About Urinary Incontinence
Urinary incontinence is the involuntary release of urine from the bladder. It is one of the most common chronic health problems, affecting as many as 13 million Americans. Urinary incontinence is not a disease itself, but is a side effect of an underlying condition or problem. For many people who suffer with urinary incontinence, it’s not just a medical problem. It also affects them emotionally, psychologically, and socially. Fortunately, in many cases incontinence can be treated. It does not have to be an inevitable consequence of aging, childbirth or menopause.
Types Urinary Incontinence
Urinary incontinence can vary in severity and type. There are five main types based on symptoms and circumstances at the time of the urine leak.
Following are details on the five types of incontinence:
|Stress Incontinence||Loss of urine caused by exerting pressure on the bladder by coughing, sneezing, laughing, exercising or lifting something heavy.||
|Urge Incontinence||A sudden, intense urge to urinate, followed by the loss of urine.||
|Overflow Incontinence||A frequent or constant dribble of urine.||
|Mixed Incontinence||Having more than one of the other types of incontinence – usually stress and urge incontinence together.||
|Functional Incontinence||Inability, from a physical or mental disability, to get to a toilet in time to urinate.||Many older adults, especially those in nursing homes, experience this type of incontinence.|
Risk Factors and Symptoms
Risk Factors for Urinary Incontinence
Due to pregnancy, childbirth, menopause, and anatomical differences, women are twice as likely as men to develop incontinence. Men with prostate gland problems are also at a higher risk of incontinence.
Age is another risk factor for developing incontinence; however, incontinence is not a “normal” part of aging.
Additional risk factors include:
- Kidney disease
- Use of certain medications
- Pelvic surgery
- Chronic bladder infections
- Bladder stones
Reducing the Risk
You may not be able to prevent incontinence. Many risk factors are out or our control. However, there are measures you can take to reduce the risk and alleviate the affects of incontinence.
- Maintain a healthy weight
- Do Kegel exercises during pregnancy
- Reduce or eliminate caffeine intake
- Eat a healthy, high-fiber diet
- Drink alcohol in moderation
Diagnosis and Treatment
Diagnosing the Cause of Urinary Incontinence
Your physician may order an imaging exam that will allow a radiologist to examine the structure or function of your bladder and urinary tract for any abnormalities.
A pelvic MRI is the most accurate exam for identifying the cause of urinary incontinence.
Complementary imaging exams may also help identify the source of the problem. Urodynamic imaging uses x-rays to take real-time images of the bladder while it is filling or emptying. Cystography uses x-rays and a contrast dye to visualize the bladder while it is in full and empty states.
A pelvic ultrasound may also be used to study the bladder and urinary tract; however, it is less common.