Urinary incontinence in women

Urinary incontinence in women is usually broken into different  groups

    • Stress incontinence -This type of incontinence occurs when you cough, it is caused by a weak pelvic floor.
    • Urgency incontinence -Women with this type of incontinence experience a sudden urge to urinate, it is usually caused by an overactive bladder.
    • Mixed incontinence which, is a combination of both.

Risk factors for  urinary incontinence

  • Age will increase the risk of incontinence
  • Pregnancy and childbirth
  • Menopause
  • Hysterectomy
  • Obesity
  • History of diabetes
  • History of stroke
  • Constipation
  • Urinary tract infections -Up to Date
  • Nerve and muscle diseases such as multiple sclerosis.
  • Smoking has been associated with an increased risk for urinary incontinence. To date, there have been no studies showing that smoking cessation will decrease urinary incontinence.


Treatment of urinary incontinence

Weight loss has been shown to help reduce incontinence.

Reduce fluid intake and drink smaller amounts at a time. Our bodies are able to adjust the amount of fluid we take in. If you find yourself thirsty then drink more.

Decrease fluid intake 4 hours before going to sleep to help prevent waking up in the middle of the night.

Increasing fiber intake as constipation helps decrease urinary incontinence.

Bladder training is a method where you try to train your bladder to hold more, there are different ways to do this. Some You can try going to the bathroom at set intervals. If you feel the need to go in between these sessions try to hold off. Try performing kegel exercises to help reduce bladder contractions.

Your doctor can help with a bladder training treatment plan to help decrease urinary incontinence. Doctors that specialise in this field are called Urologists, you can find more information about what they do and offer at https://www.urologygeorgia.com/.

Exercises such as kegel can help reduce urinary incontinence by strengthening pelvic floor muscles

How is a kegel exercise performed?

Hold a pelvic contraction for 15 seconds and release. Do a total of 3 sets of 15 reps each.

Pelvic muscle exercises can be supplemented by the use of weighted vaginal cones.

Biofeedback can help if women are not able to isolate pelvic muscles during Kegels. A sensor is placed within the vagina and visual or audible feedback is providing help to identify the right muscles to contract.

Electromyogram or EMG can also be used to help determine the muscle contractions.

Electrical stimulation can help the muscles contract, this may help the patient identify the proper muscles to contract

Topical estrogen can be used to help decrease urinary incontinence, it may take a few months to work.

Oral estrogens are usually not indicated if there is urinary incontinence alone.

More information on hormone therapy.

Pessaries can help reduce stress incontinence. A pessary is a device that is inserted into the vagina. it is used in women who have a weak pelvic floor and vaginal prolapse which can increase the risk of urinary incontinence.

Medications may help urgency

There are no FDA-approved medications for stress incontinence.

Botox can help reduce leakage by decreasing an overactive bladder.

Injection of urethral bulking agents.These procedures are designed to treat urinary incontinence. A bulking agent such as collagen is placed around the bladder neck and urethra to help improves the sphincters function.

Nerve stimulation

  • Electrical pulses are sent through wires to nerves that supply the bladder. These devices may help patients with urgency incontinence, urgency, and frequency, or urinary retention who have failed other treatments.

Surgery for  urinary incontinence in women

  • Slings are used to lift the urethra, the bladder, or both into the normal position.

Pads and underwear can help prevent embarrassing situations.

What is your experience with urinary incontinence in women?

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