Dr. Chaitanya Deshmukh

Urinary Incontinence

Urinary Incontinence Treatment

Urinary incontinence is the compulsory and accidental loss of urine, ordinarily happening in pregnancy, childbirth, and menopause. Feeble bladder muscles, overactive bladder muscles, and nerve harm may likewise cause urinary incontinence. It’s anything but an illness however a manifestation. A few ladies pass a couple of drops of pee while coughing or running. Others may feel an unexpected, compelling impulse to pee. Incontinence can happen following neurologic injury, birth deserts, stroke, numerous sclerosis, and maturing.

Incontinence happens because of issues of nerves and muscles that help hold or deliver pee. The kidneys eliminate squanders from the blood and send it to the bladder for capacity till it very well may be intermittently ousted from the body through the urethra. The bladder muscles contract and the pee enters the urethra, where the sphincter muscles around the urethral opening unwind and pee is delivered.

Types of Urinary Incontinence

Stress Incontinence:

coughing, chuckling or wheezing makes pee spill. Actual changes coming about because of pregnancy, labor, menopause or birth imperfections can likewise cause incontinence. Labor, particularly can harm the pelvic muscles, tendons and the vaginal divider, supporting the bladder and cause the bladder to move downwards, which can extricate the urethral sphincter.

Urge incontinence is when there is an abrupt need or inclination to pee for no clear explanation. It happens because of unseemly bladder withdrawals brought about by strange nerve signals. It makes the bladder void during rest or subsequent to drinking modest quantities of water, or when one contacts water or hears it running. Prescription like diuretics, nervousness, uncontrolled diabetes or hyperthyroidism can deteriorate this condition. Compulsory withdrawals of the bladder muscles can happen because of harm to the nerves providing the bladder, harm to the cerebrum or spinal line, harm to bladder muscles, parkinsonism, Alzheimer’s illness, strokes and so on

Overactive Bladder:

al nerve signals are shipped off the bladder at some unacceptable time, prompting constriction of the bladder muscles. A few manifestations include: Increased frequency of urination

  • Urgency to urinate
  • Incontinence
  • Nocturia

Utilitarian Incontinence:

happens in those with clinical issues that meddle with deduction, imparting and moving. These individuals experience issues in arriving at a latrine on schedule.

Flood Incontinence:

  • It happens when the bladder doesn’t empty totally. This may occur because of frail bladder muscles as in diabetes or an impeded urethra because of tumors or stones
  • Shifting blends of the above kinds of incontinence can happen
  • Transient incontinence may occur for a brief span because of diseases or limited portability..

Diagnosis for Urinary Incontinence

  • History is taken to assess the type of incontinence
  • Physical examination to assess pelvic floor muscle strength, anatomical defects etc
  • Ultrasound
  • Urodynamic testing
  • Cystoscopy
  • Urinalysis and culture
  • Bladder stress test

Treatment for Urinary Incontinence

  • Weight loss and quit smoking
  • Behavioral treatment like bladder re-training, Kegel exercises
  • Medication
  • Surgery
  • Combination of the above


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