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Nephrology


Urinary Incontinence


Urinary Incontinence

Also called: Overactive bladder

Urinary incontinence is loss of bladder control. Symptoms can range from mild leaking to uncontrollable wetting. It can happen to anyone, but it becomes more common with age.

Most bladder control problems happen when muscles are too weak or too active. If the muscles that keep your bladder closed are weak, you may have accidents when you sneeze, laugh or lift a heavy object. This is stress incontinence. If bladder muscles become too active, you may feel a strong urge to go to the bathroom when you have little urine in your bladder. This is urge incontinence or overactive bladder. There are other causes of incontinence, such as prostate problems and nerve damage.


Diagnosis

Mayo physicians have a full array of tests available to help determine the cause of urinary incontinence, including urinalysis, stress tests, cystoscopy and studies of urine pressure and flow.


Treatment Options

Simple therapies, such as diet modification, avoiding liquids before bedtime, or changing medications can immediately improve urinary incontinence. However, when an infection or serious illness inhibits a patient's ability to control bladder function, more aggressive treatment may be needed. Non-invasive outpatient procedures, biofeedback, medications and surgery are among several options. Overall, Mayo Clinic finds that treatment can cure or significantly improve the symptoms of about 80 percent of patients with urinary incontinence.


Nonsurgical Treatment of Urge Incontinence

Treatments most commonly used for urge urinary incontinence are bladder training with timed voiding, medication, biofeedback, and electrical stimulation. It also may be helpful to distribute fluid intake throughout the course of the day and avoid foods that can irritate the bladder (e.g., coffee, tea, carbonated beverages, spicy foods, acidic foods).

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Are there different types of incontinence?

Yes. There are 5 types of urinary incontinence. A brief explanation of each follows.


Stress incontinence

Stress incontinence is when urine leaks because of sudden pressure on your lower stomach muscles, such as when you cough, laugh, lift something or exercise. Stress incontinence usually occurs when the pelvic muscles are weakened, for example by childbirth or surgery. Stress incontinence is common in women.


Urge incontinence

This occurs when the need to urinate comes on very suddenly, often before you can get to a toilet. Your body may only give you a warning of a few seconds to minutes before you urinate. Urge incontinence is most common in the elderly and may be a sign of a urinary tract infection or an overactive bladder.


Overflow incontinence

This type of incontinence is the uncontrollable leakage of small amounts 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 tumor. Diabetes or certain medicines may also cause the problem.


Functional incontinence

This type occurs when you have normal urine control but have trouble getting to the bathroom in time. You may not be able to get to the bathroom because of arthritis or other diseases that make it hard to move around.


Mixed incontinence

This type involves more than one of the types of incontinence listed above.



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