Diagnosis Of Urinary Incontinence
The first step in treating incontinence is to see a doctor. He or she will give you a physical exam and take your medical history. The doctor will ask about your symptoms and the medicines you use. He or she will want to know if you have been sick recently or had surgery. Your doctor also may do a number of tests. These might include:
- Urine and blood tests
- Tests that measure how well you empty your bladder
In addition, your doctor may ask you to keep a daily diary of when you urinate and when you leak urine. Your family doctor may also send you to a urologist, a doctor who specializes in urinary tract problems.
Treatment For Urinary Incontinence In Men
Urinary incontinence treatment in Dubai depends on the form, severity, and root cause of incontinence. By changing a couple of routines and doing workouts to improve the muscles that keep urine in the bladder, many men recover their urinary function. The patient will be recommended to take some drugs if certain behavioral therapies fail.
Surgery is the only suitable alternative in some situations. Your urology specialist will let you know all the possible treatment options that include:
- Bladder training- This helps to avoid urination after the patient experiences the need to urinate. The goal of this treatment is to extend the time lapse between your urge to urinate.
- Double voiding- This involves urinating followed by standing, and then trying it again for a few minutes. To prevent leakage incontinence, this is expected to make the patient aware of how to drain their bladder fully.
- Scheduled bathroom visits- This involves urinating every two or four hours daily rather than waiting for the need to go.
- Pelvic floor muscle workouts- This aim to strengthen the muscles that help regulate urination. These techniques, known as Kegel exercises, help strengthen weak pelvic muscles and enhance control of the bladder
Certain surgical interventions can cure the complications inducing urinary incontinence if other therapies fail to manage symptoms.
Incontinence Across The Ages
Women are more prone to incontinence because their urethra is very short while the males is quite long . If you imagine a garden hose, the shorter it is, the more likely water from the tap is to leak out. In a longer hose, the tap water might stop flowing before it reaches the end.
About a third of women who have had children suffer from incontinence at some point. Adolescent girls and older children also experience urine leakage, mainly in the case of bed wetting. This is due to an overactive bladder and affects about 4% of children between five and 12.
Bed wetting gradually declines during adolescence, but urge and stress incontinence persist in up to 10% of women. Incontinence then becomes more common after menopause as women produce less oestrogen which weakens ligaments and pelvic floor muscles supporting the urethra.
Obesity increases the likelihood of incontinence too, as abdominal fat puts pressure on pelvic floor muscles. Likewise, constipation and repeated straining to pass a bowel motion weakens these muscles, increasing the risk.
Other factors influencing incontinence include urinary tract infection, which is known to worsen its prevalence and severity. Anxiety also contributes to symptoms with studies showing 28% to 32% of women with urge incontinence, and 22% with stress incontinence, suffer from anxiety.
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Is Apple Cider Vinegar Good For Incontinence
Apple cider vinegar contains many nutrients that support healthy bodily functions, including the function of your bladder. Digestion of nutrients is made easier by apple cider vinegars acetic acid content, which helps lower cholesterol and glucose levels.
This includes lowering uric acid production in the kidneys excess amounts can cause frequent urges to urinate or make it more difficult to hold your urine.
Apple cider vinegar also contains high levels of potassium, calcium, magnesium, and vitamins A, C, E, and B-6. These minerals help protect the bladder against harmful bacteria which can cause urinary tract infections .
What Drinks Are Good For Incontinence
Consuming some foods or drinks can increase your risk of urinary tract infections .
Please limit the following:
Caffeine drinks such as soda, coffee, or tea.
Carbonated beverages these can increase pressure in your bladder and may cause leaks due to increased urgency.
Hot spices these include red hot chili peppers, black pepper, and horseradish.
Alcohol this can irritate the lining of your bladder and increase the urgency or frequency to use the bathroom.
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How Urinary Tract Infection Can Cause Incontinence
UTI can have many complications that are associated with incontinence.
It is common for women who suffer from recurrent urinary tract infections to develop incontinence later in life. This is because the bladder becomes irritable and overactive due to damage to the pelvic floor muscles or nerves.
The pelvic floor muscles can also become weak and atrophied due to a urinary tract infection.
This is because the muscles have been overworked due to having to constantly hold in urine.
Duration Of Urinary Incontinence
Most cases of UI are chronic, and will remain so until treated. Depending on the cause, however, not all UI cases are chronic. If the cause is temporary, such as a vaginal infection or a urinary tract infection, the UI will stop once the issue is addressed.
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Schedule An Appointment Today
Mississippi Urology Clinic has been providing high-quality urology care for years. Our board-certified urologists are experienced in treating a wide variety of urology conditions, including urinary incontinence, and we are skilled at diagnosing and treating incontinence in our patients. Our commitment to our patients means that we treat everyone we see with dignity and respect. We’ll help guide you through your treatment options as quickly and easily as possible so you can enjoy an improved quality of life.
If you’re interested in learning more about how we can help with your urinary incontinence issues, don’t hesitate to contact us today. We’re looking forward to seeing you.
