Changing what you drink. Drinks containing caffeine (for example, tea, coffee, hot chocolate and cola) make urge incontinence worse. This is because caffeine is a natural diuretic. Diuretics are chemicals that make you need to pass urine. If you drink a lot of caffeine-containing fluids then consider switching to decaffeinated alternatives.
To diagnose the problem, your doctor will first ask about symptoms and medical history. Your pattern of voiding and urine leakage may suggest the type of incontinence you have. Thus, many specialists begin with having you fill out a bladder diary over several days. These diaries can reveal obvious factors that can help define the problem-including straining and discomfort, fluid intake, use of drugs, recent surgery, and illness. Often you can begin treatment at the first medical visit.
A simple analogy is that of a garden hose (urethra) running over a pavement surface (anterior endopelvic connective tissue). A force is applied in a downward direction using the foot (increased intra-abdominal pressure). This force compresses the hose shut, occluding flow. If the same hose is run through a soft area of mud (damaged connective tissue), then the downward force does not occlude the hose but, rather, pushes the hose deeper into the mud.
Biofeedback is a type of therapy in which electrical patches are placed over areas of the body to record muscle contractions. The signals are then visualized on a computer screen. A technician can help you isolate the necessary muscles using biofeedback. This real-time information allows you to know whether or not you’re performing the routine correctly. Once you have the technique down, you’ll be able to perform Kegel exercises on your own without the help from biofeedback.
This type of incontinence occurs when a person is unable to reach the toilet in time due to a physical or mental impairment. For example, a person with severe arthritis may not be able to unbutton his or her pants quickly; also someone with Alzheimer’s disease or another type of brain dysfunction may not be able to plan a trip to the bathroom.
This procedure is generally considered only after other treatments have failed, and it is most commonly done for men after prostate surgery. Because of where the pump is placed, activities such as bike riding may not be recommended.
If you’ve been taking water pills, caffeine pills, or other medications that increase your urine output, they can cause OAB-like symptoms. If you need to take your medication with lots of fluids, the fluids can also increase your urine production dramatically and cause urgency (the sudden need to go) and incontinence (loss of bladder control).
FI affects virtually all aspects of peoples’ lives, greatly diminishing physical and mental health, and affect personal, social and professional life. Emotional effects may include stress, fearfulness, anxiety, exhaustion, fear of public humiliation, feeling dirty, poor body-image, reduced desire for sex, anger, humiliation, depression, isolation, secrecy, frustration and embarrassment. Some people may need to be in control of life outside of FI as means of compensation. The physical symptoms such as skin soreness, pain and odor may also affect quality of life. Physical activity such as shopping or exercise is often affected. Travel may be affected, requiring careful planning. Working is also affected for most. Relationships, social activities and self-image likewise often suffer. Symptoms may worsen over time.
Post-void residual measurement. You’re asked to urinate (void) into a container that measures urine output. Then your doctor checks the amount of leftover urine in your bladder using a catheter or ultrasound test. A large amount of leftover urine in your bladder may mean that you have an obstruction in your urinary tract or a problem with your bladder nerves or muscles.
Suspected overflow incontinence (obstruction or poor bladder contraction) – An ultrasound scan will confirm a large bladder volume after the patient has tried to pass urine. In a man the most likely cause is obstruction due to an enlarged prostate or a urethral stricture. A digital rectal examination and a cystoscopy will confirm the diagnosis. If the overflow incontinence is due to poor bladder contraction this can be confirmed with urodynamic testing.
Absorption – Tranquility tests their products using the C.U.P. method. The C.U.P. method is capacity under pressure, or much liquid the product holds under pressure. How much liquid the product holds and the strength of the product is tested with applied pressure instead of just testing the diaper filled with liquid. The C.U.P. method is used to see what absorption is like if the person is sitting, standing, walking or lying down. It is a more complete test.
^ a b Bø, Kari; Herbert, Robert D. (2013-09-01). “There is not yet strong evidence that exercise regimens other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review”. Journal of Physiotherapy. 59 (3): 159–168. doi:10.1016/S1836-9553(13)70180-2. ISSN 1836-9553. PMID 23896331. There is not yet strong evidence that alternative exercise regimens can reduce urinary leakage in women with stress urinary incontinence.
Although data concerning urinary incontinence in people of different races are sparse, reports are emerging that race may play an important role in the prevalence and likelihood of reporting of incontinence. In addition, differences in anatomic morphology of the urinary sphincter mechanism in people of different races may affect the likelihood of developing incontinence.
Urine culture. A health care professional performs a urine culture by placing part of a urine sample in a tube or dish with a substance that encourages any bacteria present to grow. A woman collects the urine sample in a special container in a health care professional’s office or a commercial facility. The office or facility tests the sample onsite or sends it to a lab for culture. A health care professional can identify bacteria that multiply, usually in 1 to 3 days. A health care professional performs a urine culture to determine the best treatment when urinalysis indicates the woman has a UTI. More information is provided in the NIDDK health topic, Urinary Tract Infection in Adults.
Another common symptom of OAB is urge incontinence. This happens when the urge to urinate is so strong that you can’t control it, causing urine to leak before you make it to the bathroom. It may occur when you laugh, sneeze, cough, or exercise.
However, you can’t solve incontinence by severely cutting back on fluids. This can lead to dehydration, constipation, and kidney stones, which can actually irritate your bladder and make symptoms worse.
