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Tolterodine (Detrol, Detrol LA) is indicated for the treatment of an overactive bladder with symptoms of urinary frequency, urgency, or urge incontinence. This medication affects the salivary glands less than oxybutynin, thus, it is better tolerated with fewer side effects (dry mouth). Detrol is usually prescribed twice a day, whereas the long-acting type (Detrol LA) is taken only once a day.

You can take some steps to reduce your likelihood of developing frequent urination. You can also avoid certain foods and drinks closer to nighttime that are known to increase the likelihood of nocturia. Examples include:

Urge incontinence is associated with the frequent passage of urine during the day (frequency) and night (nocturia). Bladder muscle instability caused by pathology in the bladder, such as infection, stones or tumour, is often associated with burning urine (dysuria) and blood in the urine (hematuria). Bladder pain is common with infections, stones and interstitial cystitis.

This surgical procedure is often done with a trial of a temporary wire or as an advanced procedure in which the permanent electrode is implanted and a longer trial is performed prior to a surgical placement of the battery-powered pulse generator. Your doctor then uses a device connected to the wire to deliver electrical impulses to your bladder, similar to what a pacemaker does for the heart.

Sandip P Vasavada, MD Associate Professor of Surgery, Cleveland Clinic Lerner College of Medicine; Physician, Center for Female Urology and Genitourinary Reconstructive Surgery, The Glickman Urological and Kidney Institute; Joint Appointment with Women’s Institute, Cleveland Clinic

The role of the M2 receptor in the human bladder is not well established. Data from small studies demonstrating up-regulation of the M2 receptor in certain pathologic states suggest that it may have a role in detrusor overactivity related to obstruction and spinal cord injury.

Badalian, S. S. & Rosenbaum, P. F. (2010, April). Vitamin D and pelvic floor disorders in women: Results from the national health and nutrition examination survey [Abstract]. Obstetrics and Gynecology, 115(4), 795-803. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/20308841

Botulinum toxin type A (Botox). Injections of Botox into the bladder muscle may benefit people who have an overactive bladder. Botox is generally prescribed to people only if other first line medications haven’t been successful.

The hallmark of OAB is urinary urgency, a sudden urge to urinate that may be difficult to control. Actual loss of urine (incontinence) is not a defining symptom of overactive bladder, but it can happen as a result of urgency. Urinary incontinence tends to be more common in women with OAB compared to men.

The symptoms of OAB may have other causes such as urinary tract infection, diabetes, medication use such as diuretics (water pills), prostate disease, bladder tumors, or interstitial cystitis (causing pelvic pain, urinary frequency, and urgency).

Burgio KL, Goode PS, Johnson TM, et al. Behavioral Versus Drug Treatment for Overactive Bladder in Men: The Male Overactive Bladder Treatment in Veterans (MOTIVE) Trial. J Am Geriatr Soc. 2011 Dec. 59(12):2209-16. [Medline].

The Urinary Incontinence Treatment Network compared the suspension and sling procedures and found that according to women’s bladder diaries, about 31 percent with a sling and 24 percent with a suspension were still continent, or able to hold urine, all of the time 5 years after surgery. However, 73 percent of women in the suspension group and 83 percent of women in the sling group said they were satisfied with their results. Rates of adverse events such as UTIs and UI were similar for the two groups, at 10 percent for the suspension group and 9 percent for the sling group.5

Eilber, MD, K. (2015). What Is The Difference Between A Small Bladder And An …. [online] EmpowHER. Available at: http://www.empowher.com/overactive-bladder/content/what-difference-between-small-bladder-and-overactive-bladder-dr- [Accessed 6 Apr. 2015] 

Don’t be in a hurry when you’re on the toilet. Take your time. After you’ve finished urinating, relax a bit and then urinate again – this practice, called double voiding, helps really empty the bladder. Louise says it’s important to go as there’s no point storing up urine. It’s fine to wait to see if you have an after dribble but don’t force it.

Visco AG, Brubaker L, Richter HE, Nygaard I, Paraiso MF, Menefee SA, et al. Anticholinergic therapy vs. onabotulinumtoxina for urgency urinary incontinence. N Engl J Med. 2012 Nov 8. 367(19):1803-13. [Medline]. [Full Text].

Most men who experience new problems with painful or frequent urination should see their doctor. This guide is intended to provide helpful information while you are awaiting further evaluation, or can add to what you may have already learned after your visit with a doctor.

^ Jump up to: a b Stewart, WF; Van Rooyen, JB; Cundiff, GW; Abrams, P; Herzog, AR; Corey, R; Hunt, TL; Wein, AJ (May 2003). “Prevalence and burden of overactive bladder in the United States”. World Journal of Urology. 20 (6): 327–336. doi:10.1007/s00345-002-0301-4.

UTIs can develop anywhere in the urinary system, but they commonly occur in the bladder and urethra. They’re more common in women than men because women have a shorter urethra. This allows bacteria to travel more easily to the bladder and cause infection. The symptoms of a UTI include:

Bladder neck suspension. This procedure is designed provide support to your urethra and bladder neck — an area of thickened muscle where the bladder connects to the urethra. It involves an abdominal incision, so it’s done during general or spinal anesthesia.

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler’s educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

Functional incontinence occurs when a person recognizes the need to urinate but cannot make it to the bathroom. The loss of urine may be large. There are several causes of functional incontinence including confusion, dementia, poor eyesight, mobility or dexterity, unwillingness to toilet because of depression or anxiety or inebriation due to alcohol.[14] Functional incontinence can also occur in certain circumstances where no biological or medical problem is present. For example, a person may recognise the need to urinate but may be in a situation where there is no toilet nearby or access to a toilet is restricted.

Make sure your child is not consuming too many fluids before going to bed. Also, prevent him from drinking caffeinated drinks, as it can lead to nocturia. It is best to consult a physician to diagnose the cause of nocturia.

Doctors first ask questions about the person’s symptoms and medical history and then do a physical examination. What they find during the history and physical examination often suggests a cause of excessive urination and the tests that may need to be done (see Table: Some Causes and Features of Excessive Urination).

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Biofeedback uses measuring devices to help you become aware of your body’s functioning. By using electronic devices or diaries to track when your bladder and urethral muscles contract, you can gain control over these muscles. Biofeedback can supplement pelvic muscle exercises and electrical stimulation to relieve stress and urge incontinence.

Sedative-Hypnotics: Sedative-hypnotics result in immobility secondary to sedation that leads to functional incontinence.10 Furthermore, benzodiazepines can cause relaxation of striated muscle because of their effects on gamma-aminobutyric acid type A receptors in the central nervous system.1,28

Booster pads like the Tranquility TopLiner Contour aren’t designed to be used alone, but rather to increase the capacity of a primary incontinence product, such as adult brief-style diapers and/or disposable pull-on underwear. The TopLiner is designed to fill to capacity before transferring the liquid to the primary protective garment. It fits well inside adult diapers and is easy to remove. See our full review »

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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.

Millions of adults struggle with chronic incontinence on a daily basis. Fortunately, there are a wealth of quality products on the market designed to meet their needs, though choosing the best one for your particular situation can be tricky at times.

The suprapubic catheter has advantages compared to the urethral catheter: The risk of urethral damage is eliminated, a suprapubic tube is more patient-friendly, bladder spasms occur less often because the suprapubic catheter does not irritate the outflow area of the bladder, and suprapubic tubes are more sanitary because the tube is away from the urethra/anal area (perineum). Suprapubic tubes may cause fewer urinary tract infections than standard urethral catheters.

As in biofeedback, pelvic floor muscle electrical stimulation has been shown to be effective in treating female stress incontinence, as well as urge and mixed incontinence. Electrical stimulation may be the most beneficial in women with stress incontinence and very weak or damaged pelvic floor muscles. A program of electrical stimulation helps these weakened pelvic muscles contract so they can become stronger. For women with urge incontinence, electrical stimulation may help the bladder relax and prevent it from contracting involuntarily.

