Hi everyone, we are writing about urinary incontinence; In this lesson, we will write about the symptoms of each of the different types of urinary incontinence. We’re also going to write about how to diagnose and treat them.
What is urinary incontinence?
Urinary incontinence is the uncontrolled leakage of urine, which you often cannot control. There are many different types of urinary incontinence, as well as it is a common but often embarrassing problem. There are different types of urinary incontinence.
Types of urinary incontinence
There are five types of urinary incontinence loss of bladder control or loss of urine with involuntary urination. Now I have mentioned that there are different types of urinary incontinence.
- One type is known as stress incontinence
- Urge urinary incontinence
- Mixed Incontinence is a mixture of both stress and urges incontinence
- Fourth type is overflow incontinence
- Fifth type is known as functional incontinence
So that we will talk about each of these in more detail.
Symptoms of Urinary Incontinence
Some risk factors for each type and what happens with each type. What is the epidemiology of urinary incontinence? In general, more women are affected by urinary incontinence than men. Nevertheless, as we will see, specific types of urinary incontinence are more common in women, and some are more common in men, but overall urinary incontinence in general.
It is more common in women, and urinary incontinence, in general, is more prevalent in older people than in younger people. All will be associated with risk factors for why this type of urinary incontinence occurs. Now let’s talk in more detail about the types of urinary incontinence along with the causes of each, so let’s look at stress incontinence again.
First Symptoms of Urinary Incontinence (stress incontinence)
First, the causes of stress incontinence are as follows: Stress incontinence is caused by a weakening of the muscles that support the pelvis and pelvic structures. These muscles can weaken over time, therefore increasing as the patient ages. Increasing age is a reason or risk factor for its occurrence.
Another cause or risk factor of having stress incontinence is vaginal delivery, so vaginal delivery of the baby causes weakness, and some of those supporting pelvic muscles are stretched. which can reduce the ability to control the bladder.
Emptying voiding pelvic surgery is another risk factor, another reason you can imagine that some muscles may be damaged or weakened if there is surgery in the pelvic area. That will increase the likelihood of stress incontinence. Menopause is also another risk factor, and smoking is a risk factor.
Secound Symptoms of Urinary Incontinence of Urinary Incontinence ( urge incontinence)
Now let’s talk about urge incontinence. That’s why urge incontinence is also known as an overactive bladder, and ultimately it can affect rower activity. caused by stopping. So the muscles are responsible for the contraction of the bladder to allow proper urination and proper urinary control
But with urge incontinence, the detrusor overactivity is the muscle. The inhibitory muscle is overactive, so here are some causes of urge incontinence, and the leading causes here are idiopathic, meaning we don’t know what may be causing it. That occurs in about 90 percent of patients who have urge incontinence. The second cause of urge incontinence is inhibitory muscle instability.
Third Symptoms of Urinary Incontinence of Urinary Incontinence ( Mixed. Incontinence)
The third reason is central nervous system lesions that you can think of as spinal cord injuries, so if there is a spinal cord injury, there may be a problem with the nerve control over the detrusor muscles, which can lead to detrusor overactivity.
Another common or more common cause of urge incontinence is benign prostatic hyperplasia that occurs in men, so that BPH can be a risk factor for urge incontinence. Other obstructions, such as a blockage in the bladder neck, can also cause incontinence cystitis. chronic inflammation, especially chronic cystitis The bladder can cause an overactive bladder. Increasing age is another risk factor, and obesity is another risk factor for urge incontinence.
The fourth Symptoms of Urinary Incontinenceis overflow incontinence
Now let’s talk about overflow incontinence. Urinary overflow incontinence is caused by urinary retention, which is urge incontinence. There is impaired obstructive contractility, therefore, causes overflow incontinence. Benign prostatic hyperplasia is a significant cause of urinary overflow incontinence, again in men having an enlarged prostate that essentially obstructs the outflow of urine. Stops,
The bladder may then become stretched and stretched, leading to impaired contractile contractility of the restraining muscle. We can also see it with diabetes, other lesions of the central nervous system, and multiple sclerosis. If the specific pathology affects the ability of the restraining muscle to contract, it can lead to urinary overflow incontinence and then to functional urinary incontinence and compulsivity.