Overactive bladder coupled with urinary leakage (inability to suppress the urge to void) is also referred to as urgency urinary incontinence. Another common type of urinary incontinence is called stress incontinence, which is caused by weakness in the pelvic floor muscles that surround and support the bladder and urethra. The symptom of stress incontinence is leakage when coughing, straining, jumping, or with other physical activity that increase the pressure in the abdomen (Valsalva). Treatment for stress incontinence is very different than urge incontinence. In some individuals, there can be a combination of urge and stress incontinence (mixed incontinence). Often, the most bothersome condition is treated first in individuals with mixed urinary incontinence. In general, urinary incontinence is more common in women compared to men.
Research shows that women who are overweight and have incontinence had less episodes of OAB. One study found that women with obesity who lose 10 percent of their body weight saw improved bladder control by 50 percent.
Urgency incontinence is a key sign of overactive bladder. Overactive bladder occurs when abnormal nerves send signals to the bladder at the wrong time, causing its muscles to squeeze without enough warning time to get to the toilet. More information is provided in the NIDDK health topic, Bladder Control Problems and Nerve Disease.
Other names: Bladder Hyperactivity; Chronic overactivity of the bladder; Detrusor hyperreflexia; Detrusor instability; Incontinence, Urge; Irritable Bladder; OAB; Spasmodic Bladder; Unstable Bladder; Urge Incontinence; Urinary Frequency
Hemi–cauda equina syndrome (from a herniated lumbar disk) can also manifest as urinary incontinence. It presents as unilateral leg pain, unilateral sensory deficit in the S1-S5 dermatomes, and urinary incontinence or urinary retention. These patients require urgent neurosurgical consultation for emergency surgery.
UI can be slightly bothersome or totally debilitating. For some men, the chance of embarrassment keeps them from enjoying many activities, including exercising, and causes emotional distress. When people are inactive, they increase their chances of developing other health problems, such as obesity and diabetes.
Nocturia is a condition that involves waking up to use the bathroom several times at night to the point that a sleep cycle is disrupted. This is an extension of the urinary frequency symptom. OAB will wake you throughout the night to send you to the bathroom. This is very common among people who have OAB.
The exceptional security is due to the super-absorbent core which rapidly absorbs even large quantities of urine keeping it away from the skin so that, even when seated or lying down for long periods of time, the wearer will stay dry and comfortable. Because of our innovative new Acquisition layer liquid is quickly dispersed away from the surface of the diaper ensuring that the wearer remains dry.
Nerve and muscle damage near your bladder causes overactive bladder. The damage causes your bladder to contract (squeeze) at an unplanned time. That’s what causes leaking and the sudden, urgent need to urinate. Sometimes, having too much fluid in your bladder or too much caffeine can cause overactive bladder.
McAninch JW, et al., eds. Urinary incontinence. In: Smith and Tanagho’s General Urology. 18th ed. New York, NY: McGraw-Hill; 2013. http://accessmedicine.mhmedical.com/content.aspx?bookid=508§ionid=41088107. Accessed March 18, 2017.
You can also do special pelvic floor exercises, or Kegel exercises, in addition to regular exercise. Kegel exercises strengthen the muscles to minimize involuntary contractions and improve posture. It’s also one of the safest behavioral therapies without side effects and complications.
Validated instruments that assess disease-specific QoL, such as the Incontinence Impact Questionnaire (IIQ), the Kings Health Questionnaire, and the OAB-q, have been developed to determine the impact of OAB and urinary incontinence on QoL. These have all demonstrated the substantial impact of OAB and urinary incontinence.
Basic blood work and urinalysis can complement history and physical examination. Usually blood chemistry and kidney function tests are ordered to evaluate for possible metabolic problems, such as diabetes. Urinalysis with urine culture is also helpful to assess for any existing urine infection or other urinary and kidney disorders. Sometimes urine cytology studies can be performed to see if any cancer cells may be present in the urine suggesting bladder cancer.
The physician may ask you to keep a voiding diary where you note how much liquid you drink, how much you urinate, and when and where you experience an accident. You will also note approximately how much urine you lose with each episode of incontinence and whether or not you experience a sense of urgency. This information will help your physician determine what kind of incontinence you have. A voiding diary can also help guide treatment decisions.
3 Has a potential for abuse less than those in schedules 1 and 2. Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence.
Typically, the medications for overactive bladder start to work within one to two weeks, and optimal relief of OAB symptoms is usually achieved by six weeks. The most common medications (anticholinergics), bladder relaxants, target to decrease the overactivity of the detrusor muscle. Anticholinergics should be used under the direction of the physician prescribing them. They may have some common side effects, including dry mouth, constipation, facial flushing, blurry vision, and confusion (in the elderly). There are multiple anticholinergic therapies approved for the treatment of overactive bladder. They all are similar in their ability to treat the symptoms of overactive bladder but differ in the frequency and type of side effects as well as method of use. Some are once daily, some are topical treatments applied to the skin, and some come in different doses, allowing one to increase the dose if needed. Lastly, several of these medications are now available in generic forms.
^ Jump up to: a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae American Urological Association (2014). “Diagnosis and Treatment of Overactive Bladder (Non-Neurogenic) in Adults: AUA/SUFU Guideline” (PDF). Archived from the original (PDF) on 26 April 2015. Retrieved 1 June 2015.