Urinary Incontinence in women 1

 

blue-shutterstock_94733821Urinary incontinence, also known as involuntary urination, is any leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life. Urinary incontinence is often a result of an underlying medical condition.

About four million women around the world are affected by Urinary Incontinence. Coughing, sneezing, laughing, exercise or heavy lifting is often accompanied by involuntary leakage of urine. It is commonly associated with aging but can also affect women of all ages.

There is no more distressing lesion than urinary incontinence a constant dribbling of the repulsive urine soaking the clothes which cling wet and cold to the thighs, making the patient offensive to herself and her family and ostracizing her from society. Although countless women are bothered by a loss of bladder control, bowel symptoms, and pelvic discomfort, they are often not aware that these problems have a name much less how common they really are.

Types of Incontinence

1) Stress Urinary Incontinence
  • bullet_tickStress Urinary Incontinence is the unintentional passage of urine prompted by a physical movement during normal everyday activities.
  • bullet_tickStress Incontinence is much more common in women and affects women of all ages. It is most often caused by weakness of the pelvic floor which results from multiple childbirths, pelvic surgery, obesity or menopause.
2) Urge Urinary Incontinence
  • bullet_tickUrinary Incontinence is having an urge to urinate that’s so sudden and strong that you don’t get to the toilet in time. Urge Urinary Incontinence is caused by an overactive bladder.
3) Mixed urinary Incontinence
  • bullet_tickSome women may experience both Stress Urinary Incontinence and Urge Urinary Incontinence.
4) Overflow Urinary Incontinence
  • bullet_tickWomen experience involuntary urine leakage which results from an overfilled bladder without feeling the need or urge to void. This condition occurs in people who have a blockage of the bladder outlet, the muscle that expels urine from the bladder is too weak to empty the bladder normally.
  • bullet_tickOverflow incontinence may also be a side effect of certain medications, lesions affecting sacral segments, or peripheral autonomic fibers result in atonic bladder with loss of sphincter coordination. This results in loss of bladder’s muscle contraction, difficulty in initiating micturition and overflow incontinence.

Mechanism

  • bullet_tickContinence and micturition involve a balance between urethral closure and bladder’s muscle activity. Urethral pressure normally exceeds bladder pressure, resulting in urine remaining in the bladder. The proximal urethra and bladder are both within the pelvis. Intraabdominal pressure increases (from coughing and sneezing) are transmitted to both urethra and bladder equally, leaving the pressure differential unchanged, resulting in continence. Normal voiding is the result of changes in both of these pressure factors: urethral pressure falls and bladder pressure rises.
  • bullet_tickThe body stores urine — water and wastes removed by the kidneys — in the urinary bladder, a balloon-like organ. The bladder connects to the urethra, the tube through which urine leaves the body.
  • bullet_tickDuring urination, bladder’s muscles contract, forcing urine out of the bladder and into the urethra. At the same time, sphincter muscles surrounding the urethra relax, letting urine pass out of the body. Incontinence will occur if the bladder muscles suddenly contract or muscles surrounding the urethra suddenly relax.

Incontinence may make you feel embarrassed. You tend to isolate yourself, or limit your work and social life, especially exercise and leisure activities. With proper treatment, you are expected be able to manage stress incontinence and improve your overall well-being.

 

 
 

normal bladder no urine leakage

Urethra is well supported,
consequently without urine leakage.

normal bladder with urine leakage

Urethra is not supported,
consequently urine leakage.

 

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