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Urinary Incontinence (Ui) Tips

Urinary Incontinence - Different Ways It Can Be Treated!

Dr. Harprit Singh 87% (10 ratings)
MS General Surgery, DNB( Urology)
Urologist, Jamshedpur
Urinary Incontinence - Different Ways It Can Be Treated!

Urinary incontinence is a health condition in men, which is caused by loss of bladder control. Urinary incontinence usually occurs in cases of medical conditions such as an enlarged prostate, Parkinson's disease and diabetes, and may also occur after a prostate surgery. Urinary incontinence is an irritating and embarrassing condition, but with proper treatment, it can be cured. There are several ways to treat this condition which include home remedies as well as medications and surgery. 

Here are several methods used to treat urinary incontinence: 

  1. Caffeine, soda and carbonated drinks cause irritation in the bladder and worsen the symptoms of urinary incontinence. Alcohol is a diuretic and increases the amount of urine too. So abstain from coffee, alcohol and soft drinks to make a difference. 
  2. Dietary adjustments are required for the treatment of urinary incontinence. Several spicy and acidic food items can make urinary incontinence worse. Hence, you should avoid having such foods for some time. 
  3. Urinary incontinence can lead to stress and you must get rid of it for better health. You can try relaxation techniques, such as meditation and breathing exercises. Biofeedback is another option by which you can observe your bladder muscle contractions on a monitor. 
  4. You should try a behavioral technique known as bladder training. This would require you to urinate every half hour, in spite of not having the urge. Slowly try to increase the time in between the bathroom breaks. 
  5. You need to flex your muscles to gain control over urinary incontinence. Kegel exercises can be practiced as they boost the strength of your pelvic muscles. 
  6. You should find the right muscles that are required to stop the passing of gas. 
  7. Pads and disposable undergarments can be used by men. These help in containing leaks and also protect the skin from irritation and odor. 

There are several medicines, which help in the treatment of urinary incontinence in men. Some of these work to relax muscles for preventing unwanted bladder contractions, while others help in blocking the nerve signals to the bladder. Drugs used for the shrinking and treatment of an enlarged prostate are also used as blocked by prostate lead to bladder irritation. Now-a-days, more than 80% cases of incontinence in males respond well to medications.

Surgery may be the ultimate option for the treatment of urinary incontinence. Options depend on the cause of incontinence. If it is because of obstructing prostate, prostate surgery by TURP / HOLEP is curative. If it is because of bladder overactivity, BOTOX injection in bladder is useful. If it is TRUE incontinence after radical prostate surgery then treatment include a male sling or artificial urinary sphincter implantation. In sling operations, a type of material is wrapped around the urethra for compressing it. In Artificial sphincter implantation, a cuff is used in order to close the urethra. Urine is released by squeezing the pump to open the cuff. A Interstim device similar to a pacemaker is used to stimulate nerves, which help in relaxing the bladder and pelvic floor. In case you have a concern or query you can always consult an expert & get answers to your questions!

1755 people found this helpful

Reasons Why Urinary Incontinence In Women Happens!

Dr. Sunita Verma 92% (10 ratings)
MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Delhi
Reasons Why Urinary Incontinence In Women Happens!

Involuntary and sudden urine loss in women is termed as urinary incontinence. Some of the contributory factors to urinary incontinence are menopause, pregnancy and childbirth.

Types:
There are seven types of urinary incontinence.

  1. Stress incontinence: If normal physical movements like sneezing, coughing and exercising cause small amounts of urine to leak out, it is called 'stress incontinence'.
  2. Urge incontinence: If large amounts of urine leak out during unexpected and at odd times, like during sleeping, it is called 'urge incontinence'.
  3. Overactive Bladder: This is characterized by frequent and urgent urination, along with urge incontinence or not.
  4. Functional incontinence: If external deterrents or physical disabilities like not being able to find a toilet, leads to sudden leakage of urine, it is called 'functional incontinence'.
  5. Overflow incontinence: A full bladder, at times, leads to unexpected leakage. This is called 'overflow incontinence'.
  6. Mixed incontinence: Whenever urge and stress incontinence occur together, it is categorized as 'mixed incontinence'.
  7. Transient incontinence: When urine leakage occurs due to temporary situations like infections or new medications, it is called 'transient incontinence'.