Incontinence is a widespread condition that ranges in severity from ‘just a small leak’ to complete loss of bladder or bowel control. In fact, over 4.8 million Australians have bladder or bowel control problems for a variety of reasons. Incontinence can be treated and managed.  In many cases it can also be cured.

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.

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.

Male sling. A health care professional performs a sling procedure, also called urethral compression procedure, to add support to the urethra, which can sometimes better control urination. Through an incision in the tissue between the scrotum and the rectum, also called the perineum, the health care professional uses a piece of human tissue or mesh to compress the urethra against the pubic bone. The surgeon secures the ends of the tissue or mesh around the pelvic bones. The lifting and compression of the urethra sometimes provides better control over urination.

If possible, a woman should use techniques such as relaxation to see whether the need to urinate passes if she feels the need to go before the scheduled time. Women should not start a bladder-retraining schedule without discussing it with their doctor first.

Kohki tea is the extract of a subtropical plant in southern China. This sweet tea is sold over the counter in Japan and is high in antioxidants. It’s also shown to have protective effects on the bladder.

Mixed incontinence is a common finding in older patients with urinary incontinence disorders. Often, stress incontinence symptoms precede urge incontinence symptoms in these individuals. Urgency without actual urge-related urine loss also is a common complaint of patients with stress incontinence.

Urgency is considered the hallmark symptom of OAB, but there are no clear criteria for what constitutes urgency and studies often use other criteria.[3] Urgency is currently defined by the International Continence Society (ICS), as of 2002, as “Sudden, compelling desire to pass urine that is difficult to defer.” The previous definition was “Strong desire to void accompanied by fear of leakage or pain.”[10] The definition does not address the immediacy of the urge to void and has been criticized as subjective.[10]

Surgery — The most frequently performed one is a repositioning the neck of the bladder. There is also an artificial sphincter implant, which can be helpful for men who have incontinence after prostate cancer surgery. Sacral nerve stimulation device, an option for some adults, involves a device which can be implanted in the body to help stimulate nerves in the pelvis and improve bladder function.

Most people can sleep 6 to 8 hours without having to urinate. But it’s usually not a big deal if you get up once a night to pee. Drinking caffeinated drinks or alcohol or just drinking too much liquid too close to bedtime can cause it. If you’re concerned or waking up several times to pee, you may want to see your doctor. Excessive nighttime urination can also be caused by medications; diabetes; or kidney, heart, prostate, or other health problems, so it’s worth getting checked out.

Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life.[1] It has been identified as an important issue in geriatric health care.[2] The term enuresis is often used to refer to urinary incontinence primarily in children, such as nocturnal enuresis (bed wetting).[3]

Oxybutynin (Ditropan) is taken two to three times a day. The extended-release form, Ditropan XL, can be taken once a day. There is also a patch form, Ditropan patch or oxybutynin (Oxytrol), which can be placed on the skin once or twice per week.

Bladder training. Bladder training is changing urination habits to decrease incidents of UI. Based on a woman’s bladder diary, the health care professional may suggest using the bathroom at regular timed intervals, called timed voiding. lengthening the time between trips to the bathroom can help by stretching the bladder so it can hold more urine. Recording daily bathroom habits may be helpful. More information is provided in the NIDDK health document, Daily Bladder Diary (PDF, 80 KB) .

With the tabs you can adjust the fit in both the waist and leg openings to almost eliminate leakage. You need a snug fit, not a tight fit. Remember that the fit of the product is the key to both comfort and leakage control. There is an inner cuff and an outer cuff to help prevent leakage in the ATN.

Time voiding while urinating and bladder training are techniques that use biofeedback. In time voiding, the patient fills in a chart of voiding and leaking. From the patterns that appear in the chart, the patient can plan to empty his or her bladder before he or she would otherwise leak. Biofeedback and muscle conditioning, known as bladder training, can alter the bladder’s schedule for storing and emptying urine. These techniques are effective for urge and overflow incontinence[citation needed]

The hypogastric nerves release norepinephrine to stimulate beta3-adrenoceptors in the detrusor and alpha1-adrenoceptors in the bladder neck and proximal urethra. The role of beta3-adrenoceptors is to mediate smooth-muscle relaxation and increase bladder compliance, whereas that of alpha1-adrenoceptors is to mediate smooth-muscle contraction and increase bladder outlet resistance.1 The somatic, pudendal, and sacral nerves release acetylcholine to act on nicotinic receptors in the striated muscle in the distal urethra and pelvic floor, which contract to increase bladder outlet resistance.1

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Another possible explanation for detrusor overactivity in a subgroup of patients involves the triggering of the micturition reflex by leakage of urine into a funneled and partially incompetent proximal urethra. This theory is consistent with the findings of detrusor overactivity caused by coughing or changing position.

Blockages or other abnormalities in your urinary tract can cause symptoms similar to OAB. These include bladder stones, enlarged prostate, and tumors. An enlarged prostate can also weaken your urinary stream and cause other symptoms, including urgency.

Mills and colleagues conducted a comparison study of bladder muscle strips from patients with severe idiopathic detrusor overactivity and from organ donors with no known urologic problems. [16] The following are some of the findings:

Patients with urinary incontinence should undergo a basic evaluation that includes a history, physical examination, and urinalysis (see Presentation). Additional information from a patient’s voiding diary, cotton-swab test, cough stress test, measurement of postvoid residual (PVR) urine volume, cystoscopy, and urodynamic studies may be needed in selected patients (see Workup).

Arunachalam, D. & Rothschild, J. (2015, January 23). Complementary alternative medicine and therapies for overactive bladder symptoms: Is there evidence for benefit [Abstract]? Current Bladder Dysfunction Reports, 10, 20. Retrieved from https://link.springer.com/article/10.1007/s11884-014-0280-5

Although it’s not uncommon among older adults, overactive bladder isn’t a normal part of aging. If your symptoms distress you or disrupt your life, talk to your doctor. Treatments are available that might help you.

Many medications contribute to urinary incontinence, directly or indirectly. Medications must always be considered as the cause of new-onset urinary incontinence—especially in elderly persons, in whom polypharmacy is often encountered. [35, 24]

Mixed incontinence is a common finding in older patients with urinary incontinence disorders. Often, stress incontinence symptoms precede urge incontinence symptoms in these individuals. Urgency without actual urge-related urine loss also is a common complaint of patients with stress incontinence.

An age-related pattern also appears in the predominant type of urinary incontinence experienced. In general, studies have shown that stress urinary incontinence tends to be more common in women younger than 65 years, while urge urinary incontinence and mixed urinary incontinence is more common in women older than 65 years.

Talk with your doctor about whether surgery will help your condition and what type of surgery is best for you. The procedure you choose may depend on your own preferences or on your surgeon’s experience. Ask what you should expect after the procedure. You may also wish to talk with someone who has recently had the procedure. Surgeons have described more than 200 procedures for stress incontinence, so no single surgery stands out as best.

Often, frequent urination is not a symptom of a problem, but is the problem. In people with overactive bladder syndrome, involuntary bladder contractions lead to frequent and often urgent urination, meaning you have to get to a bathroom right now — even if your bladder is not full. It may also lead you to wake up once or more during the night to use the bathroom.

Uroflowmetry, or uroflow, is used to identify abnormal voiding patterns. This is a noninvasive test to measure the volume of urine voided (urinated), the velocity or speed of the urination, and its duration.

^ Lipp, A; Shaw, C; Glavind, K (17 December 2014). “Mechanical devices for urinary incontinence in women”. The Cochrane Database of Systematic Reviews. 12: CD001756. doi:10.1002/14651858.CD001756.pub6. PMID 25517397.

Updated by: Jennifer Sobol, DO, urologist with the Michigan Institute of Urology, West Bloomfield, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

In many cases, an autologous sling is used and will be made using part of the layer of tissue that covers the abdominal muscles (rectus fascia). These slings are generally preferred because more is known about their long-term safety and effectiveness.

