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Urinary Incontinence


Description

Urinary incontinence is an inability to hold your urine until you get to a toilet.

Stress incontinence is when urine leaks because of sudden pressure on your lower stomach muscles, such as when you cough, laugh, lift something or exercise. Stress incontinence usually occurs when the pelvic muscles are weakened, for example by childbirth or surgery. Stress incontinence is common in women.

Urge incontinence occurs when the need to urinate comes on too fast -- before you can get to a toilet. Your body may only give you a warning of a few seconds to minutes before you urinate. Urge incontinence is most common in the elderly and may be a sign of an infection in the kidneys or bladder.

Overflow incontinence is a constant dripping of urine. It's caused by an overfilled bladder. You may feel like you can't empty your bladder all the way and you may strain when urinating. This often occurs in men and can be caused by something blocking the urinary flow, such as an enlarged prostate gland or tumor. Diabetes or certain medicines may also cause the problem.

Functional incontinence occurs when you have normal urine control but have trouble getting to the bathroom in time. You may not be able to get to the bathroom because of arthritis or other diseases that make it hard to move around.

Causes

Causes of urinary incontinence includes: For women, thinning and drying of the skin in the vagina or urethra, especially after menopause; For men, enlarged prostate gland or prostate surgery; Weakened pelvic muscles; Certain medicines; Build-up of stool in the bowels; Not being able to move around; Urinary tract infection; Problems such as diabetes or high calcium levels

Conventional Labs

Stress test - The patient relaxes, then coughs vigorously as the doctor watches for loss of urine.

Urinalysis

Ultrasound of the kidneys, ureters, bladder, and urethra

Cystoscopy

Urodynamics to measure pressure in the bladder and the flow of urine.

 

 

 

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