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Urinary Incontinence

Urinary Incontinence

Urinary incontinence is the loss of bladder control, and it is a common in both men and women. 

If you have occasional leakage when you cough or sneeze, you may have urinary incontinence. 

Types of urinary incontinence

While it is more a symptom rather than ailment, UI is often caused by daily habits such as frequent alcohol consumption or blood pressure medicine, or other underlying conditions. If you are affected with UI, you likely experience seldom minor leaks. For others, they experience more moderate amounts. 

There are different types of incontinence, and you may experience multiple types simultaneously. Incontinence includes:

  • Urge incontinence
  • Stress incontinence
  • Overflow incontinence
  • Functional incontinence

How is urinary incontinence treated?

In order to pinpoint the type of UI you have, you will need to have a urinalysis, a bladder diary, and a measurement of how much urine is left in your bladder after you urinate (post-void residual measurement).

Like overactive bladder, treatment for UI is behavioral and includes:

  • Bladder training
  • Urinating more than once
  • Scheduled toilet trips 
  • Fluid and diet management
  • Pelvic floor exercises

Medications used to treat UI include::

  • Anticholinergics
  • Mirabegron (Myrbetriq)
  • Alpha blockers
  • Topical estrogen

If the above treatments do not work, then you may opt for surgical intervention. Current surgical procedures include:

  • Sling procedures
  • Bladder neck suspension
  • Prolapse surgery
  • Artificial urinary sphincter