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Urinary Incontinence in Children Tips

Urinary Incontinence in Children

Dr. Ramakanth Reddy 94% (153 ratings)
MBBS, Diploma In Child Health
Pediatrician, Hyderabad
Urinary Incontinence in Children

What is urinary incontinence (enuresis)?

Urinary incontinence is the loss of bladder control. In children under age 3, it’s normal to not have full bladder control. As children get older, they become more able to control their bladder. When wetting happens in a child who is old enough to control his or her bladder, it’s known as enuresis. Enuresis can happen during the day or at night. Enuresis can be frustrating. But it’s important to be patient and remember that it’s not your child’s fault. A child does not have control over enuresis. And there are many ways to treat enuresis and help your child.

When is enuresis a problem?

Many children may have enuresis from time to time. It can take some children longer than others to learn to control their bladder. Girls often have bladder control before boys. Because of this, enuresis is diagnosed in girls earlier than in boys. Girls may be diagnosed as young as age 5. Boys are not diagnosed until at least age 6.

Types of enuresis

Doctors divide enuresis into 4 types. A child may have one or more of these types:

  • Diurnal (daytime) enuresis. This is wetting during the day.

  • Nocturnal (nighttime) enuresis. This means wetting during the night. It’s often called bedwetting. It’s the most common type of enuresis.

  • Primary enuresis. This occurs when a child has not fully mastered toilet training.

  • Secondary enuresis. This is when a child has a period of dryness, but then returns to having periods of wetting.

What causes enuresis?

Enuresis has many possible causes. The cause of nighttime enuresis often is not known. But some possible causes may include one or more of these factors:

  • Anxiety

  • Attention deficit/hyperactivity disorder (ADHD)

  • Certain genes

  • Constipation that puts pressure on the bladder

  • Diabetes

  • Not enough antidiuretic hormone (ADH) in the body during sleep

  • Obstructive sleep apnea (OSA)

  • Overactive bladder

  • Slower physical development

  • Small bladder

  • Structural problems in the urinary tract

  • Trouble feeling that the bladder is full while asleep

  • Urinary tract infection (UTI)

  • Very deep sleep

Daytime enuresis may be caused by:

  • Anxiety

  • Caffeine

  • Constipation that puts pressure on the bladder

  • Not going to the bathroom often enough

  • Not urinating enough when going

  • Overactive bladder

  • Small bladder

  • Structural problems in the urinary tract

  • Urinary tract infection (UTI)

How is enuresis diagnosed?

Your child’s health care provider will ask about your child’s medical history. Make sure to tell the health care provider:

  • If other members of the family have had enuresis

  • How often your child urinates during the day

  • How much your child drinks in the evening

  • If your child has symptoms such as pain or burning when urinating

  • If the urine is dark or cloudy or has blood in it

  • If your child is constipated

  • If your child has had recent stress in his or her life

The health care provider may give your child a physical exam. Your child may also need tests, such as urine tests or blood tests. These are done to look for a medical problem, such as an infection or diabetes.

How is enuresis treated?

In many cases, enuresis goes away over time and does not need to be treated. If treatment is needed, many methods can help. These include:

  • Changes in fluid intake. You may be told to give your child less fluids to drink at certain times of day, or in the evening.

  • Keeping caffeine out of your child’s dietCaffeine can be found in cola and many sodas. It is also found in black teas, coffee drinks, and chocolate.

  • Night waking on a schedule. This means waking your child in the night to go urinate.

  • Bladder training. This includes exercises and urinating on a schedule.

  • Using a moisture alarm. This uses a sensor that detects wetness and sounds an alarm. Your child then gets up to use the bathroom.

  • Medications. Medicines can boost ADH levels or calm bladder muscles.

  • Counseling. Working with a counselor can help your child cope with life changes or other stress.

Work with your child’s health care provider to find out the best choices that may help your child.

Tips for managing enuresis

  • Remember, your child can’t control the problem without help. Make sure not to scold or blame. Make sure your child is not teased by family or friends.

  • Keep in mind that many children outgrow enuresis.

  • Protect your child’s mattress bed with a fitted plastic sheet.