Causes:

Urinary incontinence is not a disease; it is a symptom. Infections, diabetes, or other medical conditions can cause incontinence. If incontinence is temporary, the causes might be any or all of the following:

  1. Urinary tract infection
  2. Over consumption of alcohol
  3. Constipation
  4. Too much caffeine intake
  5. Consuming carbonated drinks
  6. Decaffeinated coffee and tea
  7. Use of artificial sweeteners
  8. Foods which are too spicy, acidic or sugary
  9. Corn syrup
  10. Being on sedatives, muscle relaxants, blood pressure and heart medications
  11. High doses of vitamin B and vitamin C

However, if incontinence is persistent, the symptoms might be different:

  1. Pregnancy: During pregnancy, hormonal changes and weight gain in the body can cause incontinence.
  2. Childbirth: Normal vaginal delivery weakens muscles that control the bladder, thus leading to incontinence.
  3. Age: The bladder muscles weaken with age which, in turn, affects the bladder urine holding capacity.
  4. Menopause: The levels of "oestrogen" hormone drop with the onset of menopause. Oestrogen keeps the lining of the urethra and bladder healthy. The gradual damage of the bladder tissues leads to incontinence.
  5. Hysterectomy: The bladder and uterus are supported by the same ligaments and muscles. Surgery deteriorates the pelvic floor muscles, thus removing the uterus can lead to incontinence.
  6. Obstruction: Tumours in the urinary tract can block the normal urine flow. This causes overflow incontinence.
  7. Neurological disorders: Parkinson's disease, multiple sclerosis, brain tumours, strokes or spinal injury can cause incontinence. In case you have a concern or query you can always consult an expert & get answers to your questions!
4659 people found this helpful

Urinary Incontinence: Types, Causes and Treatment

Dr. Datson George .P. 93% (180 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.
1 person found this helpful

What is Urinary Incontinence & How Do I Prevent It?

Dr. Anil Agarwal 88% (154 ratings)
MBBS, MS - Urology, DNB
Urologist, Delhi
What is Urinary Incontinence & How Do I Prevent It?

Urinary incontinence is a problem that can affect anyone. Urinary incontinence is the loss of bladder control or the ability of a person to control his/her urine output. It is an embarrassing problem as the urgeto urinate and lack of bladder control can occur even when you are in the middle of something important. This condition is classified by its severity and ranges from the occasional urine leakage to the discharge of urine so suddenly that the person will not be able to make it to the toilet in time.

Symptoms and types:
The symptoms of urinary incontinence are to do with urine output, and can be categorized by minor leaks of urine to moderate amounts. In some cases, the urine discharge can be sudden. This condition is more common among the elderly.

Types of urinary incontinence:

  1. Stress incontinence: The leakage occurs when you are exerting pressure on your bladder, and can include instances of coughing, sneezing, exercising or even lifting something heavy.
  2. Urge incontinence: There is an intense urge to urinate followed by an involuntary loss of urine. The sensation or urge to urinate will be often. This can occur throughout the night too and can cause discomfort both physically and mentally.
  3. Overflow incontinence: This is experienced when your bladder does not empty completely. As a result, you would be experiencing constant dribbling of urine. No matter how many times you go to the toilet, the dribbling will continue.
  4. Functional incontinence: This type of incontinence is caused by an impairment, disorder or condition that prevents you from making it to the toilet in time. For example, if you are elderly or if you have severe arthritis, you may not be able to reach the bathroom in time.
  5. Mixed incontinence: This happens when you experience more than one or two types of the above mentioned urinary incontinence.

Urinary incontinence is not a disease, but could be a symptom of an underlying condition. Do consult with your physician if you notice these symptoms and get treated for it. A simple urinalysis will help to determine and diagnose infections and other disorders causing this condition.

