Urinary Incontinence - Symptoms, causes and treatment

Urinary incontinence is condition when someone is difficult withhold urinate, so that it becomes mewet the bed. Urinary incontinence is generally experienced by the elderly, and is more common in women than men.

Although usually not a dangerous condition, urinary incontinence can have a negative impact on the psychological condition and social life of sufferers. Immediately consult a doctor if urinary incontinence interferes with daily activities.

Urinary Incontinence Symptoms and Causes

Urinary incontinence is caused by many things, from lifestyle to certain medical conditions. The following are some of the causes of urinary incontinence based on the symptoms caused:

1. Menwetting when there is pressure (sstresss incontinence)

People with this type of incontinence will urinate when the bladder is compressed, such as when coughing, sneezing, laughing loudly, or lifting weights. This condition is caused by the muscles of the urinary tract being too weak to hold urine under pressure.

Bladder muscles can weaken due to various factors, for example due to childbirth, excess body weight, or postoperative complications, such as damage to the urinary tract.

2. Unable to delay urination (urge incontinence)

People with this type of incontinence are unable to hold in their urine when the urge to do so occurs. Often changes in body position or hearing the sound of running water makes the patient wet the bed.

This condition is caused by the bladder muscles contracting excessively. Contractions are triggered by excessive consumption of caffeine, soda, alcohol, and artificial sweeteners, urinary tract infections, constipation, and neurological disorders, such as stroke or spinal cord injury.

3. Bedwetting suddenly (overflow incontinence)

Patients with this type of incontinence can urinate little by little. This condition occurs because the bladder cannot be emptied until it is completely empty (chronic urinary retention), so that the remaining urine in the bladder will come out little by little.

Chronic urinary retention can occur when the bladder or urinary tract becomes blocked, interfering with the passage of urine. This blockage is generally caused by an enlarged prostate gland, a tumor or stone in the bladder, or due to constipation.

4. Absolutely can't withhold urine (total incontinence)

Total incontinence occurs when the bladder is completely unable to accommodate urine, so the sufferer will continue to urinate.

This condition can be caused by structural abnormalities of the bladder or pelvis from birth, spinal cord injury, or the appearance of a hole between the bladder and surrounding organs, such as the vagina.

When to go to the doctor

For some conditions, urinary incontinence must be treated immediately to prevent complications or the condition from getting worse. Call your doctor immediately, if the following symptoms appear:

• One part of the body feels weak
• Tingling body parts
• Trouble walking
• Speech disorders
• Blurred vision
• Can't hold CHAPTER
• Loss of consciousness

Urinary Incontinence Risk Factors

There are several factors that put a person at risk for urinary incontinence, including:

• Age carry on

  As you age, the bladder and urethral muscles weaken. Incontinence is also often part of a geriatric syndrome or a group of health problems that often occur in the elderly.

• Jfemale gender

  Urinary incontinence affects more women than men. This can be influenced by the process of pregnancy, childbirth, and menopause.

• Kdescendants

  A person's risk of developing urinary incontinence will be greater, if one of his family members has suffered from the same condition.

• Smoke

  Tobacco can increase the risk of urinary incontinence. Therefore, smokers are more at risk of developing this condition.

• Outerus removal surgery

  In women, the bladder and uterus are supported by some of the same muscles. When the uterus is removed, the pelvic floor muscles can be damaged, leading to incontinence.

• k treatmentprostate cancer

  Side effects of drugs used in the treatment of prostate cancer can cause urinary incontinence.

• Omedicine

  Some types of drugs, such as antihypertensive drugs, sedatives, and heart disease drugs, can trigger urinary incontinence.

Urinary Incontinence Diagnosis

The doctor will trace the symptoms experienced by the patient and the disease he has suffered, as well as ask about the health condition of the patient's family members. Next, the doctor will perform a pelvic exam to check for conditions or abnormalities in the bladder.

If it is suspected that there are other factors that cause urinary incontinence, the doctor will perform further examinations, such as:

• urine test

  This test is done to detect urinary tract disorders, such as infection or bleeding.

• Measurement of the amount of urine

  Measurement of the amount of urine is done to find out if there is urine remaining after the bladder is completely emptied.

• Ultrasound of urinary tract

  This examination is done to see any abnormalities in the structure of the urinary tract.

• Cystoscopy

  Cystoscopy is an examination with a camera in the form of a tube, to see the condition of the bladder more clearly.

• Urodynamic examination

  This examination is done by inserting a catheter tube into the bladder, to determine the strength of the bladder muscle to accommodate fluid.

Urinary Incontinence Treatment

Treatment of urinary incontinence is carried out based on the cause, symptoms that appear, and the severity of the symptoms experienced. Some types of urinary incontinence treatment that can be done are:

Therapy strengthens the pelvic floor muscles

The goal is to increase control over the flow of urine. This therapy can be done by holding urination exercises, Kegel exercises, or scheduling the time to urinate.

Alpha-blocking drugs

Alpha-blocking drugs are given to reduce contraction of the pelvic muscles and prostate gland.

Botox injections

Botox injections are administered directly into the bladder muscle to relax overactive bladder muscles.

pessary ring installation

A pessary ring is used to prevent the uterus from descending, which can lead to urinary incontinence.

Operation

Surgery is performed if nonsurgical treatment methods are not effective for treating urinary incontinence. Some of the operating methods that can be performed are:

• Installing the stand (sling) around the bladder neck, to contain and prevent urine leakage.
• Raise the neck of the bladder, then suture it, to prevent leakage of urine when the bladder is under pressure. This method is called colposuspension (colposuspension).
• Placing an artificial muscle around the neck of the bladder, to keep urine from leaking out until you really need to urinate.
• Installing a thin net behind the urinary tract, to support the urinary tract so that it is always in position
• Correct the descending pelvic organs, to return the pelvis to its normal position and prevent urine leakage.

Urinary Incontinence Prevention

The main step to prevent urinary incontinence is to adopt a healthy lifestyle. This action can be done by:

• Lose weight, if you are overweight.
• Eat foods high in fiber, to prevent constipation.
• Limit consumption of caffeinated and alcoholic beverages.
• Quit smoking.
• Exercise regularly.