  • Have a change of clothes on hand while out and about.

5 Associated Effects Of Urinary Incontinence!

Dr. Amit Saple 87% (16 ratings)
MCh, MBBS
Urologist, Visakhapatnam
5 Associated Effects Of Urinary Incontinence!

Urinary incontinence is the leakage of urine or urinating involuntarily. Urine is released by a process called micturition where the detrusor muscles of the urinary bladder contract to empty the bladder. This is usually a voluntary action but when the muscular contractions become involuntary, incontinence occurs. 

Urinary incontinence may be caused due to stress, pregnancy, obesity, weak pelvic muscles, alcohol intoxication or due to diseases like diabetes, Parkinson's disease and Alzheimer's disease. Children under the age of 5 experience incontinence most often. People above the age of 65 are also prone to the condition. The disorder is observed more in women than in men. The associated conditions of urinary incontinence are:

  1. Infection in the urinary tract: The risk of bacterial infection is increased due to incontinence and abnormally frequent urination. If you have had an infection in the urinary tract in the past, chances are that incontinence will cause repeated or chronic infectious diseases in the tract.
  2. Skin diseases: The skin is constantly wet and in continual contact with nitrous urinary toxins like urea, inorganic salts and compounds. So, over time, the skin becomes red and itchy. Rashes and sores may also develop. Sometimes, when you scratch the itchy skin too much, the capillary blood vessels may break and cause a petechial rash - red and brown spots - to appear on the skin.
  3. Anxiety: There is a constant feeling of shame that accompanies the disorder. Urinary incontinence, which is a common symptom of many medical conditions, is often, not reported to doctors. The patient often avoids socializing due to fear of being unable to control the micturition process in a social situation. 
  4. Depression: Urinary incontinence affects the patient's psychological health directly due to the adverse impact on his or her quality of life. The amount of sleep is often decreased as the patient is afraid of urinating while being asleep. The condition may also cause restrictions on employment and other recreational activities.
  5. Sexual problems: Most women suffering from urinary incontinence report decreased sexual urges, painful intercourse and are even unable to achieve orgasm in spite of responding to sexual stimulation because of urinary leakage during intercourse leading to embarrassment and withdrawal.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1947 people found this helpful

Associated Conditions of Urinary Incontinence

Dr. Sumit Sharma 90% (451 ratings)
MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
Associated Conditions of Urinary Incontinence

Urinary incontinence is the leakage of urine or urinating involuntarily. Urine is released by a process called micturition where the detrusor muscles of the urinary bladder contract to empty the bladder. This is usually a voluntary action but when the muscular contractions become involuntary, incontinence occurs. 

Urinary incontinence may be caused due to stress, pregnancy, obesity, weak pelvic muscles, alcohol intoxication or due to diseases like diabetes, Parkinson's disease and Alzheimer's disease. Children under the age of 5 experience incontinence most often. People above the age of 65 are also prone to the condition. The disorder is observed more in women than in men. The associated conditions of urinary incontinence are:

  1. Infection in the urinary tract: The risk of bacterial infection is increased due to incontinence and abnormally frequent urination. If you have had an infection in the urinary tract in the past, chances are that incontinence will cause repeated or chronic infectious diseases in the tract.
  2. Skin diseases: The skin is constantly wet and in continual contact with nitrous urinary toxins like urea, inorganic salts and compounds. So, over time, the skin becomes red and itchy. Rashes and sores may also develop. Sometimes, when you scratch the itchy skin too much, the capillary blood vessels may break and cause a petechial rash - red and brown spots - to appear on the skin.
  3. Anxiety: There is a constant feeling of shame that accompanies the disorder. Urinary incontinence, which is a common symptom of many medical conditions, is often, not reported to doctors. The patient often avoids socializing due to fear of being unable to control the micturition process in a social situation. 
  4. Depression: Urinary incontinence affects the patient's psychological health directly due to the adverse impact on his or her quality of life. The amount of sleep is often decreased as the patient is afraid of urinating while being asleep. The condition may also cause restrictions on employment and other recreational activities.
  5. Sexual problems: Most women suffering from urinary incontinence report decreased sexual urges, painful intercourse and are even unable to achieve orgasm in spite of responding to sexual stimulation because of urinary leakage during intercourse leading to embarrassment and withdrawal.
4041 people found this helpful