Can A Urinary Tract Infection Cause Incontinence
Yes, it is possible that the UTI has caused damage to your pelvic floor muscles. This can make it difficult to hold in urine or stool. Damage to your pelvic floor muscles may also cause urinary incontinence.
The pelvic floor muscles are responsible for the ability to control the bladder, bowel, and sexual organs.
There can be many causes of incontinence which you should discuss with your doctor. Bladder infections are one possible cause. Both bladder infections and urinary incontinence have similar symptoms that may not always be obvious.
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What Causes Urinary Incontinence
Urinary incontinence can be caused by many different medical problems, including weak pelvic muscles or diabetes. Some common causes are listed below.
- For women, thinning and drying of the skin in the vagina or urethra, especially after menopause
- For men, enlarged prostate gland or prostate surgery
- Weakened and stretched pelvic muscles after childbirth
- Certain medicines
- Diseases such as diabetes, Alzheimers disease, and multiple sclerosis
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Urinary Incontinence Treatment & Management
- Author: Sandip P Vasavada, MD Chief Editor: Edward David Kim, MD, FACS
Treatment is keyed to the type of incontinence. The usual approaches are as follows:
- Stress incontinence – Surgery, pelvic floor physiotherapy, anti-incontinence devices, and medication
- Urge incontinence – Changes in diet, behavioral modification, pelvic-floor exercises, and/or medications and new forms of surgical intervention
- Mixed incontinence – Anticholinergic drugs and surgery
- Overflow incontinence – Catheterization regimen or diversion
- Functional incontinence – Treatment of the underlying cause
Some experts recommend a trial of medical therapy before considering surgical treatment. Others believe that if the incontinence is severe and correctable by surgical means, a trial of medical therapy is not mandatory and need not be performed if the informed patient chooses to proceed directly to surgery.
Treatment of comorbid disease may minimize incontinence episodes. Measures such as smoking cessation, control of asthma, and relief of chronic constipation may be beneficial.
A network meta-analysis of 84 randomized trials of urinary incontinence concluded that behavioral therapies are generally more effective than pharmacologic interventions for stress or urge urinary incontinence, Findings included the following:
Studies In Patients With Ui
Interventions for SUI reported a median cure rate of 32% for open colposuspension and 82.3% for other surgical techniques. UUI, mostly treated by pharmacological means, had a median cure rate of 45.8% for drug treatments, depending on the drug used. MUI demonstrated intermediate cure results, falling between those for SUI and UUI, depending on the nature of the underlying condition and the intervention employed.
Forty-four studies looked at 67 interventions in patients with SUI. Thirty-four studies were predominantly in women, eight studies were predominantly in men in two studies, gender was not reported . Thirty-five studies were specifically in patients with SUI, seven studies included patients with MUI and SUI, one study included patients with UUI and SUI, and one study included patients with UUI, MUI and SUI.
Results are reported in Additional file : Table S5 and an overview of the summary of cure rates is reported in Table . All cure rates for all follow-up points within each study reported in the included studies are listed in Additional file : Table S5. The summary table lists all cure rates at the final follow-up for each study. In the text below, pooled results for each intervention are reported as specified in the Methods section.
Table 1 Cure ratesa in studies for female and male patients with stress urinary incontinence
Table 2 Cure ratesa in studies for female and male patients with urgency urinary incontinence
Questions To Ask Your Doctor
- What type of urinary incontinence do I have?
- What is the likely cause of my urinary incontinence? Can this condition be treated?
- If so, will treating the condition cure my urinary incontinence? When can I expect relief from my symptoms?
- Should I start doing Kegel exercises? How often?
- Would a bladder training program help manage my urinary incontinence?
- Will any lifestyle changes help manage my urinary incontinence?
- Im embarrassed by my urinary incontinence. Until my symptoms improve, what else can I do to help manage my condition?
Data Sources And Searches
Studies of any design which included adult patients with UI or FI, reporting cure or success rates, with50 patients, evaluating any intervention in line with the 5th International Consultation on Incontinence treatment algorithms , a follow-up time3 months, and published between January 2005 and June 2015 were included. Medline, Embase, PsycINFO, the Cochrane Central Register of Controlled Trials , CINAHL, and PEDro were searched. Supplementary searches were undertaken for conference abstracts and trials registers published in 2014 and 2015 .
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What Is Urge Incontinence And How Is It Treated
There are many different types of urinary incontinence the loss of bladder control. One of the most common types is urge incontinence, which is characterized by a sudden, intense urge to urinate followed by an involuntary loss of urine. You may need to urinate often, including throughout the night.
Urinary incontinence is more common among women with approximately 17 percent of women and 3 to 11 percent of men experiencing urge incontinence at some point in their lives. Fortunately, there are many different treatment options for urge continence ranging from conservative to more invasive.
Conservative ways to treat urinary incontinence include:
There are two primary categories of medications used to treat urge incontinence. Your health care provider will help you determine which is right for you and your condition.
