Urinary Incontinence


urinaryincontenence2Urinary Incontinence, the loss of bladder control, is a common and often embarrassing problem. The severity of urinary incontinence ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that is so sudden and strong you don’t get to a toilet in time. If urinary incontinence affects your day to day activities, don’t hesitate to call us. In most cases, simple lifestyle changes or medical treatment can ease your discomfort or stop urinary incontinence. At Advanced HealthCare for Women, we are trained to diagnose the exact etiology and offer various treatments ranging from physical therapy to medications and surgery. Most insurances cover all these treatments.

Urinary Incontinence is the inability to control the release of urine from your bladder. Some people experience occasional, minor leaks, or dribbles, of urine. Others wet clothes frequently.

When To See A Doctor

You may feel uncomfortable discussing incontinence with your Doctor, but if it is frequent or is affecting your quality of life, seeking medical advice is important for several reasons:

Urinary incontinence may indicate a more serious underlying condition, especially if it’s associated with blood in your urine.

Urinary incontinence may be causing you to restrict your activities and limit your social interactions to avoid embarrassment.

Urinary incontinence may increase the risk of falls in older adults as they rush to make it to a tiolet.

Types of Urinary Incontinence Include:

  • Stress Incontinence: This is loss of urine when you exert pressure-stress-on your bladder by coughing, sneezing, laughing, exercising, or lifting something heavy. Stress incontinence occurs when the sphincter muscles of the bladder is weakened. In women, physical changes resulting from pregnancy, childbirth and menopause can cause stress incontinence. In men, removal of the prostate gland can lead to this type of incontinence.
  • Urge Incontinence: This is a sudden intense urge to urinate, followed by an involuntary loss of urine. You bladder muscle contracts and may give you a warning of only a few seconds to a minute to reach a toilet. With this type you may need to urinate often, including throughout the night. Urge incontinence may be caused by urinary tract infections, bladder irritants, bowel problems, Parkinson’s disease, Alzheimer’s disease, stroke, injury or nervous system damage associated with multiple sclerosis. If there’s no known cause, urge incontinence is also called overactive bladder.
  • Overflow Incontinence: If you frequently or constantly dribble urine, you may have overflow incontinence, which is an inability to empty your bladder. Sometimes you may feel as if you never completely empty your bladder. When you try to urinate, you may produce only a weak stream of urine. This type of incontinence may occur in people with a damaged bladder, blocked urethra or nerve damage from diabetes and men with prostate gland problems.
  • Mixed Incontinence: If you experience symptoms of more than one type of urinary incontinence, you may have mixed incontinence.
  • Functional Incontinence: Many older adults, especially people in nursing homes, experience incontinence simply because a physical or mental impairment keeps then from making it to the toilet in time. For example, a person with sever arthritis may not be able to unbutton his or her pants quickly enough. This is called functional incontinence.
  • Gross Total Incontinence: This term is sometimes used to describe continuous leaking of urine, day and night, or the periodic uncontrollable leaking of large volumes of urine. In such cases, the bladder has no storage capacity. Some people have this type of incontinence because they were born with an anatomical defect. This type of incontinence can be by injuries to the spinal cord or urinary system or by an abnormal opening (fistula) between the bladder and an adjacent structure, such as the vagina.