Urge Incontinence Archives

Urinary incontinence is a common disorder affecting millions of people all over the world. Its prevalence is not limited to a particular gender or age since this problem occurs in women as well as in men in virtually equal proportion. Toddlers, young adults, middle-aged and the elderly may suffer from incontinence at one time or another.

Male urge incontinence is one of the several types of urinary problem that affects men over 50 who are suffering from neurological disorders like Parkinson’s disease, Multiple Sclerosis, meningitis and stroke.  The person affected has an overactive bladder that contracts uncontrollably while responding to external stimuli like the sound of pouring rain or running water. This problem is aggravated by an enlarged prostate gland.

Although urinary incontinence may sound like a very serious problem, it is not completely irreversible. There are treatments available for the symptoms as well as for the cause of the dysfunction. At the onset of the symptoms consult your doctor and have him run a series of tests to determine the cause of the problem. If surgery is not necessary, the doctor may recommend the following intervention:

Physical Exercise

Control weight problem if the excess weight is causing the weakening of the pelvic floor muscles. Kegel exercises are muscle contractions designed to strengthen and improve muscle tone of the pelvic floor muscles. These muscles that cradle the bladder and other organs above it may become loose from repeated and prolonged straining.

Diet Management

Careful planning of the food intake and avoiding bladder irritants such as coffee, soda, alcohol, artificial fruit juices and spicy foods help in reducing bladder spasm and calm the detrusor muscles. Foods rich in fibre prevent constipation that also contributes to the weakening of the pelvic floor muscles.

Modification of Behavioural Patterns

Keeping a regular toilet habit will re-train the bladder to void at regular intervals. Regaining control of the pelvic floor muscles help in controlling accidental leakage. Delaying urination at the workplace will damage the bladder muscles over time. Overstaying urine in the bladder may cause urinary tract infections or cause the formation of kidney stones or renal calculi.

Medication

To calm erratic bladder muscle contractions, anti-depressants and anti-cholinergics are given to help in relaxing the overactive bladder muscles by enervating the wayward nerves and reduce the frequency of urination. However, these medications have side-effects and should be taken with caution. If nausea, vertigo, blurred vision and insomnia are experienced when taking these drugs, discontinue usage.

Electrical Stimulation

This treatment aims to trigger contraction of the pelvic floor muscles to promote muscle tone and improve closure of the urethra.

Minimal Surgical Intervention

Laparoscopic procedures aimed to clear the blockage caused by kidney stones and widen strictures in the urinary tracts caused by scarring from previous prostate problems. A urethral ring can be inserted through a small incision to provide additional closure capability of the urethral sphincter.

Bulking Agents

This procedure is used to add bulk around the urethral sphincter to improve closure capability. The silicone-based bulking agent such as Botox is injected around the urethral sphincter and repeated after several months. This is a temporary relief.

Non-pharmacological Intervention

There is no need to disrupt the normal flow of your life even with incontinence. Urine leakage and dribbles can be managed discretely without resorting to withdrawal from your social circle or sports activities. There are many products available to help you deal with urinary incontinence.

Incontinence pads and pants, bed liners, chair pads and mattress protection covers are designed to absorb wetness and keep the skin dry. Incontinence briefs are a very convenient and practical solution to prevent embarrassing urine stains on clothing. For maximum leakage protection, use urinals that can be worn under the briefs.

Modern science will continue to discover effective treatments for male urge incontinence. The experiences shared by people suffering from this problem are a huge contribution to the research efforts that could bring about possible eradication of urinary incontinence in the near future.

As our ages advance, our body systems slow down and start to break down. The wear and tear of our organs depend on how well we have lived and how we have taken care of ourselves despite the unfriendly radicals in our environment. One of the systems that usually takes the brunt is our urinary system. Acting as a filtration system, the body expels the liquid waste product of metabolism through the micturation process or the process of urination. When this system fails because of whatever reason, the body suffers too and like the domino effect, one system down and remains unchecked means all systems will follow suit eventually.

