Urinary incontinence


                                                                                  

When you are unable to stop urine from escaping your urethra, you have urinary (or bladder) incontinence. The tube that exits your body from your bladder to release pee is known as the urethra. There may be occasional urine leakage. Or perhaps you won't be able to hold any urination.


The three main types of urinary incontinence are:

  1. Stress incontinence occurs during exercises, laughter, sneezing, and coughing.


  1. Urge incontinence - results from a sudden, intense need to urinate immediately. The bladder then contracts, causing you to lose urine. You can't make it to the restroom in time after you sense the urge to urinate before you really do.

  2. Overflow incontinence is when the bladder does not completely empty and there is more urine than the bladder can hold. The result is dribbling.


When you experience both stress and urge incontinence, you have mixed incontinence. When you are unable to regulate the flow of stool, you have bowel incontinence. This article doesn't discuss it.

Causes

Causes of urinary incontinence include:


  • Blockage in the urinary system

  • Brain or nerve problems

  • Dementia or other mental health problems that make it hard to feel and respond to the urge to urinate

  • Problems with the urinary system

  • Nerve and muscle problems

  • Weakness of the pelvic or urethral muscles

  • Enlarged prostate

  • Diabetes

  • Use of certain medicines


Incontinence may occur suddenly and disappear soon after. Or, it might go on for a while. Incontinence that occurs suddenly or briefly can be caused by :


  • Bedrest -- such as when you are recovering from surgery

  • Certain medicines (such as diuretics, antidepressants, tranquilizers, some cough and cold remedies, and antihistamines)

  • Mental confusion

  • Pregnancy

  • Prostate infection or inflammation

  • Stool impaction from severe constipation, which causes pressure on the bladder

  • Urinary tract infection or inflammation

  • Weight gain


Causes that may be more long-term:

  • Alzheimer disease.

  • Bladder cancer.

  • Bladder spasms.

  • Large prostate in men.

  • neurological disorders like multiple sclerosis or stroke.

  • injury to the muscles or nerves following pelvic radiation therapy.

  • Women who have pelvic prolapse have the bladder, urethra, or rectum slide into the vagina. Pregnancy and childbirth may be the cause of this.

  • issues with the urinary system.

  • Spinal cord injuries.

  • Sphincter weakness, which affects the muscles that open and close the bladder. Men who undergo prostate surgery or women who undergo vaginal surgery may experience this.

 

 

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