ILLNESSOPEDIA

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Urinary Incontinence



Urinary Incontinence Causes


Temporary urine incontinence: intake of alcohol, over-hydration, dehydration, caffeine, bladder irritation, medications such as sedatives Medical conditions: urinary tract infection (UTI) and constipation Persistent urinary incontinence: pregnancy and childbirth, aging changes, hysterectomy, painful bladder syndrome, prostatitis, prostate is enlarged, prostate cancer, bladder cancer or bladder stones, neurological disorders and obstruction like a tumor in the urinary tract.


Urinary Incontinence Definition


Urinary incontinence is the loss of bladder control which is often become embarrassing to the individuals affected by this condition where in an individual cannot control the release of urine from the bladder. Urinary incontinence severity ranges from urine secretion from simply coughing or sneezing to sudden, random episodes of strong urinary emergencies.


Urinary Incontinence Diagnosis


Common tests include bladder diary, urinalysis and blood test while for specialized tests postvoid residual (PVR) measurement, pelvic ultrasound, stress test, urodynamic testing, cystogram and cystoscopy.


Urinary Incontinence Symptoms and Signs


Stress incontinence: release of urine due to coughing, sneezing, laughing, exercising or lifting heavy objects. Urge incontinence: the release of urine cannot be controlled which is sudden and intense. Overflow in continence: the bladder is not properly drained or emptied which lead to overflow. Functional incontinence: physical or mental injury keeps the individual from making it to the toilet in time Gross total incontinence: continuous leaking of urine, day and night.


Urinary Incontinence Treatment


Behavioural techniques: pelvic floor muscle exercise, bladder training, scheduled toilet trips, diet and fluid management Medications: anticholinergic (antispasdomic) drugs, imipramine, antibiotics Electrical stimulation: used to strengthen pelvic floor muscles Medical devices: urethral inserts, pessary Surgery: artificial urinary sphincter, bulking material injections, sacral nerve stimulator, sling procedure, bladder neck suspension. Absorbent pads and catheters


Drugs used for treatment of Urinary Incontinence


Cymbalta
Detrol
Ditropan
Vesicare

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