Urinary Incontinence: Leakage, Causes, Diagnosis, and Treatment

June 24, 2023

The involuntary flow of urine is a common symptom of urinary incontinence. It can have a considerable negative effect on a person’s quality of life, including humiliation, social exclusion, and low self-esteem. Urinary incontinence must be effectively managed, which requires being aware of the causes, getting a correct diagnosis, and researching the many treatment choices. We shall explore urine incontinence in this post, covering its types, causes, diagnostic procedures, and numerous treatment modalities.

Types of Urinary Incontinence:

  1. Stress incontinence: When the bladder is under pressure, incontinence of this kind results in leakage. Exercise, laughing, coughing, and sneezing can all cause stress incontinence episodes.
  1. Urge incontinence: Urge incontinence, also referred to as overactive bladder, is the sudden, strong urge to urinate followed by an uncontrollable leakage of urine. People with urge incontinence could have frequent restroom visits and possibly several nighttime awakenings.
  1. Overflow incontinence: When the bladder doesn’t empty completely, it overfills and leads to overflow incontinence. As a result of the bladder’s inability to contain the extra urine, urine may seep out.
  1. Functional incontinence: This kind of incontinence is frequently linked to cognitive or physical disabilities that make it challenging for people to use the restroom on time.

Causes of Urinary Incontinence:

Urinary incontinence can arise as a result of numerous circumstances. These consist of:

  1. Weak pelvic floor muscles: The bladder and urethra are supported by the pelvic floor muscles. Urinary incontinence can be brought on by the weakening of these muscles, which is frequently brought on by childbirth, aging, or hormonal changes.
  1. Hormonal changes: The bladder and urethra may become weaker during menopause, increasing the risk of incontinence.
  1. Neurological conditions: Multiple sclerosis, Parkinson’s disease, stroke, and spinal cord injuries are a few conditions that can interfere with the nerve signals that control bladder function.
  1. Urinary tract infections: Urinary tract infections can temporarily impair bladder control while the infection is being treated.

Diagnosis of Urinary Incontinence:

A healthcare provider may carry out the following tests to identify the underlying cause of urine incontinence and create a suitable treatment plan:

  1. Medical history: The healthcare professional will ask about any pertinent medical problems or medications, as well as symptoms and fluid intake habits.
  1. Physical examination: To evaluate the pelvic floor muscles, the urinary system, and any symptoms of underlying disorders, a physical examination may be conducted.
  1. Urinalysis: A urine sample may be examined for pathogens, blood, or other irregularities during an analysis.
  1. Keep a bladder diary. This can help with diagnosis by allowing you to keep track of your fluid intake, frequency of urination, and incontinence episodes.

Treatment Options for Urinary Incontinence:

  1. Lifestyle adjustments: Urinary incontinence is frequently managed with simple lifestyle adjustments. Reducing caffeine and alcohol intake, maintaining a healthy weight, and performing pelvic floor exercises are a few examples.
  1. Kegel exercises: Also referred to as pelvic floor exercises, these include contracting and relaxing the muscles that regulate urine flow. The muscles of the pelvic floor can be strengthened to help with bladder control.
  1. Drugs: Some drugs, such anticholinergics, might ease the contractions of the bladder muscles and lessen urge incontinence. For postmenopausal women, hormone replacement treatment may also be an option.
  1. Medical equipment: In some situations, healthcare providers could suggest using medical equipment to address the problem.

Regain your confidence by controlling your urine incontinence. Make an appointment for a consultation with one of our skilled urologists at Al Hilal Healthcare. Learn about your unique treatment options to improve your quality of life.

CTA: Book an appointment.

Written by: Dr. Reghunath K G
MBBS, MS ,DNB,MCH