Urinary And Stress Incontinence - It's Treatment

Definition

Urinary incontinence is defined as the involuntary loss of urine. It may be occur if bladder muscles suddenly contract or muscles around the urethra suddenly relax. The Types of Urinary Incontinence such as Stress, Urge, Functional, Overflow, Mixed, Transient. If you have Stress Incontinence, in which it include leakage of small amounts of urine during physical movement such as coughing, sneezing, exercising. If you have Urge Incontinence, then it include leakage of large amounts of urine at unexpected times, including during sleep. If you have Functional Incontinence, then it include untimely urination because of physical disability, external obstacles, or problems in thinking or communicating that prevent a person from reaching a toilet. If you have Overflow Incontinence, then it may include Unexpected leakage of small amounts of urine because of a full bladder. If you have Mixed Incontinence, then it may include Usually the occurrence of stress and urge incontinence together. If you have Transient Incontinence, then it may include Leakage that occurs temporarily because of a condition that will pass.

Causes of Urinary incontinence

Pregnancy and childbirth. menopause and the structure of the female urinary tract contribute to the increased incidence of urinary incontinence in women. Other factors that may cause or contribute to urinary incontinence include:

• Local causes, such as infection, bladder stones, and pelvic masses
• Neurologic causes, such as stroke, multiple sclerosis, birth defects, and spinal injury
• Medications, such as diuretics, beta blockers and antidepressants
• Medical conditions, such as hypothyroidism, diabetes, and depression.

Symptoms of Urinary incontinence

Leakage of urine is the major sign of urinary incontinence. Urinary incontinence is also associated with nocturia, frequent urination, and the sudden, uncontrollable urge to urinate moderate or large amounts of urine. Stress incontinence is usually associated with loss of small amounts of urine while coughing, laughing, sneezing, jogging, lifting, and other movements that put pressure on the bladder.

Urinary incontinence and stress incontinence have also been associated with:

• Disroption of daily activities
• Sleep deprivation
• Depression
• Social isolation
• Loss of self-esteem
• Altered relationships.

Treatment of Urinary incontinence

If you have this disease, then you should be use Possible treatment such as:

• Kegel exercises, which can be performed by the patient to exercise and strengthen the pelvic floor muscles, can be done with or without insertion of weighted cones into the vagina.
• Biofeedback involves the use of a diary or electronic deVice to document contraction of bladder and urethral muscles. It can help the patient become aware of her body's functioning and allow her to gain control of these muscles.
• A pessary is a rubber or silicon device inserted into the vagina that exerts pressure on the urethra. The application of a pessary can lead to less stress leakage.
• Pharmacologic agents can also be used to treat urinary incontinence associated with detrusor instability. Anticholinergics, such as oxybutynin (Ditropan) and tolterodine (Detrol), block involuntary contractions of the bladder.
• Another treatment for this disease is Tricyclic antidepressants, such as imipramine (Tofranil), exert anticholinergic and musculotropic effects. They also increase bladder outlet resistance. Hormones, such as estrogen, help muscles function normally and are effective in treating postmenopausal women with stress incontinence.