![]() The basic pathology is the loss of control over the urinary sphincter or bladder that leads to unconscious and involuntary urine leakage. Urge incontinence is the most common type of persistent incontinence in older people.Urinary incontinence, simply known as loss of control over the bladder, is a medical problem in which there is a sudden involuntary leakage of urine. The combination of urgency, increased frequency of urination, and increased urination during the night is often referred to as an overactive bladder, whether or not the combination leads to incontinence. People with urge incontinence usually have very little time to get to the bathroom before they have an “accident.” Most people with urge incontinence urinate more frequently, not only during the day but also at night (nocturia). The amount of urine lost may be small or large. Urge incontinence is an abrupt and intense urge to urinate that cannot be suppressed, followed by an uncontrollable loss of urine. ![]() The categories or types that most experts agree on are urge incontinence, stress incontinence, overflow incontinence, functional incontinence, and mixed incontinence. Many experts try to categorize incontinence according to the basic cause of the problem. Alternatively, it may persist, recurring sporadically or, in some cases, frequently. Incontinence may resolve and never recur. Other causes, such as an enlarged prostate in men or dementia, gradually interfere with control of urination until incontinence results. Some causes, such as a bladder infection, a broken hip, or delirium, can bring on incontinence suddenly and abruptly. Urinary incontinence has many possible causes. In men, urine flow through the urethra may be impeded by an enlarged prostate gland, eventually leading to bladder enlargement. Also, urine flow through the urethra slows. In postmenopausal women, the urinary sphincter does not hold back urine in the bladder as effectively, because the decrease in estrogen levels after menopause leads to shortening of the urethra and thinning and fragility (atrophy) of its lining. More urine remains in the bladder after urination (residual urine), partly due to less effective squeezing of the bladder muscle. The ability to postpone urination decreases. For example, the maximum amount of urine that the bladder can hold (bladder capacity) decreases. Urinary Incontinence Causes and SymptomsĪging itself does not cause urinary incontinence, but changes that occur with aging can increase the risk of developing urinary incontinence by interfering with a person’s ability to control urination. In addition, incontinence can increase the risk of skin rashes and pressure sores (from urine irritating the skin) as well as falls (from attempts to reach the toilet quickly). For example, incontinence can cause a person to avoid activities and interactions with others, which can lead to isolation and depression. Urinary incontinence is not only a problem in itself but also can lead to many other problems and complications, particularly among older people. On the contrary, urinary incontinence is never normal and, when it does occur, is often treatable and curable. Others mistakenly believe incontinence to be a normal part of aging and assume that nothing can be done for it. Many people live with incontinence without seeking medical help because they fear that it indicates a more serious illness or they are embarrassed by it. Some people are incontinent every time they urinate, whereas many others are incontinent intermittently. Urinary incontinence is common, affecting about 1 out of 3 older people. ![]() Disclosures under Regulations 46 & 62 of the SEBI LODRīOOK DOCTOR APPOINTMENT CONSULT DOCTOR ONLINE Urinary Incontinence Definition.Corporate Social Responsibility (CSR) Initiatives.Apollo Hospitals Educational and Research Foundation.Obstetrics and Gynaecology Testimonials. ![]()
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