Symptoms of Urinary Incontinence

Dr. Udai Singh 92% (492 ratings)
MBBS, MS - General Surgery, MCh - Urology
Urologist, Jaipur
Symptoms of Urinary Incontinence

Urinary incontinence is the leakage of urine or urinating involuntarily. Urine is released by a process called micturition where the detrusor muscles of the urinary bladder contract to empty the bladder. This is usually a voluntary action but when the muscular contractions become involuntary, incontinence occurs. 

Urinary incontinence may be caused due to stress, pregnancy, obesity, weak pelvic muscles, alcohol intoxication or due to diseases like diabetes, Parkinson's disease and Alzheimer's disease. Children under the age of 5 experience incontinence most often. People above the age of 65 are also prone to the condition. The disorder is observed more in women than in men. The associated conditions of urinary incontinence are:

  1. Infection in the urinary tract: The risk of bacterial infection is increased due to incontinence and abnormally frequent urination. If you have had an infection in the urinary tract in the past, chances are that incontinence will cause repeated or chronic infectious diseases in the tract.
  2. Skin diseases: The skin is constantly wet and in continual contact with nitrous urinary toxins like urea, inorganic salts and compounds. So, over time, the skin becomes red and itchy. Rashes and sores may also develop. Sometimes, when you scratch the itchy skin too much, the capillary blood vessels may break and cause a petechial rash - red and brown spots - to appear on the skin.
  3. Anxiety: There is a constant feeling of shame that accompanies the disorder. Urinary incontinence, which is a common symptom of many medical conditions, is often, not reported to doctors. The patient often avoids socializing due to fear of being unable to control the micturition process in a social situation. 
  4. Depression: Urinary incontinence affects the patient's psychological health directly due to the adverse impact on his or her quality of life. The amount of sleep is often decreased as the patient is afraid of urinating while being asleep. The condition may also cause restrictions on employment and other recreational activities.
  5. Sexual problems: Most women suffering from urinary incontinence report decreased sexual urges, painful intercourse and are even unable to achieve orgasm in spite of responding to sexual stimulation because of urinary leakage during intercourse leading to embarrassment and withdrawal. If you wish to discuss about any specific problem, you can consult a Urologist.
1853 people found this helpful

Urinary Incontinence - Conditions Associated With It!

Dr. Nikhil Sharma 89% (22 ratings)
MBBS, MS - General Surgery, DNB (Urology)
Urologist, Ghaziabad
Urinary Incontinence - Conditions Associated With It!

Urinary incontinence is the leakage of urine or urinating involuntarily. Urine is released by a process called micturition where the detrusor muscles of the urinary bladder contract to empty the bladder. This is usually a voluntary action but when the muscular contractions become involuntary, incontinence occurs. 

Urinary incontinence may be caused due to stress, pregnancy, obesity, weak pelvic muscles, alcohol intoxication or due to diseases like diabetes, Parkinson's disease and Alzheimer's disease. Children under the age of 5 experience incontinence most often. People above the age of 65 are also prone to the condition. The disorder is observed more in women than in men. The associated conditions of urinary incontinence are:

  1. Infection in the urinary tract: The risk of bacterial infection is increased due to incontinence and abnormally frequent urination. If you have had an infection in the urinary tract in the past, chances are that incontinence will cause repeated or chronic infectious diseases in the tract.
  2. Skin diseases: The skin is constantly wet and in continual contact with nitrous urinary toxins like urea, inorganic salts and compounds. So, over time, the skin becomes red and itchy. Rashes and sores may also develop. Sometimes, when you scratch the itchy skin too much, the capillary blood vessels may break and cause a petechial rash - red and brown spots - to appear on the skin.
  3. Anxiety: There is a constant feeling of shame that accompanies the disorder. Urinary incontinence, which is a common symptom of many medical conditions, is often, not reported to doctors. The patient often avoids socializing due to fear of being unable to control the micturition process in a social situation. 
  4. Depression: Urinary incontinence affects the patient's psychological health directly due to the adverse impact on his or her quality of life. The amount of sleep is often decreased as the patient is afraid of urinating while being asleep. The condition may also cause restrictions on employment and other recreational activities.
  5. Sexual problems: Most women suffering from urinary incontinence report decreased sexual urges, painful intercourse and are even unable to achieve orgasm in spite of responding to sexual stimulation because of urinary leakage during intercourse leading to embarrassment and withdrawal.
1925 people found this helpful

Urinary Incontinence - 5 Conditions Associated With It!