On the other hand, if the doctor feels your child may have diabetes, he will suggest getting a blood test. He will ask your child to come for fasting and non-fasting blood test. So ensure you follow your healthcare provider’s advice to the T.

Treatment depends on the type of UI. Health care professionals may recommend behavioral and lifestyle changes, stopping smoking, bladder training, pelvic floor exercises, and urgency suppression as a first-line therapy for most types of UI.

Sometimes stress incontinence and urge incontinence occur at the same time. This is called mixed incontinence. People who suffer from urge incontinence lose greater amounts of urine than those who suffer from stress incontinence. Those who suffer from stress incontinence notice leaks with activities that increase abdominal pressure. Keeping a voiding diary, noting the time, place, and activities associated with symptoms of urine loss can help the physician determine whether you suffer from stress incontinence, urge incontinence, mixed incontinence, or another issue.

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Research shows that 25 to 45 percent of women have some degree of UI. In women ages 20 to 39, 7 to 37 percent report some degree of UI. Nine to 39 percent of women older than 60 report daily UI. Women experience UI twice as often as men.1 Pregnancy, childbirth, menopause, and the structure of the female urinary tract account for this difference.

Indwelling urethral catheters are commonly known as Foley catheters. Urethral catheters used for extended treatment need to be changed every month. These catheters may be changed at an office, a clinic, or at home by a visiting nurse. All indwelling catheters that stay in the urinary bladder for more than two weeks begin to have bacterial growth. This does not mean that a person will have a bladder infection, but infection is a risk, especially if the catheter is not changed regularly. Foley catheters should not be used for prolonged periods (months or years) because of the risks of UTI, and a subrapubic tube may be recommended. Urethral catheters are not used to treat urge incontinence. Other complications associated with indwelling urethral catheters include encrustation of the catheter, bladder spasms resulting in urinary leakage, blood in the urine (hematuria), and inflammation of the urethra (urethritis). More severe complications include formation of bladder stones, development of a severe skin infection around the urethra (periurethral abscess), kidney (renal) damage, and damage to the urethra (urethral erosion).

Edward David Kim, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, Sexual Medicine Society of North America, Tennessee Medical Association

Behavioral therapy involves the use of both suppressive techniques (distraction, relaxation) and learning to avoid foods that may worsen urinary incontinence. This may involve avoiding or limiting consumption of caffeine and alcohol. Behavioral therapy is not curative for urinary incontinence, but it can improve a person’s quality of life. Behavioral therapy has benefits as both a monotherapy and as an adjunct to medications for symptom reduction.[22]

If lifestyle changes aren’t enough to control your symptoms, your doctor may recommend medications. If your OAB is caused by an enlarged prostate, alpha blockers can help relax the surrounding muscles to improve your urine flow. Other drugs can also help treat symptoms of OAB, including drugs that reduce spasms in your bladder. These medications can help reduce the urge to urinate.

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.

An estimated 50-70% of women with urinary incontinence fail to seek medical evaluation and treatment because of social stigma. Only 5% of individuals who are incontinent and 2% of nursing home residents who are incontinent receive appropriate medical evaluation and treatment. Patients who are incontinent often cope with this condition for 6-9 years before seeking medical therapy.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC’s accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.’s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

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OnabotulinumtoxinA (Botox) is a toxin that is injected directly into the bladder muscle with a cystoscope and may be repeated every four to six months. The effects of the toxin to prevent the release of chemicals from the nerves that supply the bladder, preventing stimulation of the bladder muscle. As the chemical cannot spread very far when injected, to treat the bladder adequately, multiple injections of a small amount of the toxin are necessary for the treatment to be effective. In most individuals, this can be done in the office. The treatment does not cause permanent changes and thus will require periodic retreatments for the effect to be continued. Serious side effects are unusual but may include difficulty breathing, difficulty swallowing, difficulty talking, muscle weakness, and more commonly, urinary tract infection and urinary retention. Individuals undergoing injection of Botox into the bladder muscle must be willing to perform clean, intermittent catheterization to empty the bladder.

Radical prostatectomy: The surgical removal of the entire prostate gland — called radical prostatectomy — is one treatment for prostate cancer. In some cases, the surgery may lead to erection problems and UI.

If you have urge incontinence, you may feel a sudden urge to urinate and the need to urinate often. With this type of bladder control problem, you may leak a larger amount of urine that can soak your clothes or run down your legs.

Bladder symptoms affect women of all ages. However, bladder problems are most prevalent among older women.[38] Women over the age of 60 years are twice as likely as men to experience incontinence; one in three women over the age of 60 years are estimated to have bladder control problems.[34] One reason why women are more affected is the weakening of pelvic floor muscles by pregnancy.[39]

Doctors can prescribe a number of medications to treat an overactive bladder. These medications are usually known as antispasmodics or anticholinergics. They reduce the incidence of muscle spasms, such as the spasms in the bladder.

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However, it’s not uncommon for women to need to go to the toilet more frequently and urgently after this procedure, and some find they’re unable to completely empty their bladder when they go to the toilet.

This may occur when there is a large mass of feces in the rectum (fecal loading), which may become hardened (fecal impaction). Liquid stool elements are able to pass around the obstruction, leading to incontinence. Megarectum (enlarged rectal volume) and rectal hyposensitivity are associated with overflow incontinence. Hospitalized patients and care home residents may develop FI via this mechanism,[4] possibly a result of lack of mobility, reduced alertness, constipating effect of medication and/or dehydration.

Multiple childbirths stretch and weaken the support of the bladder and urethra. This can cause hypermobility of the bladder neck and the urethra, leading to stress urinary incontinence. Injury during childbirth or caesarian section can cause a vesicovaginal fistula to develop.

Urinary urgency describes a sudden and uncontrollable desire to urinate even when the bladder isn’t full. In some cases, this urgency can make it difficult to reach a bathroom in time, leading to UUI.

FI can be divided into those people who experience a defecation urge before leakage (urge incontinence), and those who experience no sensation before leakage (passive incontinence or soiling).[4] Urge incontinence is characterized by a sudden need to defecate, with little time to reach a toilet. Urge and passive FI may be associated with weakness of the external anal sphincter (EAS) and internal anal sphincter (IAS) respectively. Urgency may also be associated with reduced rectal volume, reduced ability of the rectal walls to distend and accommodate stool, and increased rectal sensitivity.[3]

The major cause of stress incontinence is urethral hypermobility due to impaired support from pelvic floor. A less common cause is an intrinsic sphincter deficiency, usually secondary to pelvic surgeries. In either case, urethral sphincter function is impaired, resulting in urine loss at lower than usual abdominal pressures.

Urinary incontinence in women is not a recent medical and social phenomenon, but the relative importance attributed to urinary incontinence as a medical problem is increasing. Several factors responsible for the increased attention to incontinence can be cited.

In addition, urinary incontinence is underdiagnosed and underreported. An estimated 50-70% of women with urinary incontinence fail to seek medical evaluation and treatment because of social stigma. Only 5% of incontinent individuals in the community and 2% in nursing homes receive appropriate medical evaluation and treatment. People with incontinence often live with this condition for 6-9 years before seeking medical therapy.

A vesicovaginal fistula is an abnormal communication between the bladder and the vagina. With large fistulae there is a constant leakage of all of the urine via the vagina. A patient with a tiny fistula may pass urine in the normal way, as well as suffer from a constant leak from the vagina.

Some believe that certain children develop a pattern of not relaxing the pelvic floor while voiding. In some cases, this can be traced back to an infection or some other noxious stimuli. A vicious cycle of pelvic floor spasm, constipation, and urinary retention can develop.

Schedule trips to the bathroom. You can keep a journal to see how often you need to go and delay that time. You can start with 10 minute delays and work your way up to every three to four hours. Most women should be able to wait three to six hours between bathroom breaks.