Prevention:
There are many factors that can put you at risk. Most involve everyday habits and the food that we eat. There are certain drinks such as alcohol, caffeine, aerated drinks, and chocolate drinks that can also stimulate your bladder and can increase the output of urine temporarily. Reducing your intake of these beverages particularly at night and limiting your intake of spicy foods could help you deal with this condition.

Making a few healthy lifestyle changes such as maintaining a healthy weight and regular exercises to strengthen the pelvic region can help to prevent conditions such as urinary incontinence. Watch what you eat and curb your intake of acidic and spicy foods. Also, limit or reduce your consumption of foods high in preservatives. Quit smoking and reducing the intake of alcohol will also be beneficial.

Coping with urinary incontinence can be embarrassing. Hence talk to your doctor about it and get medical attention immediately. Using adult diapers could help reduce the stress and embarrassment involved with this condition.

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

2541 people found this helpful

Urinary Incontinence

Dr. Punnam Gupta 88% (169 ratings)
Diploma In Physiotherapy, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
Play video

Ways to Manage Urinary incontinence

Urinary Incontinence - Causes And Symptoms

Dr. Karun Singla 93% (67 ratings)
MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Mohali
Urinary Incontinence - Causes And Symptoms

Urinary incontinence is the inability to hold urine in the bladder because of loss of control of the bladder. The severity may range from temporary to chronic, depending on the cause of this disease. Urinary incontinence is more common in women than men and can be categorized into three types.

Types and symptoms of urinary incontinence

Stress incontinence: this incontinence may occur while participating in any physical activity such as a sudden cough, laugh, sneezing or exercising. The stress here refers to the sudden physical pressure that a person experiences, leading him/her to urinate involuntarily.

Urge incontinence: a sudden, involuntary contraction of the muscular wall of the bladder causes an urgency to urinate. This urgency can be formed by a sudden change in position or sex.

Overflow incontinence: this is more common in men with prostate gland problems, damaged bladder or blocked urethra. The person has an urge to urinate frequently but in small amounts.

Causes of urinary incontinence

There are a number of causes of urinary incontinence ranging from aging to cancer and physical damage to the neurological disorder.

1. Aging: with age, the bladder muscle weakens and the chances of incontinence increases.

Damage: since the pelvic muscles support the bladder any damage to it (surgery or any procedure to remove the uterus) can lead to urinary incontinence.

2. Enlarged prostate: enlargement of the prostate gland in older men may give rise to this condition.

Cancer: urinary incontinence may be associated with untreated prostate cancer, which is a side effect of treatments for it.

3. Menopause: estrogen is a hormone that keeps the lining of bladder and urethra healthy. After menopause the production of estrogen is decreased, increasing the chances of urinary incontinence.

4. Prevention: urinary incontinence is not preventable but some steps can be taken to reduce the risk of it. Maintaining a healthy lifestyle, avoiding smoking, practicing pelvic floor exercises, avoiding caffeine and acidic foods and eating more fiber to prevent constipation can help decreasing the risk of it.

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

2095 people found this helpful

Urinary Tract System - 9 Things You Must Know!

Dr. Kuldip Singh 88% (153 ratings)
Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Urinary Tract System - 9 Things You Must Know!

Urology is a branch of medicine that focuses on the diseases affecting the urinary tract system and male reproductive organs. The organs that come under the scanner here are the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate, and penis). Though there is a prevalent misconception that gynecologists are for women what urologists are for men, urology also deals with certain women related health issues. These include overactive bladder, pelvic organ prolapse, and urinary incontinence. In fact, doctors who specialize in female urology gain detailed knowledge of the female pelvic floor together with intimate understanding of the physiology and pathology.

Here are 9 things you should know as a woman

1. Age related factors affect both men and women: Right around the time when menopause and andropause strike, changing hormone levels affect the pelvic floor, bladder, urethra and vagina in women causing problems like urinary tract infection and incontinence. These conditions are effectively treated by an urologist who can also probe for underlying conditions like kidney stone, polyp, or tumor in severe cases.