Dr. Sumit Sharma 90% (451 ratings)
MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
Urinary Incontinence - 5 Conditions Associated With It!

Urinary incontinence is the leakage of urine or urinating involuntarily. Urine is released by a process called micturition where the detrusor muscles of the urinary bladder contract to empty the bladder. This is usually a voluntary action but when the muscular contractions become involuntary, incontinence occurs. 

Urinary incontinence may be caused due to stress, pregnancy, obesity, weak pelvic muscles, alcohol intoxication or due to diseases like diabetes, Parkinson's disease and Alzheimer's disease. Children under the age of 5 experience incontinence most often. People above the age of 65 are also prone to the condition. The disorder is observed more in women than in men.

The associated conditions of urinary incontinence are:

  1. Infection in the urinary tract: The risk of bacterial infection is increased due to incontinence and abnormally frequent urination. If you have had an infection in the urinary tract in the past, chances are that incontinence will cause repeated or chronic infectious diseases in the tract.
  2. Skin diseases: The skin is constantly wet and in continual contact with nitrous urinary toxins like urea, inorganic salts and compounds. So, over time, the skin becomes red and itchy. Rashes and sores may also develop. Sometimes, when you scratch the itchy skin too much, the capillary blood vessels may break and cause a petechial rash - red and brown spots - to appear on the skin.
  3. Anxiety: There is a constant feeling of shame that accompanies the disorder. Urinary incontinence, which is a common symptom of many medical conditions, is often, not reported to doctors. The patient often avoids socializing due to fear of being unable to control the micturition process in a social situation. 
  4. Depression: Urinary incontinence affects the patient's psychological health directly due to the adverse impact on his or her quality of life. The amount of sleep is often decreased as the patient is afraid of urinating while being asleep. The condition may also cause restrictions on employment and other recreational activities.
  5. Sexual problems: Most women suffering from urinary incontinence report decreased sexual urges, painful intercourse and are even unable to achieve orgasm in spite of responding to sexual stimulation because of urinary leakage during intercourse leading to embarrassment and withdrawal.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2090 people found this helpful

All About Urinary Incontinence

Dr. Pradeep Kr Bansal 88% (28 ratings)
M.Ch - Urology, MS - General Surgery, MBBS
Urologist, Gurgaon
All About Urinary Incontinence

Urinary incontinence, commonly known as loss of bladder control can really cause embarrassment. The severity of this condition may range from once in a while leaky urine to the sudden and forceful urge to urinate, due to which you end up urinating before reaching the toilet.

Types of Urinary Incontinence:

  1. Stress Incontinence: When you feel the urge to urinate due to sneezing, coughing, laughing or while doing physical exercise
  2. Urge Incontinence: When you feel the urge to urinate, suddenly. This may occur during the day and even at night.
  3. Functional Incontinence: When you cannot reach the toilet on time because of a physical or mental impairment.
  4. Mixed Incontinence: When you involuntarily urinate due to more than one incontinence

Stress incontinence is the most common type in women. The activities which increase your risk, are:

You have had more than one pregnancy and vaginal delivery.

You have pelvic prolapse. This is when your bladder, urethra, or rectum slide into the vagina. Delivering a baby can cause nerve or tissue damage in the pelvic area. This can lead to pelvic prolapse months or years after delivery.

Female urinary stress incontinence is the involuntary release of urine during any physical activity that puts pressure on your bladder. This potentially embarrassing condition differs from general incontinence in that it happens when the body is under immediate physical stress. Activities that can put stress on your bladder include coughing, sneezing, laughing, lifting heavy objects, or bending over. This condition is particular to women, many of whom experience symptoms after muscles have been weakened due to a vaginal childbirth, following menopause, or during pregnancy.

