Having urinary control relies on the intricate coordination of the muscle tissue of the bladder and urethra, skeletal muscle, voluntary inhibition and the autonomic nervous system. When the system is disturbed, urinary incontinence is the result.
Incontinence is classified into two basic groups, and can be caused by a number of factors, including diseases of an anatomical, pathological, or physiological manner. It can also be caused by diseases such as spinal bifida or multiple sclerosis, which are muscular innervation disorders.
The first classification group is known as acute and temporary incontinence, which is most often caused by the following:
The second is known as chronic incontinence, which is most often caused be the following:
Types of incontinence:
There are many treatments for incontinence. An examination of the urine may help identify causes and conditions. Specialized tests, such as urodynamic, endoscopic and imaging will provide more extensive evaluation and insight into further treatment. You may be asked to keep a diary for a period of time, keeping track of what you drink and when your body voids it. There are injections, medications, surgical and non-surgical treatments, and self-catheterization.
Incontinence may also be managed by making changes to your lifestyle. Your doctor may recommend you do Kegel exercises daily, integrate foods into your diet to avoid constipation, stop smoking, as nicotine can irritate the bladder, avoid overconsumption of certain types of medications, and forcing yourself to urinate only every three to six hours, which ‘retrains' your bladder or on the opposite end of the spectrum, to practice a technique known as double voiding, in which you urinate, wait a few seconds and then urinate again.
Also known as fecal incontinence, bowel incontinence is the involuntary loss of bowel control. A number of following situations are considered fecal incontinence:
A variety of causes are to blame for bowel incontinence, no matter how minor or severe. improper diet
Through our Advanced Continence Center, several visits working closely with a specially trained nurse practitioner can determine treatment options to improve bowel control. Comprehensive testing may be indicated to learn more about each patient's specific needs, including anorectal manometry and ultrasound.
Treatment begins with behavioral modifications such as dietary and fluid modification, pelvic floor therapy, bowel habit retraining; pharmacotherapy, education and treatment. Medication and other treatment options, including Interstim, may also be recommended.
Signs and symptoms include: