What Is Stress Urinary Incontinence
Stress Urinary Incontinence is the unintentional loss of urine. Stress incontinence occurs when the physical movement or action – such as coughing, sneezing, running, or lifting weights – puts pressure on the bladder. Stress incontinence is not associated with psychological stress.
Stress incontinence is characterized by urinary incontinence, which is the unintentional loss of urine caused by the bladder muscle contracts, usually associated with a sense of urgency. Stress incontinence is much more common in women than in men.
If you have stress incontinence, you may feel embarrassed, isolate yourself or limit your work and social life, especially physical exercise and leisure. However, in the treatment, you will probably manage stress incontinence and improve overall health.
Stress Urinary Incontinence symptoms
If you have stress incontinence, you may experience leakage of urine when you:
- Get out of the car
- Lift something heavy
- An exercise
- There are sex
You can not experience incontinence every time you do one of these things. Still, any pressure increase in activity can make you more vulnerable to unintentional loss of urine, especially when your bladder is full.
When to see a doctor
Contact your doctor if your symptoms interfere with daily activities such as work, hobbies, and social life.
Stress Urinary Incontinence Causes
Stress incontinence happens when the muscle and other tissues that support the bladder and the muscles that control urine weaken.
The bladder expands as it fills with urine. Typically, the valve-type muscles in the urethra – the short tube that carries urine out of the body – remain closed with the expansion of the bladder, preventing urine leakage until you reach the bathroom. But when these muscles are weakened, everything that exerts a force on the abdominal and pelvic muscles – sneezing, bending, lifting, laughing hard, for example. Can put pressure on the bladder and cause urinary leakage
Pelvic floor muscles and urinary sphincter can lose strength due to:
- birth – In women, the pelvic floor muscle sphincter’s impaired function may occur due to tissue or nerve damage. During childbirth. Stress incontinence from this damage may begin soon after birth or occur years later.
- prostate surgery. – In men, the most common factor leading to stress incontinence is the surgical removal of the prostate gland to treat prostate cancer. Since the sphincter lies directly under the gland and encircles the urethra, prostatectomy can lead to a weakened sphincter.
Other factors that can worsen stress incontinence include:
- Diseases that cause chronic coughing or sneezing
- smoking, which can lead to frequent cough
- Excessive consumption of caffeine or alcohol
- High-impact activities over many years
- Hormone deficiency
Female urinary system
Your urinary system – which includes your kidneys, ureters, bladder, and urethra – removes waste from your body through urine. Your kidney located in the back of the upper abdomen produce urine by filtering wastes and fluid from the blood
Male urinary system
Your urinary system. – That includes your kidneys, ureters, bladder, and urethra – removes waste from your body through urine. For example, your kidney in the back of the upper abdomen produces urine by filtering wastes and fluid from the blood.
Pelvic floor muscles
Your pelvic floor muscles are composed of several layers of muscle attached to the front, back, and side of the pelvic bone. These muscles help control urination.
Stress Urinary Incontinence Risk factors
Factors that increase the risk of stress incontinence include:
- Age – Although stress incontinence is not a normal part of aging, physical changes associated with aging, such as muscle weakness, can make you more susceptible to stress urinary incontinence. However, at times of stress, urinary incontinence can occur in women of any age.
- Type of delivery at birth – The delayed second stage of labor and the number of vaginal delivery is associated with higher rates of subsequent development of incontinence. Many of these women may also have a forceps delivery of a healthy baby delivered more quickly. forceps delivery can also be associated with a greater risk of stress urinary incontinence
- Bodyweight – People who are overweight or obese have a much higher risk of urinary stress incontinence. Excess weight increases the pressure on the abdominal and pelvic organs. As a result, the pressure on the bladder can be improved even without additional pressure, cough, or other forces. Losing weight can improve stress urinary incontinence.
- Previous pelvic surgery – hysterectomy in women and especially surgery for prostate cancer in men can change the function and support the bladder and urethra, making it much more likely for a person to develop stress incontinence. This effect can be either immediately or with a delay.
Stress Urinary Incontinence Preparing for your appointment
Your doctor may have you fill out a form to make a preliminary assessment of your symptoms of stress incontinence. You can also ask to keep a diary of the bladder for several days. The bladder diary records when, how much, and what kind of liquid you consume, when and how much you urinate, and when you experience incontinence episodes.
Your blog can reveal patterns that help the doctor understand your symptoms and identify the factors that contribute. As a result, it reduces the need for more invasive testing.
Specialized tests may require referral to a specialist in the urinary disorders in men and women or a specialist in urinary infections in women.
What can you do
To get the most from your visit to the doctor, prepare in advance:
- Make a list of any symptoms you are experiencing. For example, include when there is leakage of urine.
- Make a list of any medications, herbs, or vitamin supplements you take. Some over-the-counter supplements can cause urinary tract irritation. Also include the dose and how often you take medicine.
- A family member or close friend accompanies you. You can get a lot of information at your visit, and it can be challenging to remember everything.
- Prepare a list of questions to ask your doctor. List of the most important questions first, if the timer expires.
For urinary incontinence, some basic questions to ask your doctor include:?