Ensure that you consult a doctor:

  1. If this condition hinders your day to day activities
  2. If the urinary incontinence is the result of a serious underlying problem

Causes of Urinary Incontinence:

Urinary incontinence may be temporary or permanent. Causes for temporary incontinence are-

  1. Alcohol
  2. Caffeine and caffeinated drinks
  3. Decaffeinated tea or coffee
  4. Spicy and sugary foods
  5. High intake of Vitamin B or C
  6. Urinary tract infection (UTI)
  7. Constipation

Causes for Permanent Incontinence are:

  1. Pregnancy
  2. Childbirth
  3. Old age
  4. Menopause
  5. Hysterectomy
  6. Prostate cancer
  7. Enlarged prostate
  8. Neurological disorders

Complications:

Chronic urinary incontinence can lead to certain complications like:

  1. Skin Problems: Skin rashes and infections can develop around the vaginal area, because of the constant wetness one feels. It may also cause sores.
  2. Urinary Tract Infections: Urinary incontinence can also result in UTI
  3. Impact on Personal and Social Life: Urinary incontinence can lead to great embarrassment, thus affecting the social and personal life of an individual.

Treatment for Female Stress Urinary Incontinence:

There are several types of treatment available. Treatment options include lifestyle changes, medications, nonsurgical treatments, and surgeries.

  1. Lifestyle Changes: Make regular trips to the restroom to reduce the chance of urine leakage. Drink fewer fluids and avoid activities such as jumping and running.
  2. Medications: Medications that reduce bladder contractions.
  3. Nonsurgical Treatments: Kegel exercises strengthen your pelvic muscles. Done regularly, these exercises can strengthen your muscles, allowing you to control when urine is released from your body.

Surgery:

If other treatments fail, you will have to go for surgical treatment. Types of surgery include:

  1. injectable therapy, in which collagen is injected into your urethra to reduce incontinence
  2. tension-free vaginal tape (TVT) surgery, in which mesh is placed around the urethra to give it support
  3. vaginal sling surgery, in which a sling is placed around the urethra to support it
  4. anterior or para-vaginal vaginal repair surgery to repair a bladder that is bulging into the vaginal canal
  5. retropubic suspension surgery to move the bladder and urethra back into their normal positions

Some doctors even try electrical stimulation and medication. When the condition is highly advanced interventional therapies and surgery is recommended.

Some interventional therapies are:

  1. Bulking material injections
  2. Botulinum toxin Type-A
  3. Nerve stimulators
4072 people found this helpful

Homeopathic Treatment For Urinary Incontinence

Dr. Anoop Kumar Sonker 93% (97 ratings)
BHMS
Sexologist, Lucknow
Homeopathic Treatment For Urinary Incontinence

We all have been in situations like sitting in a meeting for quite a long time, travelling to a remote area in a bus, last moment exam pressure and stress – one thing which is common in all the situations is that you want to hit “pause” to pee while being busy in specific tasks.

Whatever the reason, we’ve all held it in. But how long is too long, are there any health risks? yes! holding urine for long in bladder is giving direct invitation to disorder called as “urinary incontinence”.

What is urinary incontinence?

During the day, most people need to urinate about every three to four hours. Just how long you can comfortably hold your pee differs for everyone. If you aren’t staying hydrated, or if you’re losing fluids through perspiration, you may be able to hold in your urine for quite some time.

At night, most people under age 50 are able to hold urine for about eight hours. As you get older, though, you may find yourself getting up to make two to four bathroom trips. But, sometimes, your bladder may start overreacting, despite of your young age and gender, and you may urge to pee often. Sometimes, waiting to go is unavoidable and that’s okay. But, if you’re feeling pain or discomfort, you get an overwhelming urge to cross your legs to keep from peeing, or feel intense pain in the lower back or abdomen – there is something serious; which is called as urinary incontinence.