Fecal incontinence (FI), also known as anal incontinence, or in some forms encopresis, is a lack of control over defecation, leading to involuntary loss of bowel contents—including flatus (gas), liquid stool elements and mucus, or solid feces. FI is a sign or a symptom, not a diagnosis. Incontinence can result from different causes and might occur with either constipation or diarrhea. Continence is maintained by several inter-related factors, including the anal sampling mechanism, and usually there is more than one deficiency of these mechanisms for incontinence to develop. The most common causes are thought to be immediate or delayed damage from childbirth, complications from prior anorectal surgery (especially involving the anal sphincters or hemorrhoidal vascular cushions) and altered bowel habits (e.g., caused by irritable bowel syndrome, Crohn’s disease, ulcerative colitis, food intolerance, or constipation with overflow incontinence).[1] An estimated 2.2% of community dwelling adults are affected.[2]

About Overactive Bladder:  Overactive bladder is a problem with bladder storage function that causes a sudden urge to urinate. The urge may be difficult to suppress, and overactive bladder can lead to the involuntary loss of urine (incontinence).

The bladder is made of muscle and stores the urine. It expands like a balloon as it fills with urine. The outlet for urine (the urethra) is normally kept closed. This is helped by the muscles below the bladder that surround and support the urethra (the pelvic floor muscles).

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Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can’t be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.

Stress urinary incontinence is the leakage urine associated with episodes of increased intra-abdominal pressure such as coughing or sneezing. It is caused by loss of bladder neck and urethral support or inherent sphincter (valve) deficiency.

Women may also learn how to perform Kegel exercises properly by using biofeedback. Biofeedback uses special sensors to measure bodily functions, such as muscle contractions that control urination. A video screen displays the measurements as graphs, and sounds indicate when the woman is using the correct muscles. The health care professional uses the information to help the woman change abnormal function of the pelvic floor muscles. At home, the woman practices to improve muscle function. The woman can perform the exercises while lying down, sitting at a desk, or standing up. Success with pelvic floor exercises depends on the cause of UI, its severity, and the woman’s ability to perform the exercises on a regular basis.

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).

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In people with overactive bladder, muscles in the bladder wall contract at the wrong time. A group of drugs called anticholinergics combat this problem by blocking the nerve signals related to bladder muscle contractions. Research suggests that these drugs also might increase bladder capacity and decrease the urge to go.

Painful urination or pelvic pains are also causes for concern, along with frequent urination. A woman should also see her doctor any time that she experiences symptoms that are uncomfortable to her or that interfere with her quality of life.

OAB can be caused by the nerve signals between your bladder and brain telling your bladder to empty even when it isn’t full. OAB can also be the result of your bladder muscles being too active. Then your bladder muscles contract to pass urine before your bladder is full, and that causes a sudden, strong need to urinate. We call this “urgency.”

Anger JT, Saigal CS, Litwin MS. The prevalence of urinary incontinence among community dwelling adult women: results from the National Health and Nutrition Examination Survey. J Urol. 2006 Feb. 175(2):601-4. [Medline].

A health care professional may recommend other treatments for men with urgency incontinence caused by BPH. More information is provided in the NIDDK health topic, Prostate Enlargement: Benign Prostatic Hyperplasia.

^ a b Wang, Wei; Huang, Qing; Liu, Feng; Mao, Qi (2014-12-16). “Effectiveness of preoperative pelvic floor muscle training for urinary incontinence after radical prostatectomy: a meta-analysis”. BMC Urology. 14 (1). doi:10.1186/1471-2490-14-99. PMC 4274700 . PMID 25515968.

To help retrain your bladder, you can try keeping a daily dairy of urinary urges and trips to the bathroom, as well as any urine leakage. After you figure out how many times you’re going to the bathroom daily, you can start scheduling your trips, adding on about 15 minutes to the normally expected time. Even if you don’t have to go to the bathroom, stick with the scheduled times. As time passes, you can increase the amount of time that passes between urinations. This is meant to improve bladder control. (22)

[Guideline] Qaseem A, Dallas P, Forciea MA, Starkey M, Denberg TD, Shekelle P, et al. Nonsurgical management of urinary incontinence in women: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2014 Sep 16. 161 (6):429-40. [Medline]. [Full Text].

Overactive bladder (OAB) is a condition where there is a frequent feeling of needing to urinate to a degree that it negatively affects a person’s life.[1] The frequent need to urinate may occur during the day, at night, or both.[5] If there is loss of bladder control then it is known as urge incontinence.[3] More than 40% of people with overactive bladder have incontinence.[2] About 40% to 70% of urinary incontinence is due to overactive bladder,[6] It is not life-threatening.[3] Most people with the condition have problems for years.[3]

Kimberly-Clark Australia makes no warranties or representations regarding the completeness or accuracy of the information. This information should be used only as a guide and should not be relied upon as a substitute for professional medical or other health professional advice.

[4] Staskin DR, Peters KM, MacDiarmid S, Shore N, de Groat WC. Percutaneous tibial nerve stimulation: a clinically and cost effective addition to the overactive bladder algorithm of care. Current Urology Reports. 2012;13(5):327–334./p>

Repeat, but don’t overdo it. At first, find a quiet spot to practice-your bathroom or bedroom-so you can concentrate. Pull in the pelvic muscles and hold for a count of three. Then relax for a count of three. Work up to three sets of 10 repeats. Start doing your pelvic muscle exercises lying down. This is the easiest position to do them in because the muscles do not need to work against gravity. When your muscles get stronger, do your exercises sitting or standing. Working against gravity is like adding more weight.

A 2010 summary of research studies presented at an international meeting of doctors who study incontinence illustrates just how common this condition can be. In studies showed that some degree of urinary incontinence was reported by 25-45% of women…

A third food group that may worsen urinary bladder incontinence is chocolate-containing sweets. Chocolate snacks and treats contain caffeine, which is a bladder-irritating agent. Excessive intake of chocolate may worsen pre-existing bladder symptoms.

Efferent sympathetic outflow and somatic outflow are stopped when afferent signaling to the brain exceeds a certain threshold. At this point, the parasympathetic outflow is activated via pelvic nerves. These nerves release acetylcholine, which then acts on muscarinic receptors in detrusor smooth-muscle cells to cause contraction. A number of transmitters, including dopamine and serotonin, and endorphins are involved in this process.1

In addition, the drug imipramine can be used. This medication affects the brain as well as the bladder. According to researchers, an estimated 70% of kids who wet the bed may be helped by the use of these drugs.

Like caffeine, alcohol is a diuretic and a bladder irritant. So drinking a beer is a triple whammy, because you’re consuming liquid, accelerating the rate at which your kidneys are gathering water, and forcing the bladder to empty more often. Dr. Winkler advises his overactive-bladder patients who drink alcohol to stick to a single glass of wine or liquor per day.

Frequent urination could affect you throughout the day, even at night. There are many people who suffer from nocturia, which is characterized by the urge to urinate mainly during the night. Although frequent urination can affect just about anyone, it is observed that women are more likely to suffer from it. As you age, many of your organs weaken, which affects their functioning. For this reason frequent urination is a common problem for those who are elderly. There are several factors that could lead to frequent urination and based on the causes, you may also notice other urinary problems, which include:

Pelvic irradiation may not only cause urogenital fistula but in rare cases causes bladder noncompliance that results in continuous incontinence. Congenital malformations of the genitourinary tract, such as bladder exstrophy, [26] epispadias, and ectopic ureters, can result in total incontinence.

Bladder training, to delay urination after you get the urge to go. You may start by trying to hold off for 10 minutes every time you feel an urge to urinate. The goal is to lengthen the time between trips to the toilet until you’re urinating only every 2.5 to 3.5 hours.

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When you have to urinate, the nerve signals tell the muscles in the walls of the bladder to squeeze. This forces urine out of the bladder and into the urethra. At the same time the bladder squeezes, the urethra relaxes. This allows urine to pass through the urethra and out of the body.

Lifestyle modifications: Avoiding foods and drinks known to irritate the bladder can help a woman experience fewer episodes of frequent urination. Examples include avoiding caffeine, alcohol, carbonated beverages, chocolate, artificial sweeteners, spicy foods, and foods that are tomato-based.