If you have had little luck with other incontinence interventions, you may need to consider:
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Causes Of Urinary Incontinence
Incontinence can happen for many reasons. For example, urinary tract infections, vaginal infection or irritation, constipation. Some medicines can cause bladder control problems that last a short time. When incontinence lasts longer, it may be due to:
- Weak bladder muscles
- Overactive bladder muscles
- Weak pelvic floor muscles
- Damage to nerves that control the bladder from diseases such as multiple sclerosis, diabetes, or Parkinsons disease
- Blockage from an enlarged prostate in men
- Diseases such as arthritis that may make it difficult to get to the bathroom in time
- Pelvic organ prolapse, which is when pelvic organs shift out of their normal place into the vagina. When pelvic organs are out of place, the bladder and urethra are not able to work normally, which may cause urine to leak.
Most incontinence in men is related to the prostate gland. Male incontinence may be caused by:
- Prostatitisa painful inflammation of the prostate gland
- Injury, or damage to nerves or muscles from surgery
- An enlarged prostate gland, which can lead to Benign Prostate Hyperplasia , a condition where the prostate grows as men age.
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What Your Treatment Will Involve
Your healthcare providers recommended treatment plan will depend on the cause of your incontinence. An underlying medical condition may require medication, surgery, or other treatments.
In certain situations, your healthcare provider may not be able to cure your bladder incontinence. In these cases, there are steps you can take to manage your condition.
For example, your healthcare provider may advise you to:
- adjust your diet or fluid intake
- maintain a clear and well-lit path to the bathroom
What Is Bladder Training
Bladder training is a way of learning to manage urinary incontinence. It is generally used for stress incontinence, urge incontinence, or a combination of the 2 types .
Bladder training can help in the following ways:
- Lengthen the amount of time between bathroom trips
- Increase the amount of urine your bladder can hold
- Improve your control over the urge to urinate
Some bladder training techniques are explained in Bladder Training for Urinary Incontinence.
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How Is Urinary Incontinence Treated
Treatment options for urinary incontinence depend on the type of incontinence, the severity, and the underlying cause. A combination of medical treatments, exercises, and lifestyle modifications may be needed. Weight loss in the case of obese women has been shown to help some types of incontinence. The following are the treatment options.
- Fluid and diet management: Reducing or avoiding alcohol, caffeine, or acidic foods and decreasing fluid consumption.
- Bladder training: Training the bladder to delay urination after having the urge to urinate may help. The patient could start by trying to hold off going to the bathroom for 10 minutes every time there is an urge to urinate and gradually lengthening the time.
- Double voiding: First, the patient urinates after getting an urge. Then, the patient waits for a few minutes to urinate again.
- Pessary: Insertion of vaginal pessary may help reduce stress incontinence by supporting the bladder and vaginal wall. It can be inserted by the individual and may be available over the counter.
Pelvic floor muscle exercises:
Electrodes can be temporarily inserted into the rectum or vagina to stimulate and strengthen pelvic floor muscles.
What Can You Do To Relieve Urinary Incontinence
Urinary incontinence almost never goes away on its own. But there are steps you can take to help relieve your symptoms.
“Alleviating urinary incontinence starts with understanding which type of incontinence you’re experiencing and what’s causing it,” says Dr. Lindo. “A specialist such as a urogynecologist can help provide those answers for you, as well as help you understand which behavior modifications and other treatments will be most effective for alleviating your incontinence.”
Weight loss almost always helps relieve urinary incontinence because it reduces the amount of pressure being placed on your pelvic floor. In fact, losing just 5 percent of your weight can improve your urinary symptoms by up to 70 percent.
Similarly, pelvic floor exercises, such as Kegels, can help reduce symptoms of either type of incontinence. In the case of stress incontinence, pelvic floor exercises are a way to restrengthen your weakened muscles. For urge incontinence, these exercises can help calm and retrain your bladder.
“For women experiencing stress incontinence after childbirth, sometimes weight loss and postnatal pelvic floor exercises are all it takes for symptoms to resolve over time,” adds Dr. Lindo.
Depending on the type of incontinence you’re experiencing, your doctor may suggest trying additional modifications.
Behavioral modifications for stress incontinence:
- Weight loss
- The use of a vaginal insert, such as a tampon, while exercising
How Is Incontinence Diagnosed
Often, the diagnosis process for incontinence will start with a conversation with your healthcare provider about your medical history and bladder control issues. Your provider might ask you questions like:
- How often do you urinate?
- Do you leak urine between trips to the toilet, how often does this happen and how much urine do you leak each time?
- How long have you been experiencing incontinence?
These questions can help your provider figure out a pattern with your leakage, which often points to a specific type of incontinence. When your provider is asking about your medical history, its important to list all of your medications because some medications can cause incontinence. Your provider will also ask about any past pregnancies and the details around each delivery.
There are also several specific tests that your provider might do to diagnose incontinence, including:
While at home, your provider might recommend you keep track of any leakage in a journal for a few days. By writing down how often you experience incontinence issues over the span of a few days, your provider might be able to identify a pattern. This can really help in the diagnosis process. Make sure to write down how often you need to urinate, how much you are able to go each time, if you leak between trips to the bathroom and any activities you might be doing when you leak urine. Youll then bring this journal with you to your appointment and talk about it with your provider.