High incidences are seen in women as compared to males. There are different types of incontinence like stress incontinence, urge incontinence, overflow incontinence, functional incontinence and mixed incontinence.

Types of urinary incontinence

  • Stress incontinence is when urine leaks because of sudden pressure on your lower stomach muscles, such as when you cough, sneeze, laugh, rise from a chair, lift something, or exercise. Stress incontinence usually occurs when the pelvic muscles are weakened, sometimes by childbirth, or by prostate or other pelvic surgery. Stress incontinence is common in women.
  • Urge incontinence is 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 or 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 when you have a constant dribbling 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 tumour. 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 because of arthritis or other diseases that make it hard to move around.
  • Mixed incontinence occurs when you have more than one of the above types of incontinence.

Causes of urinary incontinence

Urinary incontinence can be caused by different medical conditions including weak pelvic muscles, urinary tract infections (uti), diabetes and constipation. Some other common causes of urinary incontinence include the following:

  • Alcohol
  • Caffeine
  • Decaffeinated tea and coffee
  • Carbonated drinks
  • Artificial sweeteners
  • Corn syrup
  • Foods that are high in spice, sugar or acid, especially citrus fruits
  • Heart and blood pressure medications, sedatives, and muscle relaxants
  • Large doses of vitamins b or c

If not treated, urinary incontinence can lead to recurrent urinary tract infection. It can also hamper the patient psychologically. It can affect the personal as well as professional life of an individual.

Homeopathy treatment for urinary incontinence

There are several treatments available for urinary incontinence. Bladder training is the main line of treatment in alternative medicine. It consists of training the bladder to hold the urine at least 10 min after the urge. In cases which do not respond well to behavioral training and exercises, medications and surgical procedures are prescribed in such cases.

Unlike conventional treatment, homeopathic treatment for urinary incontinence is known to treat the root cause of the disease without any side-effects. Homeopathy also takes care of the psychological damages caused by this condition.

Self-help

  • To avoid embarrassing urinary incontinence problem, answer nature's call. You can delay on occasion, but it should not be your norm otherwise it can have some significant side effects later on down the road.
  • There are certain precautions which you can keep in mind to stay away from ui:
  • Maintain a healthy weight
  • Practice pelvic floor exercises, especially during pregnancy
  • Avoid bladder irritants, such as caffeine and acidic foods
  • Eat more fiber, which can prevent constipation, a cause of urinary incontinence.

4 Types Of Urinary Incontinence!

Dr. Pushkar Shyam Chowdhury 95% (104 ratings)
MBBS, MS - General Surgery, MCH- Urology
Urologist, Kolkata
4 Types Of Urinary Incontinence!

Urinary incontinence, commonly known as loss of bladder control can really cause embarrassment. The severity of this condition may range from once in a while leaky urine to the sudden and forceful urge to urinate, due to which you end up urinating before reaching the toilet.

Types of Urinary Incontinence:

  1. Stress Incontinence: When you feel the urge to urinate due to sneezing, coughing, laughing or while doing physical exercise
  2. Urge Incontinence: When you feel the urge to urinate, suddenly. This may occur during the day and even at night.
  3. Functional Incontinence: When you cannot reach the toilet on time because of a physical or mental impairment.
  4. Mixed Incontinence: When you involuntarily urinate due to more than one incontinence

Stress incontinence is the most common type in women. The activities which increase your risk, are:

You have had more than one pregnancy and vaginal delivery.

You have pelvic prolapse. This is when your bladder, urethra, or rectum slide into the vagina. Delivering a baby can cause nerve or tissue damage in the pelvic area. This can lead to pelvic prolapse months or years after delivery.

Female urinary stress incontinence is the involuntary release of urine during any physical activity that puts pressure on your bladder. This potentially embarrassing condition differs from general incontinence in that it happens when the body is under immediate physical stress. Activities that can put stress on your bladder include coughing, sneezing, laughing, lifting heavy objects, or bending over. This condition is particular to women, many of whom experience symptoms after muscles have been weakened due to a vaginal childbirth, following menopause, or during pregnancy.