For many people suffering from an overactive bladder, the actual cause cannot be identified. It can be a relief to know that there is no other health problem causing your symptoms but it can also be frustrating and confusing not having a reason for the problem.

Without effective treatment, urinary incontinence can have an unfavorable outcome. Prolonged contact of urine with the unprotected skin causes contact dermatitis and skin breakdown. If left untreated, these skin disorders may lead to pressure sores and ulcers, possibly resulting in secondary infections.

Jump up ^ Pretlow, Robert A. “The internet can reveal previously unknown causes of medical conditions, such as attraction to diapers as a cause of enuresis and incontinence”. Mednet 2002. Archived from the original on 2006-02-17.

Numerous treatments are available to help you manage symptoms of an overactive bladder. You’ll work closely with your doctor to come up with an effective treatment plan. Options can include medication to relieve symptoms and reduce urges. Other treatments can include:

Goode PS, Burgio KL, Johnson TM 2nd, Clay OJ, Roth DL, Markland AD, et al. Behavioral therapy with or without biofeedback and pelvic floor electrical stimulation for persistent postprostatectomy incontinence: a randomized controlled trial. JAMA. 2011 Jan 12. 305(2):151-9. [Medline].

Almost 80% of incontinence cases can be treated so there is no reason why you shouldn’t explore the treatment options out there. Some sufferers can often be too embarrassed to seek treatment, but did you know that over 200 million people suffer some form of incontinence worldwide? 

Treatment for improper urination: Im 28yr old male.After I urinate completely,still some drops comes out, which makes me dirty,and my testicles became small. I dont know for what reason. Can you suggest me.

Videourodynamic studies are reserved to evaluate complex cases of stress urinary incontinence. Videourodynamic studies combine the radiographic findings of a voiding cystourethrogram and multichannel urodynamics. Go to Urodynamic Studies for Urinary Incontinence for more information on this topic.

Adult diapers ; Pullups and Straps; small medium large and Ex large R55,00 per 10 packBaby Diapers; All sizes R30.00 per 20 packAdult and Baby; Linen savers R45 per 10 packSanitary Pads; R5.00 per 10 packPanty Liners R12.00 per 50 pack

Reynolds WS, McPheeters M, Blume J, Surawicz T, Worley K, Wang L, et al. Comparative Effectiveness of Anticholinergic Therapy for Overactive Bladder in Women: A Systematic Review and Meta-analysis. Obstet Gynecol. 2015 Jun. 125 (6):1423-32. [Medline].

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.[4] Symptoms may worsen over time.[1]

Third-line therapy: Sacral neuromodulation or peripheral tibial nerve stimulation (PTNS) for carefully selected patients with severe refractory OAB symptoms or those who are not candidates for second-line therapy and are willing to undergo a surgical procedure; intradetrusor injection of onabotulinumtoxinA is another option

Jump up ^ Salat-Foix, D; Suchowersky, O (February 2012). “The management of gastrointestinal symptoms in Parkinson’s disease”. Expert Review of Neurotherapeutics. 12 (2): 239–48. doi:10.1586/ern.11.192. PMID 22288679.

Your doctor will do a physical exam. He or she will ask what kinds of fluids you drink and how much. Your doctor will also want to know how often you urinate, how much, and if you leak. It may help to write down these things in a bladder diary(What is a PDF document?) for 3 or 4 days before you see your doctor.

If you notice your son urinating six to seven times an hour, it is a case of frequent urination. As stated earlier, boys are not as prone to UTIs as girls. However, they can get an infection of the opening of the penis meatitis. This causes the opening to get inflamed, leading to frequent urination.

Overactive bladder (OAB) is a bladder disorder that results in an abnormal urge to urinate, urinary frequency, and nocturia (voiding at night). Some patients may also experience urinary incontinence (involuntary loss of bladder control).

functional urinary incontinence a nursing diagnosis accepted by the North American Nursing Diagnosis Association, defined as an inability of a usually continent person to reach the toilet in time to avoid the unintentional loss of urine. See also urinary incontinence.

Monosodium glutamate, or MSG, most famous as a flavor enhancer used liberally in some Chinese restaurants, lurks in other foods as well. And for some people, MSG is a trigger of overactive bladder symptoms.

In men, the prevalence increases with age, from 11% in those aged 60 to 64 years to 31% in those aged ≥85 years. The rate of incontinence in black men is similar to that for black women, but in white and Mexican-American men, the rate is 2.5 times lower than in women of the same ethnicity.3

Bladder symptoms affect women of all ages. However, bladder problems are most prevalent among older women.[38] Women over the age of 60 years are twice as likely as men to experience incontinence; one in three women over the age of 60 years are estimated to have bladder control problems.[34] One reason why women are more affected is the weakening of pelvic floor muscles by pregnancy.[39]

There is nothing more annoying at work, or during a social event, than to have to constantly get up to use the bathroom. Not only is it uncomfortable and annoying, it can also be quite embarrassing for some. The good news is that you’re not necessarily stuck with a lifetime of frequent visits to the “loo.” Instead, it’s likely just a sign that something in your health or diet is out of balance.

Measuring urine left in the bladder. This test is important if your bladder doesn’t empty completely when you urinate or experience urinary incontinence. Remaining urine (postvoid residual urine) may cause symptoms identical to an overactive bladder.

Urodynamic testing. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/health-topics/diagnostic-tests/urodynamic-testing/pages/urodynamic%20testing.aspx. Accessed Nov. 7, 2016.

Absorption – Tranquility tests all of their products using the C (capacity) U (under) P (pressure) method. This actually tests the products holding capacity much like it is released from the body. This is done by testing the product under applied pressure instead of just soaking the diaper to see how much it will hold.

Fantl JA, Newman DK, Colling J, et al. Urinary Incontinence in Adults: Acute and Chronic Management Clinical Practice Guidelines. No. 2, 1996 Update. Rockville, MD: US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research; March 1996.

In males, early obstruction due to benign prostatic hyperplasia (BPH) may result in urge incontinence. [22] The pathophysiology of BPH is poorly understood. Relative obstruction develops because of mechanical factors, dynamic factors, and detrusor alterations.

Limit foods and drinks that might irritate your bladder. Substances that may irritate the bladder include: caffeine, alcohol, apples, carbonated drinks, chocolate, citrus juice and fruit, chocolate, corn syrup, cranberries, spicy foods, honey, milk, sugar, artificial sweeteners, tea, tomatoes, and vinegar. If any of these worsen your symptoms, it might be wise to avoid them.

Surgery to place the artificial sphincter requires general or spinal anesthesia. The device has three parts: a cuff that fits around the urethra, a small balloon reservoir placed in the abdomen, and a pump placed in the scrotum. The cuff is filled with liquid that makes it fit tightly around the urethra to prevent urine from leaking. When it is time to urinate, you squeeze the pump with your fingers to deflate the cuff so that the liquid moves to the balloon reservoir and urine can flow through the urethra. When your bladder is empty, the cuff automatically refills in the next 2 to 5 minutes to keep the urethra tightly closed.

Sometimes conditions that are not related to the bladder can cause a person to void more often. One example is vaginal atrophy, or loss of normal vaginal tissue with loss of estrogen with age or surgical removal of the ovaries.

Your GP may refer you to the local continence adviser. Continence advisers can give advice on treatments, especially about bladder training and pelvic floor exercises. If incontinence remains a problem, they can also give lots of advice on how to cope. For example, they may be able to supply various appliances and aids to help, such as incontinence pads, etc.

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Reflex incontinence is due to neurologic impairment of the central nervous system. Common neurologic disorders associated with reflex incontinence include stroke, Parkinson disease, and brain tumors. Reflex incontinence also occurs in patients with spinal cord injuries and multiple sclerosis. When patients with suprapontine or suprasacral spinal cord lesions present with symptoms of urge incontinence, this is known as detrusor hyperreflexia.

Jump up ^ Sacco E, Bientinesi R (Dec 2012). “Mirabegron: a review of recent data and its prospects in the management of overactive bladder”. Ther Adv Urol. 4 (6): 315–24. doi:10.1177/1756287212457114. PMC 3491758 . PMID 23205058.

