Urinary incontinence is loss of the control over urination. Urine will be leaks before you are able to get to toilet. With the many types of urinary incontinence, this was the normal process gets disrupted.

One type of the incontinence is stress incontinence. Pelvic muscles were located beneath the bladder. Stress incontinence may occur when the pelvic muscles are not strong enough. They cannot withstand a “stress” or pressure by pushing on the bladder.

When pelvic muscles give way, they will release their squeeze around the bottom of bladder. As a result, urine will be drain out.

Stress incontinence is common during:

  • Pregnancy
  • Coughing
  • Sneezing
  • Lifting
  • Laughing
  • Some awkward body movements

Many women will have urinary incontinence after the childbirth. Pregnancy & childbirth can also affect the conditioning of pelvic muscles. They may also stretch & injure the pelvic nerves. Incontinence can last for a surprisingly long time after the childbirth.

CAUSES:

Temporary urinary incontinence was frequently caused by the urinary tract infection (UTI). Infection of vagina or irritation of vagina from the lack of estrogen (vaginitis) is another main cause of temporary incontinence.

Neurologic problems like multiple sclerosis or spinal cord injury may also cause incontinence. They can cause the bladder to overfill & overflow. Or they can cause the bladder to be empty unpredictably.

Some people may have normal bladder function & control. But they were not able to move easily. This may lead to urinary incontinence because the person cant get to the bathroom in time. Urinary incontinence is most commonly seen in women when compared to men.

SYMPTOMS:

The main symptom of urinary incontinence was leakage of the urine. This leakage can be frequent or rare leakage. Urge incontinence can also cause leakage during sleep.

A urinary tract infection was likely to be cause incontinence if the urine leakage is linked by:

  • Pain during urination
  • Pink, red or dark discoloration of the urine
  • Urine odour
  • Abdominal or back pain
  • Frequent urinating

DIAGNOSIS:

Your doctor will review the medical history. Doctor may also ask you to keep a voiding diary for 1 – 3 days. You should record:

  • Times & amounts of urine leakage
  • Fluid intake
  • Possible triggers (ex. physical activity, coughing, laughing)

A neurological examination & pelvic examination may be performed. These will also help to reveal the main cause of urinary incontinence. You may also have a test to check whether you can empty the bladder completely or not. You will be asked to urinate to empty the bladder. Then, the amount of the urine left in bladder will be measured. Doctor will also check for a urinary tract infection.

If doctor suspects that nerve injury was causing by incontinence, you may need an imaging study. This can be a computed tomography (CT) scan or magnetic resonance imaging (MRI) scan of the brain or spinal cord.

TREATMENT:

Treatment based on the type of incontinence.