Incontinence Therapy

Urinary incontinence is loss of bladder control. Symptoms can range from mild leaking to uncontrollable wetting. It can happen to anyone, but it becomes more common with age.

Definitions 

Bulking agent: refers to a substance, such as collagen, which is injected near the urinary opening to help increase pressure at the opening and prevent involuntary loss of urine

Detrusor instability: a bladder that contracts and empties out urine even though it is not full, or when the person does not intend to urinate

Intrinsic sphincter deficiency (ISD): a poor or non-functioning urethral outlet muscle

Mixed incontinence: a combination of urge and stress incontinence

Neuromodulation: electrical stimulation of a nerve

Overflow incontinence: the bladder overfills without causing a sensation to urinate

Periurethral: around the urethra, which is the natural channel or tube through which urine passes from the bladder to outside the body

Sacral nerve stimulation: a permanent implantable device that stimulates the neural pathways controlling bladder function

Stress incontinence:characterized by the leakage of urine during physical activities that increase pressure on the bladder

Sphincter:a ring-like band of muscle fibers that constrict a passage or close a natural opening

Urethra: the natural channel or tube through which urine passes from the bladder to outside of the body

Urinary retention: the inability to completely empty the bladder of urine

Urinary urge incontinence: leakage of urine when there is a strong urge to void

Urinary urgency-frequency: an uncontrollable urge to urinate resulting in very frequent, small volumes

Most bladder control problems happen when muscles are too weak or too active. If the muscles that keep your bladder closed are weak, you may have accidents when you sneeze, laugh or lift a heavy object. This is stress incontinence. If bladder muscles become too active, you may feel a strong urge to go to the bathroom when you have little urine in your bladder. This is urge incontinence or overactive bladder. There are other causes of incontinence, such as prostate problems and nerve damage.

Treatment depends on the type of problem you have and what best fits your lifestyle. It may include simple exercises, medicines, special devices or procedures prescribed by your doctor, or surgery

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