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.

Seni is a well known brand name in adult incontinence products. The Seni Protection with helps adults who are dealing with incontinence by providing soft leakage barriers that protect the user against side leaks. These adult diapers are easy to change.

Urinary incontinence isn’t a disease, it’s a symptom. It can be caused by everyday habits, underlying medical conditions or physical problems. A thorough evaluation by your doctor can help determine what’s behind your incontinence.

^ Jump up to: a b c Emmanuel AV, Krogh K, Bazzocchi G, Leroi AM, Bremers A, Leder D, van Kuppevelt D, Mosiello G, Vogel M, Perrouin-Verbe B, Coggrave M, Christensen P (Oct 2013). “Consensus review of best practice of transanal irrigation in adults” (PDF). Spinal Cord. 51 (10): 732–8. doi:10.1038/sc.2013.86. PMID 23958927.

Heart failure or peripheral venous and vascular disease can also contribute to symptoms of OAB. During the day, such individuals have excess fluid collect in dependent positions (feet and ankles). When they recline to go to sleep, much of this fluid becomes mobilized and increases renal output, thereby increasing urine output. Many of these patients describe increased nocturia that manifests as OAB.

If you are experiencing symptoms of OAB, your doctor will want to give you a thorough physical exam. You will also likely need to have your urine tested to look for signs of infection or stones. Your doctor may also give you any of several available tests that evaluate the functioning of your bladder.

Biofeedback: Used in conjunction with Kegel exercises, biofeedback helps people gain awareness and control of their pelvic muscles. Biofeedback is often performed by a physical therapist but may also be performed in the office of a urologist or urogynecologist. Biofeedback can help identify the pelvic floor muscles to ensure proper contractions of these muscles.

Anti-incontinence products, such as pads, are not a cure for urinary incontinence; however, using these pads and other devices to contain urine loss and maintain skin integrity are extremely useful in selected cases. Available in both disposable and reusable forms, absorbent products are a temporary way to stay dry until a more permanent solution becomes available.

In January 2009, oxybutynin chloride gel (Gelnique) received FDA approval to treat overactive bladder. This gel is applied once daily to the skin of the thigh, abdomen, or shoulder and delivers a consistent dose of oxybutynin through the skin for 24 hours. Side effects of Gelnique include adverse skin reactions, dry mouth, and urinary tract infection (UTI).

Despite your best efforts, accidents may still happen from time to time. There are many products that can help you feel confident being out and participating in the world. Adult diapers are one option to stay dry in the event of an accident if you tend to leak large amounts. Disposable pads worn in underwear may be enough protection if you are prone to smaller accidents. Waterproof underwear is another safeguard to help keep clothing from getting wet. If nighttime accidents are a concern, disposable pads can be placed on the bed to protect the mattress.

To measure residual urine after you have voided, your doctor may request an ultrasound scan of your bladder or pass a thin tube (catheter) through the urethra and into your bladder to drain and measure the remaining urine.

If you have it, you know overactive bladder (OAB) is a “gotta go now” feeling. While that’s an easy way to explain the condition to a doctor or loved ones, it isn’t as simple to find out what causes it in the first place.

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.

Talk with your doctor about whether surgery will help your condition and what type of surgery is best for you. The procedure you choose may depend on your own preferences or on your surgeon’s experience. Ask what you should expect after the procedure. You may also wish to talk with someone who has recently had the procedure. Surgeons have described more than 200 procedures for stress incontinence, so no single surgery stands out as best.

For urge incontinence not responding to behavioral treatments or drugs, stimulation of nerves to the bladder leaving the spine can be effective in some patients. Neuromodulation is the name of this therapy. The FDA has approved a device called InterStim for this purpose. Your doctor will need to test to determine if this device would be helpful to you. The doctor applies an external stimulator to determine if neuromodulation works in you. If you have a 50 percent reduction in symptoms, a surgeon will implant the device. Although neuromodulation can be effective, it is not for everyone. The therapy is expensive, involving surgery with possible surgical revisions and replacement.

Like its symptoms, incontinence treatment depends on the underlying cause as well as its severity. The most conservative approach to treating incontinence is bladder training and exercises (such as Kegel exercises) to strengthen the pelvic floor muscles.

Contraindications: The use of anticholinergics in individuals with narrow-angle glaucoma is not recommended without approval from an eye specialist. The side effects of anticholinergic medications for OAB may be increased with the use of other medications, thus it is important to always review current medications with the prescribing physician prior to starting an anticholinergic.

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 incontinence. Urodynamic study revealing detrusor instability in a 75-year-old man with urge incontinence. Note the presence of multiple uninhibited detrusor contractions (phasic contractions) that is generating 40- to 75-cm H2O pressure during the filling cystometrogram (CMG). He also has small bladder capacity (81 mL), which is indicative of poorly compliant bladder.

The drugs commonly pinpointed in urinary incontinence include anticholinergics, alpha-adrenergic agonists, alpha-antagonists, diuretics, calcium channel blockers, sedative-hypnotics, ACE inhibitors, and antiparkinsonian medications. Depending upon the mode of action, the effect may be direct or indirect and can lead to any of the types of incontinence. Taking these factors into account, it is important to consider a patient’s drug therapy as a cause of incontinence, particularly in new-onset incontinence patients and in elderly patients, in whom polypharmacy is common.11,12

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Parkinson’s disease is a slowly progressive neurological disease characterized by a fixed inexpressive face, a tremor at rest, slowing of voluntary movements, a gait with short accelerating steps, peculiar posture and muscle weakness, caused by degeneration of an area of the brain called the basal ganglia, and by low production of the neurotransmitter dopamine. Most patients are over 50, but at least 10 percent under 40.

However, it is possible to have a functionally small bladder, which means your bladder, for any number of reasons, can’t hold a lot of urine. Bladder muscles (detrusor) and/or the bladder sphincter muscles become overactive and as a result there is a constant need to void.

This is a medical procedure that sends safe, electrical pulses through your vagina or anus (bottom). They also can be given through a patch. Another method involves placing a wire near your tailbone. Your doctor will tell you how many treatments are necessary for you.

Certain medications may lead to symptoms of OAB. Diuretics can cause urge incontinence because of increased bladder filling, stimulating the detrusor. Bethanechol can also cause urge incontinence through its stimulation of bladder smooth-muscle contraction.

The prostate is a walnut-shaped gland that is part of the male reproductive system. The prostate has two or more lobes, or sections, enclosed by an outer layer of tissue. Located in front of the rectum and just below the bladder, the prostate surrounds the urethra at the neck of the bladder and supplies fluid that goes into semen.

Kidneys. The kidneys are two bean-shaped organs, each about the size of a fist. They are located just below the rib cage, one on each side of the spine. Every day, the kidneys filter about 120 to 150 quarts of blood to produce about 1 to 2 quarts of urine. The kidneys work around the clock; a person does not control what they do.

The information on Health24 is for educational purposes only, and is not intended as medical advice, diagnosis or treatment. If you are experiencing symptoms or need health advice, please consult a healthcare professional. See additional information.

Sometimes constipation can place extra pressure on your bladder. You can prevent constipation by exercising regularly and including more fiber in your diet. Foods high in fiber include beans, whole-wheat breads, fruits, and vegetables.

Moore KN, Schieman S, Ackerman T, Dzus HY, Metcalfe JB, Voaklander DC. Assessing comfort, safety, and patient satisfaction with three commonly used penile compression devices. Urology. 2004 Jan. 63(1):150-4. [Medline].

Urinary incontinence occurs in 11 to 34 percent of older men. Two to 11 percent of older men report daily UI.1 Although more women than men develop UI, the chances of a man developing UI increase with age because he is more likely to develop prostate problems as he ages. Men are also less likely to speak with a health care professional about UI, so UI in men is probably far more common than statistics show. Having a discussion with a health care professional about UI is the first step to fixing this treatable problem.