One of the disorders of the urinary system a person may suffer is urge incontinence. This condition gives the affected person the sudden urge to urinate, hence the name, and the urge can be so acute that the person cannot get to the toilet in time. When this happens, involuntary loss of urine may result. The nerves serving the bladder muscles send signals to the brain that the bladder is filling up and needs to void. The brain in turn commands the bladder to contract to dispel the urine and along with a weak pelvic floor muscles uncontrollable voiding happens.

Urinary incontinence is a sensitive issue for many sufferers and not many have the positive attitude to carry this through their lives. This can be a very embarrassing issue and to be in a “leaking situation” can be very unpleasant. Anxiety, depression and anti-social behaviours are manifestations common to people with urinary incontinence. Incontinence is not a disease rather it is a symptom of an underlying medical condition.

In women, pregnancy and childbirth weakens the pelvic floor muscles. Large babies and assisted delivery may damage the uterus and surrounding tissues causing prolapsed uterine walls that may press on the bladder. Tumours or non-malignant neoplasm, cystitis and heavy straining damage the nerves enervating the bladder and the underlying muscles. In men, an enlarged prostate gland (Benign Prostatic Hypertrophy) often causes the incontinence. Diabetes and other neurologic disorders like Alzheimer’s disease and multiple sclerosis damages the sacral nerves causing urge incontinence.

Careful evaluation of the patient’s history of urinary problems and the physical checkups and laboratory tests will help the physician in arriving at an objective prognosis. Treatment of the underlying medical reason usually cures the symptoms. Most of the light to moderate type of incontinences has a high chance of recovery with early detection and proper diagnosis. It is important to seek medical attention at the onset of the problem to avoid irreversible damage. There are treatment options available aside from the palliative measures one can use to manage the leaks and dribbles.

Severe urge incontinence may require surgery to correct the disorder. In some cases where surgery is not possible anymore such as with patients suffering from dementia due to Parkinson’s or Alzheimer’s disease or irreversible paralysis, management of the symptoms is the only recourse. There are incontinence products sold on the market that offers maximum protection from the uncomfortable wetness and embarrassing smell. Whatever your needs are the continence specialist can help you find the right product for you. There is no need to hide from the people you love and the friends that make up your social environment; there is more to life than living with incontinence.

All too common as a facial wrinkle reducer and even known as a treatment for migraines, Botox has become a household name; however, it holds still another claim to fame, which is not quite as well known. For anyone suffering from urge incontinence, Botox has been a saving grace. It essentially paralyzes the area where it is injected, and it can effectively eliminate any urge incontinence symptoms.

The reason that Botox works for urge incontinence is that this type of incontinence is caused by an overactive bladder, which makes a person feel a violent and immediate need to urinate. The overactive bladder goes into spasms, and these spasm contractions are the cause of urge incontinence. The sensation is very unpleasant, and frequently if the person does not go to the bathroom right away, they will have an incontinence episode. While bladder retraining is one of the more conventional ways of treating urge incontinence, when this simple technique proves ineffective, sometimes medication or surgery is suggested.

Using Botox to quiet the bladder spasms has proven to be a very effective treatment for urge incontinence. It is injected directly into the bladder muscle, quieting the spasms, which in turn alleviates the need to go to the bathroom so often. Unfortunately, just like with facial wrinkles, Botox is not a permanent cure for urge incontinence. Its effects usually dissipate after a few months, and the urge incontinence returns begging another Botox shot for relief of symptoms. There have been studies that indicate that Botox has contributed to a more permanent reduction in symptoms in some incontinence sufferers. There is a lot of interest around the viability of Botox both as a short term solution and a long term solution for incontinence.

Disclaimer: All material published on the Incontinence.co.uk web site is for informational purposes only. Readers are encouraged to confirm the information contained herein with other sources. The information is not intended to replace medical advice offered by your doctor or health professional. Readers should always discuss health matters and review the information carefully with their doctor or health care professional. Extended Disclaimer