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Urinary Incontinence

Urinary incontinence is the loss of bladder control leading to urinary leakage. There are different types of urinary incontinence

Stress incontinence is urinary leakage associated with an activity such as coughing, sneezing, laughing, lifting, or running. It is caused by weakening of the muscles that suspend the bladder and urethra. Any increase in abdominal pressure such as pregnancy, chronic coughing, repetitive heavy lifting, and obesity can put patients at risk for this.

Urge incontinence is urinary leakage associate with an urge .This can also be known as overactive bladder. This can be caused or worsened by bladder irritants such as acidic foods or caffeine, urinary tract infections, or nerve damage such as diabetes or multiple sclerosis.

Overflow incontinence occurs when the bladder does not completely empty. Urine builds up and overflows. This can be caused by drugs that retain urine, bladder blockage from surgical scar, or nerve damage.

Continuous incontinence occurs when there is continual leakage regardless of activity or urgency. This may be caused when there is a fistula, an abnormal connection between two organs.

Functional incontinence occurs when there is normal bladder control, but urinary leakage happens due to impaired mobility.

Frequently, a diagnostic test called urodynamics is used to gather information on urinary leakage. This procedure is done at a separate office visit and takes about one hour.

Treatment options range from lifestyle modification, dietary changes, and pelvic floor rehabilitation to surgical interventions. The urogynecologist will explain the different options and work with you to decide on which option is best for you.