2. An overactive bladder is more common than you think: Around 40% women have to hit the bathroom every hour or so owing to this. Simple lifestyle changes like lowering the intake of caffeine and alcohol, in combination with pelvic floor exercises can solve the problem.

3. Women sometimes pee in their pants too: A majority of the female population between 40 and 60 suffer from either stress incontinence (when you cough, sneeze or laugh) or urgency incontinence (leaking when you want to go badly). Urologists want you to know that there are less invasive options and medications available to treat this problem.

4. Walk the exercise path to good health: Exercises for your vagina like kegal are great when done right. You can connect with a practitioner who specializes in toning and the stimulation of pelvic floor muscles to treat incontinence.

5. Pelvic pain: If it is not gynecology then it is urology. A general pain in the pelvic region triggers a visit to the gynecologist first for most women.From menstrual cramps to ovarian cysts, all of this may well be taken care of by your gynecologist too. But when the usual culprits are not the cause for your discomfort, it's time you get the urology aspect examined thoroughly too.

6. Know the difference between UTI and STI: Because of cross symptoms, one often gets mistaken for the other. So check with your urologist to understand the cause and cure of your particular problem.

7. Recognize pelvic organ prolapse: This condition is defined by a bit of bladder, rectal, or uterine tissue bulging into your vagina. An urologist can provide non invasive options to deal with this.

8. Women can get kidney stones too: This is true, especially when you forget to hydrate yourself in hot climates or high temperature situations.

9. Urology can solve some sexual problems too: Whether it's sexual dysfunction, low libido or trouble reaching orgasm, urology can play its part to help you out.

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

2033 people found this helpful

Stress Incontinence Post Pregnancy - How to Treat It?

Urologist
Urologist, Gurgaon
Stress Incontinence Post Pregnancy - How to Treat It?

Many women experience stress incontinence during some time of their pregnancy or post pregnancy. The experience of incontinence varies from woman to woman and it is caused due to stretching of muscles and tissues that support the uterus, bladder and womb. It is also caused due to the weight of the growing baby in the womb as well as due to hormones. The tissues and muscles mainly represent the pelvic floor and on the birth of a baby, these pelvic floor muscles get stretched even more.

What you should know?

  • Stress incontinence is not a problem post pregnancy and especially once the child is born. However, some women continue to have issues at times due to weakening of pelvic floor muscles.
  • It is the weakening of the muscles that causes incontinence of a bladder which is overactive. Incontinence can also occur, if the fine nerves that surround the bladder are damaged at the time of delivery.
  • Women having problems controlling their bladder are more likely to have stress incontinence during pregnancy.

Simple treatment options to treat stress incontinence

  • There are some simple treatment options that can be followed to control urinary incontinence during pregnancy. The simplest option is definitely managing the fluid intake as well as scheduling visits to bathroom at regular intervals. In this way by setting a proper schedule, stress incontinence can be treated.
  • There are medical devices also available that help to strengthen the pelvic floor muscles and that can be used, if incontinence is persistent. The medical device can be used to block the urethra. The other simple option that can be effectively used to control incontinence post pregnancy includes toning the affected tissues and muscles. The urethra can function in an improved manner and any incontinence can be minimized after child birth by performing the Kegel exercises regularly, which provide great benefit.

Imperative tips
The foremost symptom of stress incontinence includes urine leakage and that happens at times when a woman is physically active, coughing, sneezing or while having intercourse. It is very important that a woman urinates when she feels the urge and does not hold it. In this way, the leakage of urine will be reduced. It is also essential that they avoid running around or jumping. It is advisable to quit smoking as it can reduce irritation of the bladder. Spicy food items, citrus fruits and carbonated drinks must be avoided as they can cause irritation to the bladder.

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

3388 people found this helpful

Stress (Urinary) Incontinence

Dr. Gayatri Bala Juneja 89% (170 ratings)
MBBS, DGO, DNB - Obstetrics and Gynecology
Gynaecologist, Delhi
Play video

Causes and Treatment For Unintentional Loss of Urine

1 person found this helpful

5 Associated Effects Of Urinary Incontinence!

Dr. Amit Saple 86% (11 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!

1946 people found this helpful