Ensure that you consult a doctor:

  1. If this condition hinders your day to day activities
  2. If the urinary incontinence is the result of a serious underlying problem

Causes of Urinary Incontinence:

Urinary incontinence may be temporary or permanent. Causes for temporary incontinence are-

  1. Alcohol
  2. Caffeine and caffeinated drinks
  3. Decaffeinated tea or coffee
  4. Spicy and sugary foods
  5. High intake of Vitamin B or C
  6. Urinary tract infection (UTI)
  7. Constipation

Causes for Permanent Incontinence are:

  1. Pregnancy
  2. Childbirth
  3. Old age
  4. Menopause
  5. Hysterectomy
  6. Prostate cancer
  7. Enlarged prostate
  8. Neurological disorders

Complications:

Chronic urinary incontinence can lead to certain complications like:

  1. Skin Problems: Skin rashes and infections can develop around the vaginal area, because of the constant wetness one feels. It may also cause sores.
  2. Urinary Tract Infections: Urinary incontinence can also result in UTI
  3. Impact on Personal and Social Life: Urinary incontinence can lead to great embarrassment, thus affecting the social and personal life of an individual.

Treatment for Female Stress Urinary Incontinence:

There are several types of treatment available. Treatment options include lifestyle changes, medications, nonsurgical treatments, and surgeries.

  1. Lifestyle Changes: Make regular trips to the restroom to reduce the chance of urine leakage. Drink fewer fluids and avoid activities such as jumping and running.
  2. Medications: Medications that reduce bladder contractions.
  3. Nonsurgical Treatments: Kegel exercises strengthen your pelvic muscles. Done regularly, these exercises can strengthen your muscles, allowing you to control when urine is released from your body.

Surgery:

If other treatments fail, you will have to go for surgical treatment. Types of surgery include:

  1. injectable therapy, in which collagen is injected into your urethra to reduce incontinence
  2. tension-free vaginal tape (TVT) surgery, in which mesh is placed around the urethra to give it support
  3. vaginal sling surgery, in which a sling is placed around the urethra to support it
  4. anterior or para-vaginal vaginal repair surgery to repair a bladder that is bulging into the vaginal canal
  5. retropubic suspension surgery to move the bladder and urethra back into their normal positions

Some doctors even try electrical stimulation and medication. When the condition is highly advanced interventional therapies and surgery is recommended.

Some interventional therapies are:

  1. Bulking material injections
  2. Botulinum toxin Type-A
  3. Nerve stimulators. If you wish to discuss about any specific problem, you can consult a Urologist.
1904 people found this helpful

Urinary Incontinence: Types, Causes and Treatment

Dr. Datson George .P. 89% (439 ratings)
FMAS, M.Ch - Urology, MS - General Surgery, MBBS
Urologist, Ernakulam
Urinary Incontinence: Types, Causes and Treatment

Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

  1. Stress Incontinence– when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
  2. Urge Incontinence– when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
  3. Overflow Incontinence (chronic urinary retention)– when you're unable to fully empty your bladder, which causes frequent leaking.
  4. Total Incontinence– when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.

It's also possible to have a mixture of both stress and urge urinary incontinence.

What causes urinary incontinence in men?

Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.

A man may have factors that increase his chances of developing UI, including

  1. birth defects—problems with development of the urinary tract
  2. a history of prostate cancer—surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men

UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man’s life. Conditions or events that may increase a man’s chance of developing UI include

  1. benign prostatic hyperplasia (BPH)—a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
  2. chronic coughinglong-lasting coughing increases pressure on the bladder and pelvic floor muscles.
  3. neurological problems—men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
  4. physical inactivity—decreased activity can increase a man’s weight and contribute to muscle weakness.
  5. obesity—extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
  6. older age—bladder muscles can weaken over time, leading to a decrease in the bladder’s capacity to store urine.

Treating Urinary Incontinence

Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:

  1. lifestyle changes – such as losing weight and cutting down on caffeine and alcohol
  2. pelvic floor exercises – exercising your pelvic floor muscles by squeezing them, taught by a specialist 
  3. bladder training – where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
  4. You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
  5. Medication may be recommended if you're still unable to manage your symptoms.
  6. Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
  7. Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
  8. Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles.
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