Functional urinary incontinence is when a patient can’t get to the bathroom in time. Perhaps they need to use a toilet, and we see this in older patients, so environmental barriers to toilets in some cases. Then, there are other physical disabilities involved. They are not able to walk or immobilize. It can also be another cause of functional urinary incontinence. Essentially functional urinary incontinence is when a patient has to use the toilet.
But they can’t access the toilet, and they have problems vomiting when they shouldn’t, but that’s because they can’t go to the bathroom anymore, so we know about the types and types of urinary incontinence Huh. The risk factors and causes of urinary incontinence talk about the clinical characteristics of each type, so the first type we’re going to talk about is stress incontinence. That is again a prevalent type of urinary incontinence.
That is involuntary urination or loss of urine, but this unintentional loss of urine occurs under exceptional circumstances with stress incontinence. When there is an increase in intra-abdominal pressure, there may be some loss of urine when the pressure in your abdomen increases. That is due to the weakness of the pelvic muscles we talked about earlier when the bladder loses its ability to control urination properly.
When there is an increase in intra-abdominal pressure, some of these conditions include coughing, so coughing increases intra-abdominal pressure, causing some loss of urine when sneezing, another situation where we There is some loss in urine lifting, so any lifting or heavy lifting increases intra-abdominal pressure. There is some loss of urine due to abdominal pressure. Laughing is another condition where there may also be some loss of urine and exercise.
So these are all conditions that can lead to loss of urine in stress incontinence. That is stress urinary incontinence, when there is some loss of urine during these types of situations
Fifth Symptoms of Urinary Incontinence is known as functional incontinence
let’s talk about incontinence, it is a different type of urinary incontinence as we will see in a moment, so urge incontinence then Occurs when a loss of urine which occurs when there is a sudden urge to urinate
They have a strong urge to urinate, and then there may be some loss of urine, so this has a very different clinical presentation than stress incontinence. So with urge incontinence, there is an urgency to urinate and the urge to urinate. And then, with immediate abstinence, urinary frequency also increases. Patients will feel that they have to go to the toilet on time.
There’s also nocturia which means urinating at night to be awakened with a sudden urge to urinate. There can be some loss of urine in those situations, so you can see a massive difference between stress incontinence and urge incontinence. Let’s talk about overflow incontinence; overflow incontinence is when an involuntary urination loss of urine with a full bladder differs from the previous.
Types of urinary incontinence just talked about I didn’t mention before, but urge incontinence a patient may have an urge to urinate even when they don’t have much fluid in their bladder, so a huge difference here, so overflow incontinence is when there’s a loss of urine with a full bladder so with overflow incontinence there is a full bladder and patient feels they need to urinate but they can’t there’s difficulty urinating and then there’s some urinary straining as well so there’s difficulty starting urination and then there’s difficulty continuing urination
So this is where there is detrusor activity or low activity of the detrusor muscle, and then also with overflow incontinence, there is a poor emptying of the bladder, so this is considered a lazy bladder the bladder is not able to contract and release urine as well as it should, and then there’s mixed incontinence we mentioned this before it’s a mixture of stress and urge incontinence features, and then I won’t say the functional incontinence as this is something that occurs
When a patient has a full bladder, they feel like they need to use a washroom; they try, but there’s some barrier they either have some physical immobility, or there’s some barrier in the environment, and they’re not able to make it on time, and they have a loss of urine, and that is what we would call functional urinary incontinence so now that we know the types of urinary incontinence and what happens with each of them how are each of these diagnosed and treated clinicians diagnose
urinary incontinence often by clinical diagnosis, so they get a detailed history from the patient they see the types of symptoms that the patient is describing
Treatments of Urinary Incontinence
Patient has some of those risk factors we talked about that is enough to make the diagnosis, but it’s also essential to check medications that could be causing some issues with urinary incontinence, and it’s also necessary to check your analysis for any signs of a UTI or urinary tract infection and then blood urea nitrogen can also be measured
Treatment of stress Urinary Incontinence
Now the treatment of urinary incontinence depends on the type of urinary incontinence with stress incontinence it’s essential to have lifestyle modification so fluid in taking scheduling so drinking fluids at particular times and avoiding other times timed voids so ensuring that the bladder is empty so if there is a situation where there is laughter or sneezing or coughing
There won’t be as much loss of urine or no loss at all, and then weight loss can also help weight loss can reduce intra-abdominal pressures so you can imagine.
