Stress incontinence also occurs if the muscles that do the squeezing weaken. This prevents muscles that ordinarily force the urethra shut from squeezing as tightly as they should.Īs a result, urine can leak into the urethra during moments of physical stress. If these muscles weaken, the bladder can move downward, pushing slightly out of the bottom of the pelvis toward the vagina. Certain muscles, known as the "pelvic floor muscles" support the bladder. It is the most common form of incontinence in women and is treatable. Physical changes resulting from pregnancy, childbirth and menopause are common causes of stress incontinence. It is caused by malfunction of the urethral sphincter that causes urine to leak from the bladder when intra-abdominal pressure increases, such as during laughing, coughing or sneezing. Stress incontinence is the most prevalent form of incontinence in elderly patients. This condition is sometimes referred to mass "functional" incontinence. Urge incontinence can also occur when mobility is impaired (for example, in patients with arthritis), making it difficult for patients to get to the bathroom in time. Injury (such as those occurring during surgery).Certain drugs such as hypnotics or narcotics.These involuntary contractions may occur because of inflammation or irritation within the bladder or when certain neurologic diseases impair control of bladder contractions. The most common cause of urge incontinence is inappropriate and involuntary bladder contractions. In urge incontinence, the bladder involuntarily empties during sleep, after drinking a small amount of water, or while touching water or even when hearing it run (as when someone else is taking a shower or washing dishes). In this condition, the patient often loses urine for no apparent reasons while suddenly feeling the need or urge to urinate. Urge incontinence or detrusor overactivity is a common problem that increases in frequency and severity with advancing age. There are three basic types of urinary incontinence: The economic burden of the disease is also considerable as it often leads to premature admission of the patient to nursing home.Īre there different types of urinary incontinence? Urinary incontinence is also associated with an increased number of falls, urinary tract infections and skin breakdown. Embarrassment, stigmatization, isolation, demoralization and depression are common in these patients. Urinary incontinence has far reaching consequences not only on a person's physical health but also on the mental condition. What are the consequences of urinary incontinence? Risk factors for urinary incontinence vary, but include: What are the risk factors for urinary incontinence? However, both women and men can become incontinent from stroke, multiple sclerosis and other physical problems associated with old age. Pregnancy and child-birth, menopause and the structure of the female urinary tract account for this difference. No, women experience incontinence two times more often than men. Is the incidence of urinary incontinence similar in men and women? With aging, the urge to urinate may occur more frequently and be harder to control: however, incontinence can affect men and women of all ages and is not a normal response to aging. Is urinary incontinence an inevitable part of aging? However, as this condition is associated with shame, embarrassment and silence, the exact figure is not known. According to World Health Organisation estimates, there are 200 million patients worldwide with symptoms of male or female urinary incontinence. What is the incidence of urinary incontinence?Īt least 10% of people over the age of 65 years have urinary incontinence. This condition severely affects quality of life by interfering with work, travel, social recreation and sexual activities. The urine loss can range from slight leakage of urine to severe frequent wetting. Urinary incontinence is the inability to hold urine leading to involuntary loss of urine.
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