If you notice your son urinating six to seven times an hour, it is a case of frequent urination. As stated earlier, boys are not as prone to UTIs as girls. However, they can get an infection of the opening of the penis called meatitis. This causes the opening to get inflamed, leading to frequent urination.

Most people deal with frequent urination by reducing their consumption of water. However, this is not the right approach to treating the problem. It is important to consume at least 6 to 8 glassed of water each day.

The only two functions of the bladder are to store urine and to expel urine in a co-ordinated fashion under appropriate circumstances. The bladder needs to be of adequate capacity and compliance in order to store urine. The tone within the bladder neck and sphincter (valve) prevents urine from leaking from the bladder. During voiding the bladder muscle contracts while the sphincter relaxes in a coordinated fashion.

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.

Overactive bladder can have a major impact on just about every aspect of your life. It can force you to avoid vacations, dinners out, and other social situations. You can even miss out on valuable time with family and friends because you’re afraid your overactive bladder — also called OAB — will trigger at the wrong time and embarrass you.

Spicy and acidic foods irritate the bladder lining, causing discomfort and typically increasing the need for more bathroom visits. Dehydration also allows bladder irritants closer contact with the bladder lining, making their effect more intense.

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There are no FDA approved medicines to treat SUI yet, but there are things you can do. Ways to manage SUI include “Kegel” exercises to strengthen the pelvic floor. Lifestyle changes, vaginal and urethral devices, pads, and even surgery are other ways to manage SUI.

Alpha-blockers. Terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax), alfuzosin (Uroxatral), and silodosin (Rapaflo) are used to treat problems caused by prostate enlargement and bladder outlet obstruction. These medications relax the smooth muscle of the prostate and bladder neck, which lets urine flow normally and prevents abnormal bladder contractions that can lead to urgency incontinence.

Pelvic floor muscle exercises. Pelvic floor muscle, or Kegel, exercises involve strengthening pelvic floor muscles. Strong pelvic floor muscles more effectively hold in urine than weak muscles. A woman does not need special equipment for Kegel exercises. The exercises involve tightening and relaxing the muscles that control urine flow. Pelvic floor exercises should not be performed during urination. A health care professional can help a woman learn proper technique. More information is provided in the NIDDK health topic, Kegel Exercise Tips.

However, don’t make a habit of stopping your urine when you wee, as it can actually weaken muscles. Do pelvic floor exercises anywhere and everywhere else, though – while online, when you clean your teeth, while waiting for a bus, or in the car. Start by squeezing your pelvic floor muscles for a slow count of five, then release for a few seconds. Repeat 10 times. As you develop strength over time, aim to hold the muscles for 10 seconds and release for 10.

OAB may be treated with electrical stimulation, which aims to reduce the contractions of the muscle that tenses around the bladder and causes urine to pass out of it. There are invasive and non-invasive electrical stimulation options. Non-invasive options include the introduction of a probe into the vagina or anus, or the insertion of an electrical probe into a nerve near the ankle with a fine needle. These non-invasive options appear to reduce symptoms while they are in use, and are better than no treatment, or treatment with drugs, or pelvic floor muscle treatment, but the quality of evidence is low. It is unknown which electrical stimulation option works best. Also, it is unknown whether the benefits last after treatment stops.[8]

Cortical lesions (eg, from strokes, tumors, aneurysms, or hemorrhages) can lead to inappropriate voiding secondary to depressed social awareness, decreased sensation, and/or inappropriate urethral sphincter relaxation. [24] Cerebrovascular disease doubles the risk for urinary incontinence in older women.

If there is not enough improvement with bladder training alone, medicines called antimuscarinics (also called anticholinergics) may also help. They include oxybutynin, tolterodine, trospium, propiverine and solifenacin. These also come in different brand names. They work by blocking certain nerve impulses to the bladder, which relaxes the bladder muscle and so increases the bladder capacity.

In a Swedish study of 9197 nulliparous women aged 25-64 years, the rate of urinary incontinence increased from 9.7% in the youngest women with a body mass index <25 kg/m2 to 48.4% among the oldest women with a body mass index ≥35 kg/m2. [36] In a Dutch study of 1257 adults, the prevalence of urinary incontinence was 49.0% in women versus 22.6% in men. In both men and women, the prevalence of urinary incontinence increased with aging. [37, 38] Androgen-induced enlargement of nodules of glandular tissue comprises the mechanical portion of the disorder. The dynamic component is related to increased alpha tone in prostatic and urethral smooth muscle. Detrusor dysfunction may consist of impaired contractility, detrusor overactivity, or both. In severe cases of obstruction, retention and overflow incontinence may develop, and the upper urinary tract can become damaged. The symptoms of OAB are uncomfortable and disruptive. They may begin suddenly, for instance, after surgery or childbirth. They can also worsen over time with deterioration of the pelvic floor muscles. Talk to your doctor as soon as you notice the symptoms of OAB. Early treatment of OAB can help reduce or even eliminate the symptoms. The guidelines provide an informed framework for selecting appropriate behavioral, pharmacologic, and surgical treatment and supportive services that can be used to treat urinary incontinence. The panel concluded that behavioral techniques such as bladder training and pelvic muscle exercises are effective, low cost interventions that can reduce incontinence significantly in varied populations. Surgery, except in very specific cases, should be considered only after behavioral and pharmacologic interventions have been tried. The panel found evidence in the literature that treatment can improve or cure urinary incontinence in most patients. The address of the AHCPR is Agency for Health Care Policy and Research, P.O. Box 8547, Silver Spring, MD 20907. They can also be called toll free at (800) 358-9295. OAB is caused by involuntary muscle contractions in your bladder muscles, whether or not your bladder is full. The exact cause of these contractions is sometimes impossible to identify. In other cases, you and your doctor can identify the underlying cause. Odor Reduction - The inner core quickly absorbs moisture and traps it away from the skin. By the inner core quickly absorbing the urine, it helps with odor control as it is quickly neutralized. And because the peach mat core locks away urine, it deprives the related bacteria a place to thrive. All of this makes for healthier skin conditions. [redirect url='http://healthforsurvival.com/incontinence/bump' sec='999']

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On the other hand, if the doctor feels your child may have diabetes, he will suggest getting a blood test. He will ask your child to come for fasting and non-fasting blood test. So ensure you follow your healthcare provider’s advice to the T.

Urinary incontinence is the loss of bladder control, resulting in the accidental loss of urine. Some women may lose urine while running or coughing, called stress incontinence. Others may feel a strong, sudden need, or urgency, to urinate just before losing urine, called urgency incontinence. Many women experience both symptoms, called mixed incontinence, or have outside factors, such as difficulty getting to a standing position or only being able to walk slowly, that prevent them from getting to a toilet on time.

Do you feel the urge to go to the washroom more often than others do? If you do, then you may suffer from a common problem known as frequent urination or urinary incontinence. Under normal circumstances, your bladder should be able to store urine till you visit the toilet to intentionally evacuate the bladder. It is absolutely normal for you to urinate anywhere between 4 and 8 times a day. However, if you experience the urge to urinate more than 8 times a day or if you need to get up a couple of times in the middle of the night just to go to the washroom, it could mean that you are either consuming too much water in the day, or that you suffer from an underlying health problem that has affected the strength and functioning of your bladder.

A sudden and frequent need to urinate is common in both OAB and a UTI. How can you tell the difference between these two urinary health issues? Unlike OAB, a UTI also comes with other symptoms such as discomfort while urinating. In addition, OAB symptoms are continuous while UTI symptoms are sudden and may also include a fever. (30)

^ Jump up to: a b c d Gibbs, Ronald S. (2008). Danforth’s obstetrics and gynecology (10 ed.). Philadelphia: Lippincott Williams & Wilkins. pp. 890–891. ISBN 9780781769372. Archived from the original on 2016-03-05.