Treatment of Mixed Urinary Incontinence
If you have a larger abdomen, you’re going to have more tension within the core you’re going to have increased intra-abdominal pressure which is going to make it easier to have stress incontinence now some other methods to treat stress incontinence are kegel exercises these are pelvic floor exercises
If you want more information on Kegel exercises, please look this up online. And pharmacological treatments are also available to treat stress incontinence in some situations. One example of stress incontinence is phenylpropanolamine
Treatment of Urge Urinary Incontinence
for the treatment of urge incontinence, similar to lifestyle treatments for stress incontinence. When there is an increase in intra-abdominal pressure, there may be some loss of urine when the pressure in your abdomen increases. So these are some of the pharmacological treatments that can be used
Treatment of overflow Urinary Incontinence
to help with an overactive bladder with overflow incontinence because there are issues with voiding with either initiating or maintaining urinary output intermittent catheterization or indulging catheter is one possible method to treat overflow incontinence if there is an obstruction that is identified obstruction relief is essential and then some of the pharmacological treatments
That are available for overflow incontinence include terazosin and tamsulosin these help with reducing urinary retention,
Treatment of functional Urinary Incontinence
and then with functional incontinence, it’s essential to identify and alleviate the barriers to that patient getting to the toilet so as you can see each incontinence is different has a challenging other clinical presentation has a different set of risk factors, and it has a different set of treatments stress incontinence again necessary for lifestyle kegel exercises and possibly
Some pharmacological treatments urge incontinence you’re going to see more pharmacological therapies being used for this overactive bladder type of urinary incontinence overflow incontinence because there are some issues with urinary retention or actual problems with voiding itself sometimes catheters may be used, and some other pharmacological treatments may be used So the alpha antagonists like Terrazas and tamsulosin and then functional incontinence is essential to identify and alleviate the barriers for an individual to get to the toilet.
Other symptoms and treatment.
You know endurance is the inability to control the lease of urine from your bladder. That can vary from mild Unirii leak to complete leakage of your stress unary England insists you know to kick your case when you exert pressure or stress over your bladder. That can occur when you start coughing, sneezing, lifting some weight, or doing x-rays. It’s more commonly occurs in females than males, leading cause for more stressful environments.
And females are pregnancy delivery menopause old age this sudden arch Indians to would follow by an involuntary loss of you this can be caused by many causes starting from your mother tract infection some you are taking too much coffee to misty certain neurological diseases and without any Co source if it occurs without any cause you called overactive bladder or flowing condenses in the governance of urine
When you have some difficulty in MD, your bladder can occur when there’s your damn bladder is damaged, or there is an obstruction to your flow like some bloke in the Strathern are other types of incontinence like functional incontinence complete or total inbound rents or mixer in Bondurant mixer incontinence means there will be a combination of any of these type of incontinence treatment ofurinaryEnglanders depends on what kind of unit Inverness patient is having and what is the cause for these urinary incontinence initially
We will treat with lifestyle changes. Like reducing coffee intake, reducing body weight, or consuming fewer fluids, specific exercises strengthen the pelvic muscles. In some patients, pelvic floor exercises that help relieve incontinence are bladder relaxants. It can also be used to treat incontinence in Gordon’s slow method. Can be treated
Surgically by minimally invasive procedure or definitive surgery minimally invasive procedure like injecting Botox of battalion toxin into the urinary bladder or injecting bulking agents into the urethra or by sacral nerve stimulation this also depends on what type of incontinence different surgical treatment is by sling surgery these are small strings are placed behind the earth right to support the urethra or Corpo suspension surgeries this is by elevating the bladder neck or by artificial swing this