- Will my incontinence worsens.
- Can pelvic floor exercises help me? How to do it?
- As my weight affect my condition?
- Can I take medication to be aggravating my condition?
- What tests may I need to determine the cause of my incontinence?
- Do I need surgery?
Do not hesitate to ask other questions as they occur to you during your appointment.
What can we expect from your doctor?
Be prepared to answer the doctor’s questions. Questions your doctor may ask the following:?
- How often do you leak urine?
- When you leak urine, which he and a few drops of your clothes soaked
- Are there times when you know that will flow?
- Do you leak urine with you when you exercise?
- Do you wake up during the night to urinate? How often?
- What is your typical daily fluid intake?
- Did you do something that does not seem to make your incontinence is better? How about worse?
- What most of your incontinence bothers you?
- Do you also have bowel leakage? How often? Does this cause you to limit your activities?
- Does it not seem as if there is something ‘falling out’ from the pelvis or vagina?
Stress Urinary Incontinence Tests and diagnosis
During your visit, your doctor is looking for clues that may also indicate contributing factors. Your destination is likely to include:
- Medical history
- Physical exam, with particular emphasis on his stomach and genitals
- A urine sample to check for infection, traces of blood, or other abnormalities
- A brief neurological examination to identify any pelvic nerve problems
- Urinary stress test in which the doctor observes the loss of urine when coughing or push
Bladder function tests
Your doctor may order urodynamic tests are used to assess bladder function. However, testing is unnecessary for most women with uncomplicated stress incontinence or those who did not have pelvic radiation, spinal cord disease, or advanced diabetes before surgery.
Tests of bladder function may include:
Measurements after void residual urine
If you have concerns about your ability to empty the bladder, especially if you are older, had a preoperative bladder or diabetes test, the effectiveness of your bladder may be necessary. For measurement of residual urine after you canceled fine tube passes through the urethra and into the bladder. The catheter drains urine remaining which then can be measured. Or a specialist may use ultrasound, which translates sound waves into images of the bladder and its contents.
Measurement of pressure in the bladder
Some people, especially if they have a neurological disease of the spinal cord, require cystometry. Cystometry measures the pressure in the bladder and the surrounding region during filling of the bladder. The catheter is used for filling the bladder slowly warm liquid. Test your leakage of the bladder will be done during filling to check for incontinence. This procedure can be combined with the study of the flow under pressure, which tells how much pressure the bladder has to make to empty.
- Creating images of the bladder, he operates
Video urodynamics uses images to create a picture of your bladder as filling and emptying. Warm liquid mixed with the dye detected on X-rays is gradually instilled into the bladder via the catheter while the images are recorded. When the bladder is full, visualization continues as you urinate to empty the bladder.
The study of the bladder and urethra by the frame is inserted into the bladder. This procedure is usually completed at the office.
You and your doctor should discuss the results of any tests and determine how they affect your treatment strategy.
Stress Urinary Incontinence Treatments and drugs
Your doctor may recommend a combination of treatment strategies to end or reduce the number of incontinence episodes. In addition, if the primary cause or a contributing factor, such as a urinary tract infection, is identified, you will also receive treatment for the condition.
Behavioral therapy can help you eliminate or reduce episodes of stress incontinence. The treatment your doctor recommends may include:
Pelvic floor muscle exercises
Kegel exercises strengthen the pelvic floor muscles and urinary sphincter. Your doctor or physical therapist can help you learn how to do them correctly. Like any other training, Kegel exercises work for you depends on whether you perform them regularly.
Your doctor may recommend the amount and timing of fluid you consume during the day. Your doctor may also require avoiding caffeine and alcohol to learn how these nutritional stimuli affect bladder function. When using liquid schedules and avoid dietary irritants significantly improves the leak, you must decide whether to change your fluid intake structure or rejection of coffee or alcohol is leakage improvement.
Healthy lifestyle changes.
Quitting smoking, losing excess weight, or treatment of chronic cough reduces the risk of stress urinary incontinence, as well as your symptoms improve.
Scheduled toilet trips
Your doctor might recommend a schedule of the bathroom if you mixed incontinence. More frequent urination, the bladder may reduce the number and severity of incontinence episodes.
Some devices for women can help control stress incontinence, including:
- The vaginal pessary – specialized incontinence pessary, in the form of a ring with two strikes, which sit on either side of the urethra, Installed and put into action by your doctor or nurse. Maintain your bladder base to prevent urine leakage during activity, especially if your bladder is down. Good choice if you want to avoid surgery. Pessaries require routine cleaning and removal. Vaginal suppositories are used mainly in people who also have pelvic organ prolapse.
- Urethral inserts – This small disposable swab device inserted into the urethra acts as a barrier to prevent leakage. It is usually used to avoid urinary incontinence for a specific activity but may be worn daily. However, urethral inserts are not designed to be worn 24 hours a day. Therefore, urethral inserts are used only in rare cases.
