Urinary incontinence is the loss of bladder control. It occurs more often in women than in men especially after childbirth and menopause. It is also common among elderly. This condition can also be caused by urinary tract infection or an overactive bladder. If urinary incontinence affects your lifestyle and daily activities, get it treated. The situation can improve!
Symptoms and types of urinary incontinence include stress incontinence (urine leaks when exerting pressure on your bladder by a certain activity like coughing or sneezing), urge incontinence (sudden urge to urinate followed by uncontrollable urine leak), overflow incontinence (frequent and constant dribbling of urine), functional incontinence (a physical or mental impairment that prevents you from making it to the toilet in time) and mixed incontinence (experiencing more than one type of urinary incontinence).
A urinalysis to check for signs of infection or blood traces is done together with a bladder diary. A bladder diary will record how much you drink, your output of urine and when you urinate. The doctor will also perform a post-void residual measurement using an ultrasound to check if there is leftover urine in your bladder after you urinate. This will enable the doctor to diagnose you accurately.
Treatments for urinary incontinence will depend on the cause of urinary incontinence and the type of urinary incontinence. There are many ways to treat urinary incontience. They include: Bladder training, Fluid and diet management, Pelvic floor training, Medications such as anticholinergics, mirabegron (myrbetriq) and alpha blockers, Interventional therapies such as botulinum toxin type A (botox) injections and Surgery.
- SLING PROCEDURES
A pelvic sling is created around the urethra and the area of thickened muscle where the bladder connects to the urethra. The sling is made of your body’s tissue, synthetic material or mesh. The sling helps to keep the urethra closed. This procedure is used to treat stress incontinence.
- BLADDER NECK SUSPENSION
This procedure where an abdominal incision is made provides support to the urethra and bladder neck.
- PROLAPSE SURGERY
Prolapse surgery may be done in combination with a sling procedure if the female patient presents with mixed incontience and pelvic organ prolapse.
- ARTIFICIAL URINARY SPHINCTER
In men, a small, fluid-filled ring is implanted around the bladder neck to keep the urinary sphincter closed until the patient has the urge to urinate. In order to urinate, patient will need to press a valve implanted under the skin that causes the ring to deflate and allowing urine from the bladder to flow.