Urinary Incontinence, also called: Bladder control problems
4.Functional incontinence happens when a physical or mental disability, trouble speaking, or some other problem keeps you from getting to the toilet in time. For example, someone with arthritis may have trouble unbuttoning his or her pants, or a person with Alzheimer’s disease may not realize they need to plan to use the toilet.Mixed incontinence means that you have more than one type of incontinence. It’s usually a combination of stress and urge incontinence.
5.Transient incontinence is urine leakage that is caused by a temporary (transient) situation such as an infection or new medicine. Once the cause is removed, the incontinence goes away.
6.Bed Wetting refers to urine leakage during sleep. This is most common in children, but adults can also have it.
Bedwetting is normal for many children. It is more common in boys. Bedwetting is often not considered a health problem, especially when it runs in the family. But if it still happens often at age 5 and older, it may be because of a bladder control problem. This problem could be caused by slow physical development, an illness, making too much urine at night, or another problem. Sometimes there is more than one cause.In adults, the causes include some medicines, caffeine, and alcohol. It can also be caused by certain health problems, such as diabetes insipidus, a urinary tract infection (UTI), kidney stones, enlarged prostate (BPH), and sleep apnea.How is urinary incontinence (UI) diagnosed?health care provider may use many tools to make a diagnosis:A medical history, which includes asking about your symptoms. Your provider may ask you to keep a bladder diary for a few days before your appointment.
The bladder diary includes how much and when you drink liquids, when and how much you urinate, and whether you leak urine.A physical exam, which can include a rectal exam. Women may also get a pelvic exam.Urine and/or blood tests
Bladder function tests
Imaging tests
Treatment
Lifestyle changes to reduce leaks:
Drinking the right amount of liquid at the right time
Being physically active
Staying at a healthy weight
Avoiding constipation
Not smoking
Bladder training.
This involves urinating according to a schedule. Your provider makes a schedule from you, based on information from your bladder diary. After you adjust to the schedule, you gradually wait a little longer between trips to the bathroom. This can help stretch your bladder so it can hold more urine.Doing exercises to strengthen your pelvic floor muscles. Strong pelvic floor muscles hold in urine better than weak muscles. The strengthening exercises are called Kegel exercises. They involve tightening and relaxing the muscles that control urine flow.If these treatments do not work, your provider may suggest other options such as:Medicines, which can be used to
Relax the bladder muscles, to help prevent bladder spasms
Block nerve signals that cause urinary frequency and urgency
In men, shrink the prostate and improve urine flow
Medical devices, including
A catheter, which is a tube to carry urine out of the body. You might use one a few times a day or all the time.For women, a ring or a tampon-like device inserted into the vagina. The devices pushes up against your urethra to help decrease leaks.Bulking agents, which are injected into the bladder neck and urethra tissues to thicken them. This helps close your bladder opening so you have less leaking.Electrical nerve stimulation, which involves changing your bladder’s reflexes using pulses of electricity
Surgery to support the bladder in its normal position. This may be done with a sling that is attached to the pubic bone.
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