MBBS, M.S Obstetrics & Gynaecology, F.MAS Fellowship In Minimal Access Surgery, D. MAS Dipolma In Minimal Access Surgery, FICRS, Fellowship in Cosmetic Gynaecology, Diploma In Advanced Laparoscopy For Urogynaecology & Gynaec Oncology, Basic Training Course In Minimal Invasive Surgery In Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate Of Hands On Training In Hysteroscopy, Certificate Course In Diabetes, Fellowship In Assisted Reproductive Technology, Certificate Program In Aesthetic Medicine, Certificate Of Operative Hysteroscopy, Certificate Course In Clinical Embryology
Gynaecologist, Chennai
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14 years experience
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Which of the following types of Urinary Incontinence is associated with pregnancy?
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Based on the cause, there are four major types of Urinary Incontinence: Urgency Incontinence, Stress Incontinence, Mixed Incontinence, and Transient Incontinence.
Urgency Incontinence is caused due to bladder contractions when there is an urgency to urinate. Stress Incontinence is caused due to the bladder physically on pressure and is usually associated with pregnancy. Mixed Incontinence is a combination of Urgency Incontinence and Stress Incontinence. Transient Incontinence is a temporary condition due to constipation, urinary tract infection or some medication.
What causes Urinary Incontinence in pregnancy?
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Urinary Incontinence in pregnancy can be caused due to the following reasons:
A stressed bladder leaks due to pressure put on it by the growing baby inside the tummy. It might leak on coughing, sneezing, exercising, or laughing. The sphincter muscle in the bladder, which works as a valve for controlling the flow of urine, does not function well in case of Urinary Incontinence.
Hormonal changes affect the bladder lining and urethra.
Medical conditions during pregnancy like gestational diabetes, anxiety and stress, Urinary Tract Infections (UTIs), and multiple sclerosis can cause Incontinence in pregnancy.
Also, Body Mass Index (BMI) and age are the risk factors for Urinary Incontinence during pregnancy.
Tests for checking bladder functioning include ultrasound, urinalysis, bladder stress test, urodynamics, and cystoscopy.
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Tests for checking bladder functioning include ultrasound, urinalysis, bladder stress test, urodynamics, and cystoscopy. Ultrasound helps in checking the excretory system through imagery. Urinalysis checks a urine sample for its composition for signs of infection if any. Bladder stress test checks for the leakage of urine. Urodynamics helps in measuring the pressure inside the bladder. Cystoscopy helps in examining the urethra and the bladder.Tests for checking bladder functioning include ultrasound, urinalysis, bladder stress test, urodynamics, and cystoscopy. Ultrasound helps in checking the excretory system through imagery. Urinalysis checks a urine sample for its composition for signs of infection if any. Bladder stress test checks for the leakage of urine. Urodynamics helps in measuring the pressure inside the bladder. Cystoscopy helps in examining the urethra and the bladder.
Kegel exercises help in treating Urinary Incontinence.
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Kegel's muscles are used to stop the flow of urine. Kegel exercises are safe and effective and help in treating Urinary Incontinence by strengthening and tightening the muscles in the pelvic floor, which improves the function of the rectal sphincter muscle and that of the urethra.
Which of these behavioral methods help in treating Urinary Incontinence?
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Behavioral methods like timed voiding and bladder training help in treating Urinary Incontinence. For practicing timed voiding, leakage patterns are observed and recorded, and trips to the bathroom are made at those specific times to prevent leakage of urine. Bladder training is the exercise of stretching out the intervals of the trips to the bathroom by postponing the same slightly and following the pattern until the time is increased till four hours.
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