Urinary incontinence is the accidental release of urine. It can happen when you cough, laugh, sneeze, or jog. Or you may have a sudden need to go to the bathroom but can't get there in time. Bladder control problems are very common, especially among older adults. They usually don't cause major health problems, but they can be embarrassing.
WHAT IS STRESS INCONTINENCE?
Stress incontinence (SI) is the most common type of incontinence suffered by women, especially older women. In addition, women who have given birth are more.
What Activities Stress Incontinence?
With stress incontinence, movements and activities such as coughing, sneezing, and lifting put greater abdominal pressure on the bladder. That causes the leakage of urine.
What are the causes?
It can result from weak muscles in the pelvic floor or a weak sphincter muscle at the neck of the bladder. A problem with the way the sphincter muscle opens and closes can also result in stress incontinence. Chronic coughing, smoking, and obesity may also lead to SI.
Pregnancy and multiple childbirth
Problems with muscles in the bladder -- the organ that holds urine -- and the urethra
Weakened muscles around the bladder
How is it caused?
In cases of stress incontinence, the muscles in the pelvis can weaken. This can cause the bladder to drop down into a position that prevents the urethra from closing completely. The result is a leakage of urine.
What Are the Symptoms of Stress Incontinence?
The main symptom of stress incontinence is a leakage of urine at times of physical movement or activity. Examples of the kinds of activities associated with urine leaking include laughing, coughing, lifting, or exercise. The leakage may be as little as a drop or two, or may be a "squirt," or even a stream of urine.
What is kegels exercise?
Kegel exercises, also called pelvic floor exercises, help strengthen the muscles that support the bladder, uterus, and bowels. By strengthening these muscles, you can reduce or prevent leakage problems.
How is it done?
Tighten your pelvic floor muscles, hold the contraction for five seconds, and then relax for five seconds. Try it four or five times in a row. Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.
Do it 3-4 times a day.
WHAT IS urge incontinence?
It happens when you have a strong need to urinate but can't reach the toilet in time. This can happen even when your bladder is holding only a small amount of urine. Some women may have no warning before they accidentally leak urine.
It is important to determine the type of urinary incontinence that you have. That information will guide treatment decisions.
How does doctor diagnose the problem?
By your history
Measurement of postvoid urine
WHAT ARE THE BLADDER TRAINING EXERCISES?
Bladder training, to delay urination after you get the urge to go. You may start by trying to hold off for 10 minutes every time you feel an urge to urinate. The goal is to lengthen the time between trips to the toilet until you're urinating only every two to four hours. Double voiding, to help you learn to empty your bladder more completely to avoid overflow incontinence. Double voiding means urinating, then waiting a few minutes and trying again. Scheduled toilet trips, to urinate every two to four hours rather than waiting for the need to go. Fluid and diet management, to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity also can ease the problem.
ANY MEDICATIONS TO HELP THE CONDITION?
Anticholinergics AND TOPICAL ESTROGEN CREAM MIGHT IMPROVE YOUR CONDITION..BUT TO be taken only with your doctors advise.
What interventional therapies can be opted?
Bulking material injections. A synthetic material is injected into tissue surrounding the urethra. The bulking material helps keep the urethra closed and reduce urine leakage.
Botulinum toxin type A (Botox). Injections of Botox into the bladder muscle may benefit people who have an overactive bladder. Botox is generally prescribed to people only if other first line medications haven't been successful under cystoscopic guidance.
What are the Surgeries ?
If other treatments aren't working, several surgical procedures can treat the problems that cause urinary incontinence:
Sling procedures - Strips of your body's tissue, synthetic material or mesh are used to create a pelvic sling around your urethra and the area of thickened muscle where the bladder connects to the urethra (bladder neck). The sling helps keep the urethra closed, especially when you cough or sneeze. This procedure is used to treat stress incontinence. Bladder neck suspension - This procedure is designed to provide support to your urethra and bladder neck - an area of thickened muscle where the bladder connects to the urethra. Prolapse surgery - In women with mixed incontinence and pelvic organ prolapse, surgery may include a combination of a sling procedure and prolapse surgery