Urinary Incontinence

what is urinary incontinence?

Urinary incontinence due to stress is the most common type of incontinence which causes loss of bladder control. It can be seen in men too, although women are highly susceptible. Stress incontinence occurs when your bladder leaks urine when under pressure/ exertion or physical activity.

Beware:

  • Causes of Stress urinary incontinence, specifically weakened muscles.
  • Prostatitis/ inflammation of the prostate gland
  • Benign Prostatic Hyperplasia (BPH)/ enlargement of the prostate gland
  • Tissue/ nerve damage during childbirth.
  • Vaginal delivery.
  • Multiple pregnancies.
  • Urethral area injury.
  • Prostate cancer.
  • Bladder cancer.
  • Side-effects of certain medications.
  • Previous pelvic surgery.
  • Bladder stone.
  • Kidney stone.
  • Bladder stone.
  • Uretery stone.
  • Pelvic prolapse: Sliding of bladder, rectum or urethra upon/ into the vagina.
  • Menopause: Lower estrogen level weakens the urethra.
  • Obesity.
  • Constipation.
  • Diabetes.
  • Sports injury.

When to approach your doctor?:

Leakage of urine happens during:

  • Sneezing/ Coughing.
  • Jogging
  • Exercising.
  • Laughing.
  • Lift Heavy objects.
  • Sexual intercourse.
  • Standing.
  • Any other physical activity.
  • Frequent sudden urges to urinate.

Types Of Urinary Incontinence:

  • Pelvic floor muscles: The bladder and urethra are supported by the muscles at the pelvic floor muscles. Urine passes from the bladder through urethra.
  • Sphincter muscle: Due to weakening of this muscle around the opening of the bladder that prevents leakage of urine through urethra by sqeezing. Sphincter muscle that is around the opening of the bladder, squeezes to prevent urine from leaking through the urethra.

Diagnosis For Urinary Incontinence:

  • Genital Examination.
  • Rectal Examination.
  • Ultrasound.
  • Sanitary pad test.
  • Bladder cytoscopy.
  • Pelvic/ abdominal ultrasound.
  • PVR post void residual.
  • Urinal Analysis.
  • Urinary stress test.
  • Urodynamic analysis.
  • Dye X-rays.
  • Pelvic examination to check if bladder/ urethra slide into the vagina.

Treatment For Urinary Incontinence:

  • Kegel Exercises.
  • Bio feedback.
  • Healthylifestyle.
  • Urine chart and bladder training.
  • Anticholinergic medicina pills/ patches: Help block bladder muscle nerves.
  • Temporary botox.
  • Pelvic floor muscle exercises.

Types of Surgery:

  • Device implantation: This controls spasms by stimulating nerves near the bladder using electric signals.
  • Sling Insertion: To prevent leakage and to avoid sliding of bladder and instead hold it in a proper position by planting a a piece of a tissue like material.
  • Bladder Pull: Surgery to reinstate the bladder in a normal/ close to normal position.

Smoother Life Precautions:

  • Use of panty liners, plastic- coated under garments, adult diapers.
  • Plastic mattress under the bed sheet for night protection.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.

Aternative Therapies:

  • Reduction in water and caffeine intake.
  • Reduction in smoking habits to prevent coughing.
  • Maintaining the correct weight.