- Surgery – Surgical procedures to treat stress incontinence are intended to increase sphincter closing or support the bladder neck. Surgical options include:
- Injectable fillers – Synthetic polysaccharides or gels may be introduced into the tissues around the upper portion of the urethra. These materials swell the area around the urethral sphincter closure, improving ability. Since this is a relatively non-invasive intervention, it may be advisable to consider other surgical options. However, this is not a permanent repair. Multiple injections are required for most people.
- Sling procedure – It is the most common procedure performed in women with stress urinary incontinence. In this procedure, the surgeon uses native human tissue, synthetic material, or animal donor tissue to create a hammock or sling that supports the urethra. Lanyards are also used for men with sphincter leaks. The technique uses a mesh sling and can relieve the symptoms of stress urinary incontinence in some men.
- Inflatable artificial sphincter – This implanted device is mainly used to treat women but can be used for women in rare cases. The ferrule, which is positioned around the upper portion of the urethra, the sphincter function replaces. Tubes connect the cuff to the air pressure, control the ball in the pelvis, and hand pump in the scrotum. Although rare, if the device is implanted in a woman, the pump is in the labia.
Stress Urinary Incontinence Lifestyle and home remedies
Healthy lifestyle practices can alleviate the symptoms of stress urinary incontinence. These include:
- Shed excess weight – If you are overweight – your body mass index of 25 or higher – the loss of extra pounds can help reduce overall weight—pressure on the bladder and the pelvic floor muscles. In addition, moderate weight loss can significantly improve your stress incontinence. Talk to your doctor for weight loss management.
- Add fiber to your diet – If chronic constipation helps your incontinence, keeping bowel movements regular and soft reduces the stress placed on your pelvic floor muscles. Try to eat high-fiber foods – whole grains, legumes, fruits, and vegetables -. To reduce and prevent constipation.
- Avoid foods and drinks that can irritate the bladder – If you are confused. For example, urinary incontinence, and you know that drinking coffee or tea, as a rule, makes urination and leakage more often; try to eliminate the drink, especially on those days you do not want to be concerned about the leak.
- Do not smoke – Smoking can lead to severe chronic coughs that can exacerbate the symptoms of stress urinary incontinence. Smoking is also associated with the fall of your ability to transport oxygen; a factor believed to increase the risk of an overactive bladder. And smoking is associated with bladder cancer.
Stress Urinary Incontinence Coping and Support
Incontinence Treatment can often significantly reduce, if not eliminate, leakage of urine and help you regain control over the bladder. However, incontinence component mixed incontinence can be very difficult to treat, and you may need help.
- Out and about
Keeping your communication with family, friends, and colleagues can prevent feelings of isolation and depression, which may be accompanied by incontinence. In addition, being prepared can help you feel more comfortable when you are about yourself:
- Stock up on delivery
Bring sufficient pads incontinence or protective undergarments and may change. Clothes. Incontinence products are discreet and can be stacked in a roomy purse or small backpack. Accessories and spare clothes can be stored in the trunk of a car or bag for use when needed.
- Scout your destination.
Check out the restrooms available at your destination. Select seating that provides easy access to restrooms.
- Take care of your skin.
Prolonged contact with a damp cloth can cause skin irritation or ulcers. Keep skin dry, changing your clothes when they are wet, and applying a protective cream if your skin is often wet.
Sexuality and incontinence
incontinence during sexual intercourse can be frustrating, but it does not necessarily have to get in the way of intimacy and pleasure:
- Talk with your partner – As difficult as it can be. Initially, be upfront with your partner about your symptoms. Understanding the partner and the desire to meet all your needs can make your symptoms are much easier to handle
- Empty your bladder beforehand – In order to reduce the risk of leakage, avoid drinking fluids within an hour or so before sex and empty your bladder before intimacy.
- Try different position – changing positions can make leakage less likely for you. For women, being on top, in general, provides better control of the pelvic muscles.
- Do your Kegels – pelvic floor exercises strengthen the muscles of the pelvic floor muscles and decrease urine leakage.
- Be ready – There were towels on hand or using disposable towels on your bed can ease your anxiety and contain any leaks.
Ask for help
Be incontinence is never normal as you age. However, treatment is usually available to reduce the impact of incontinence on your life significantly.
Find a doctor willing to work with you to determine the best way to treat your incontinence. Choosing the proper treatment for you should be a partnership between you and your doctor. If your doctor does not want to discuss the pros and cons of the many treatment options available to you, find another who will.
You might consider joining a support group. Organizations such as the National Association of abstinence can provide you with resources and information for people experiencing stress incontinence. In addition, support groups offer an opportunity to voice concerns and often motivate to maintain an exit strategy.
Stress Urinary Incontinence complications
Urinary complications may include:
If you are experiencing stress incontinence with your daily activities, you may feel uncomfortable and worried state. It could disrupt your work, social activities, interpersonal relationships, and even your sex life. In addition, some people are embarrassed that they need pads or incontinence garments.
- Mixed incontinence
Mixed incontinence is common and means that you have both stress incontinence and incontinence – urine. The loss is due to involuntary contraction of the bladder muscle.
- Skin rash or irritation.
Skin constantly in contact with urine is likely to be irritated or inflamed and may break down. Severe incontinence if you do not take precautions, such as using barriers or moisture incontinence.