and helps correct any incorrect or unwanted messages sent through these nerves. A small device surgically implanted under the skin and fat of the lower back to stimulate the sacral nerve with mild electrical impulses.
You may need percutaneous tibial nerve stimulation. The tension responsible for bladder control is a small, fine needle near the tibial nerve into the ankle. Electrical impulses are transmitted along nerves to a stimulator device to help retrain bladder function.
Surgery For Urinary Incontinence
If other treatments haven’t worked, you may want to consider surgery. However, with any procedure, there are some risks associated with surgery for bladder problems. Talk to your doctor or surgeon about your options and the risks associated with each.
Surgery options include the following:
Because of this Bladder enlargement. It is a complex operation that increases the size of the bladder. First, your surgeon will open your bladder and stitch a patch of tissue removed from the intestine between the two halves. You will need to stay in the hospital after the operation for about ten days, but full recovery may take up to four months.
Detrusor. It is a complex operation that entirely or partially removes the external muscular wall surrounding the bladder—this procedure reduces the number of bladder contractions and their intensity. About half of people who have this operation and about two-thirds experience improved symptoms.
The availability and use of different treatments may vary from country to country. Talk to your doctor about your treatment choices.
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