What is urinary incontinence?
Urinary incontinence is a loss of bladder control that can range in severity. Occasional urine may leak when you cough, sneeze or jog. You may also experience a sudden and strong urge to urinate. This symptom can come in several different forms.
What are the different forms of urine incontinence?
Stress – the loss of urine that occurs with an increase in abdominal pressure or an exertion. It commonly occurs with coughing, laughing, sneezing, exercise or even during sexual intercourse. Treatments range from pelvic floor re-education, Kegel exercise, Coaptite urethral injection, or mid-urethral sling insertion (for women and men). Weight loss and smoking cessation can also help.
Urge – the loss of urine that occurs from an unwanted bladder contraction. Typically described as, “I can’t make it to the toilet.” It can be related to many other factors such as having an overactive bladder, intake of certain foods or drinks, prior pelvic surgery, nerve damage, and many pre-existing medical conditions. Treatments include pelvic floor re-education, behavioral modification, bladder relaxant medications, Botox bladder injections, InterStim sacral neuromodulation, or treatment of any underlying condition that may be contributing to this symptom.
Mixed – a combination of both stress and urge incontinence, which commonly occur together.
Positional – the loss of urine primarily from a change in position, most commonly changing from a sitting to a standing position. This can be a form of stress incontinence, but may also indicate an anatomic abnormality such as pelvic prolapse.
Overflow – the loss of urine that occurs in the setting of significant urinary retention (inability to empty the bladder). The urine seems to “spill out,” often with movement. Treatments are aimed at resolving the urinary retention, either with pelvic floor re-eduation, InterStim sacral neuromodulation, prolapse repair, or beginning an intermittent self-catheterization regimen.
Functional – the loss of urine that occurs secondary to conditions that make it difficult to reach the bathroom in time, such as dementia or arthritis. While this can be improved with pelvic floor re-education or medication, the mainstay of managing this type of incontinence is aimed at modifying one’s lifestyle to avoid delays in getting to the bathroom. The use of a bedside commode is a common modification that can help with nighttime functional incontinence.
Diagnosis and treatments in Torrance, California
If you live in the Torrance area and you are experiencing issues with urine incontinence, please schedule an appointment with Dr. Shelby Morrisroe. As an experienced and skilled urologist, Dr. Morrisroe can identify the source of your urinary issues and can recommend or provide the proper treatment. To get started, fill out our online scheduling form or give us a call at (310) 542-0199.Schedule
*Individual results may vary; not a guarantee.