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Enjoy life again

Urinary Incontinence

Urinary incontinence is the inability to control the flow of urine and is a common and distressing problem affecting quality of life. It is more common and severe in the elderly of both the sexes.

Types of Urinary Incontinence:

  1. Stress Incontinence: leakage of small amounts of urine during physical movement like coughing, sneezing, exercising.
  2. Urge Incontinence: Leakage of large amounts of urine at unexpected times including during sleep.
  3. Functional Incontinence: Untimely urination because of physical disability, external obstacles or problems in thinking or communicating that prevents a person from reaching a toilet.
  4. Overflow Incontinence: Unexpected leakage of small amount of urine because of a full bladder.
  5. Mixed Incontinence: Occurrence of stress and urge incontinence together.
  6. Transient Incontinence: Leakage that occurs temporarily because of a condition that will pass (infection, medication).

Causes

Incontinence is never normal. Age related changes may predispose but may be reversed with consequent resolution. Most incontinence problems can be cured or alleviated without surgery.

It is important to determine the cause of incontinence to find a key to its management. The two most common causes are loss of bladder control (urge incontinence) and lack of urethral support (stress incontinence).

Treatment:

Simple lifestyle modifications like regulation of fluid intake, avoiding caffeine, spicy food, citrus fruits and chocolates can help reduce bladder spasms. The pelvic floor muscle training exercises also make the pelvic muscles strong to prevent bladder spasms and support the urethra.

Surgical Treatment:

Two methods that have become very popular are

  1. Sub-Urethral Sling (TVT)
  2. Laparoscopic Burch
  • The Royal College Of Surgeons of England
  • University of Cambridge
  • British Association of Urological Surgeons
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