The most important thing we can tell you about urinary incontinence is that it is never normal. There is a common belief that it is part of the aging process and something you must tolerate as such. We are here to tell you that it is not – it is a treatable condition and with proper medical care you will be back to what is normal in no time.
There are basically three types of incontinence:
- Stress Urinary Incontinence - Usually due to an anatomical defect in which the bladder/bladder neck have prolapsed into the vagina. Women are more likely to have this problem after having children. Generally the treatment includes replacing the bladder/bladder neck to its correct anatomical position, and this is typically done with surgery or pessaries.
- Urge Incontinence - This is caused by over activity of the bladder (the detrusor muscle). It can be set off by a myriad of stimuli, such as washing dishes or putting your key in the front door. These women usually have to void frequently throughout the day, as their bladder capacity is usually less than normal. This is typically treated with medicine.
- Intrinsic Sphincteric Deficiency - This is caused by a defect in the sphincter of the bladder. It is unable to remain closed with a normal amount of fluid in the bladder, thus causing loss of urine when standing or doing minimal amount of work.
It is not uncommon for a woman to have one or two of the above conditions concurrently. The key point to remember about incontinence is that it is never normal to lose urine and that we have very effective treatments for incontinence. If you are experiencing urine leakage/incontinence and it’s affecting your life, contact the office and we will be happy to discuss your treatment options with you.