Electrical nerve stimulation. If behavioral and lifestyle changes and medications do not improve symptoms, the health care professional may suggest electrical nerve stimulation as an option to prevent UI, urinary frequency—urinating more than normal—and other symptoms. Electrical nerve stimulation involves altering bladder reflexes using pulses of electricity. The two most common types of electrical nerve stimulation are percutaneous tibial nerve stimulation and sacral nerve stimulation.8

The bladder is examined to see if it is full (overflow incontinence) or empty, and whether it is tender or not. A basic neurological examination is performed to rule out neurological causes for the incontinence. The underwear and pads are examined for evidence of wetness. The genital skin is inspected for evidence of urine-induced dermatitis. The urethra and vagina are examined next, usually with a speculum in place. The health professional specifically looks for atrophy of the tissues and for evidence of leaking with coughing (stress incontinence). An assessment is made of the integrity of the bladder and urethral support. A urine sample is tested for evidence of infection and blood.

So, ensure that your little one eats fiber-rich food and drinks enough water to prevent constipation. Persistent constipation is not a good sign. You should consult your pediatrician to learn about the reason for constipation. Also, if your child complains of pain while passing stool, he needs medical evaluation. The pain could be why your kid is controlling bowel movements, which cause frequent urination.

Timed voiding programs involve establishing a schedule for urination. To do this a patient fills in a chart of voiding and leaking. From the patterns that appear in the chart, the patient can plan to empty his or her bladder before he or she would otherwise leak. Some individuals find it helpful to use a vibrating reminder watch to help them remember to use the bathroom. Vibrating watches can be set to go off at certain intervals or at specific times throughout the day, depending on the watch.[21] Through this bladder training exercise, the patient can alter their bladder’s schedule for storing and emptying urine.[22]

The user will have the maximum amount of absorbency protection with these adult diapers from Depend and will be able to continue on about their regular activities and lives without worry of embarrassment.

Urination, or voiding, is a complex activity. The bladder is a balloonlike muscle that lies in the lowest part of the abdomen. The bladder stores urine, then releases it through the urethra, the canal that carries urine to the outside of the body. Controlling this activity involves nerves, muscles, the spinal cord and the brain.

The guidelines provide an informed framework for selecting appropriate behavioral, pharmacologic, and surgical treatment and supportive services that can be used to treat urinary incontinence. The panel concluded that behavioral techniques such as bladder training and pelvic muscle exercises are effective, low cost interventions that can reduce incontinence significantly in varied populations. Surgery, except in very specific cases, should be considered only after behavioral and pharmacologic interventions have been tried. The panel found evidence in the literature that treatment can improve or cure urinary incontinence in most patients. The address of the AHCPR is Agency for Health Care Policy and Research, P.O. Box 8547, Silver Spring, MD 20907. They can also be called toll free at (800) 358-9295.

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Oxybutynin (Ditropan) prevents urge incontinence by relaxing the detrusor muscle. This is typically taken two to three times a day (Ditropan XL is extended release, taken once a day). This medication was the first-generation therapy available, and its main side effects include dry mouth (60%) and constipation. Ditropan patch (Oxytrol) is also available with fewer side effects, but it releases a smaller dose than the oral form. The patch is placed on the skin once to twice weekly, and it may cause some local skin irritation.

If you suffer from Overactive Bladder (OAB), Bladder Pain Syndrome, or Interstitial Cystitis (IC), you’re probably familiar with the feeling of discomfort and urgency that accompanies normal, everyday activities. One way to soothe bladder pain and control these symptoms is through your diet. Eliminating irritating foods and eating soothing foods should dull some of your bladder pain.

Botox, more commonly known for removing wrinkles, can be injected into the bladder muscle causing it to relax. This can increase capacity in the bladder and lessen contractions. Botox is only recommended for people who can’t control symptoms with behavioral therapies or oral medications.

What’s to know about frequent urination in women? Frequent trips to the bathroom can have a variety of causes in women. Find out more about the symptoms, complications, and when to see a doctor. Read now

The first step is to find the right muscles. Imagine that you are trying to stop yourself from passing gas. Squeeze the muscles you would use. If you sense a “pulling” feeling, those are the right muscles for pelvic exercises.

Understand your child’s concerns. Figure out the reason that could be possibly triggering the situation or stressing him out. You can do this by talking and communicating with your little one. Some of the reasons that can stress out kids include:

A pessary is a device used to treat this problem. The device is inserted into the vagina by a doctor or nurse. The pessary pushes into the vaginal wall, affecting the position of the urethra so that leaks are less likely. A pessary may be used as a nonsurgical option to treat certain kinds of pelvic organ prolapse. Some pessaries are meant to be worn continuously. Others may be used as needed, for example only during grueling exercise.

In most cases, children outgrow the problem of an overactive bladder. For each year after the age of 5, the number of overactive bladder cases declines by 15%. The child may learn to respond in a more timely manner to the body’s signals to urinate or bladder capacity may increase over time. In addition, overactive bladders can “settle down,” often when stressful events or experiences have ended.

If the doctor doesn’t find anything strange in the urinalysis, it is best to restrict your child’s fluid intake or get through this phase of fascination. You can also adopt retention control where you encourage your kid to control the urine as long as possible to increase the capacity of the bladder. Regardless of the measure you choose, make sure you get the go-ahead from your pediatric urologist before using it.

Overflow incontinence: Sometimes people find that they cannot stop their bladders from constantly dribbling or continuing to dribble for some time after they have passed urine. It is as if their bladders were constantly hence the general name overflow incontinence.

Coital incontinence (CI) is urinary leakage that occurs during either penetration or orgasm and can occur with a sexual partner or with masturbation. It has been reported to occur in 10% to 24% of sexually active women with pelvic floor disorders.[17]

“reusable adult diapers _natural remedies for incontinence”

Diokno AC, Appell RA, Sand PK, Dmochowski RR, Gburek BM, Klimberg IW, et al. Prospective, randomized, double-blind study of the efficacy and tolerability of the extended-release formulations of and tolterodine for overactive bladder: results of the OPERA trial. Mayo Clin Proc. 2003 Jun. 78(6):687-95. [Medline].

Subak LL, Wing R, West DS, Franklin F, Vittinghoff E, Creasman JM, et al. Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med. 2009 Jan 29. 360(5):481-90. [Medline]. [Full Text].

If you identify Pollakiuria in your child, you should understand that the condition is not a medical condition but more of a psychological reaction to a stressful situation. As parents, it will be easier for you to discuss the concerns with your child help him or her get over his Pollakiuria condition.

The first step in solving a urinary problem is talking with your health care provider. Your general medical history, including any major illnesses or surgeries, and details about your continence problem and when it started will help your doctor determine the cause. You should talk about how much fluid you drink a day and whether you use alcohol or caffeine. You should also talk about the medicines you take, both prescription and nonprescription, because they might be part of the problem.

^ Nygaard I, Turvey C, Burns TL, Crischilles E, Wallace R (January 2003). “Urinary incontinence and depression in middle-aged United States women”. Obstetrics and Gynecology. 101 (1): 149–56. PMID 12517660.

Overflow Incontinence — happens when the bladder becomes too full and overcomes urethral resistance because the bladder can’t be completely emptied, and there is a frequent leakage of urine without the urge to urinate.

Intravenous pyelogram (IVP) – Contrast medium is injected into a vein and excreted by the kidneys. Serial X- rays are taken while the contrast passes through the urinary tract, demonstrating both the function and the anatomy of the system.

Urinary incontinence is defined by the International Continence Society as the involuntary loss of urine that represents a hygienic or social problem to the individual. [6] Urinary incontinence can be thought of as a symptom as reported by the patient, as a sign that is demonstrable on examination, and as a disorder.

Women should let their health care provider, such as a family practice physician, a nurse, an internist, a gynecologist, urologist, or a urogynecologist—a gynecology doctor who has extra training in bladder problems and pelvic problems in women—know they have UI, even if they feel embarrassed. To diagnose UI, a health care professional will take a medical history and conduct a physical exam. The health care professional may order diagnostic tests, such as a urinalysis.

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). “The Urologic Diseases Dictionary.” National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC).