Urinary Incontinence

What is Urinary Incontinence?
Urinary incontinence, or the loss of bladder control, is a common and often embarrassing problem. While some people experience occasional leaking urine when they cough or sneeze, others experience an urge to urinate that's so sudden and strong that they may not be able to get to a toilet in time.

If urinary incontinence affects your daily activities, don't hesitate to see your doctor. Simple lifestyle changes and medical treatment can ease discomfort or stop urinary incontinence.

What are the Symptoms of Urinary Incontinence?
The main symptom of urinary incontinence is a problem controlling urination. Types of urinary incontinence include:

  • Stress incontinence
    Urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy.
  • Urge incontinence
    A sudden, intense urge to urinate followed by an involuntary loss of urine.
  • Overflow incontinence
    Frequent or constant dribbling of urine due to a bladder that doesn't empty completely.
  • Functional incontinence
    A physical or mental impairment keeps you from making it to the toilet in time.
  • Mixed incontinence
    You experience more than one type of urinary incontinence.

How is Urinary Incontinence Diagnosed?
To diagnose Urinary Incontinence, our doctors perform a complete physical exam, and may also perform one of the following tests:

  • Urinalysis
  • Bladder diary
  • Post¬≠-void residual measurement
  • Cystoscopy (using a telescope to view the bladder)
  • Urodynamics

How is Urinary Incontinence Treated?
Treatment for urinary incontinence varies, depending on the type of incontinence, its severity and the underlying cause. In some cases, a combination of treatments may be needed. We will suggest the least invasive treatments first and move on to other options only if these techniques fail.

A variety of treatment options include:

  • Behavioral techniques, including:
    • Bladder training
    • Double voiding
    • Scheduled toilet trips
    • Fluid and diet management
  • Pelvic floor muscle exercises
  • Electrical stimulation
  • Medications
  • Medical devices
  • Interventional therapies
  • Surgery
  • Absorbent pads and catheters

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