Urinary incontinence is an involuntary loss of urine that is noticeable and created a problem. It is commonly subdivided into several types:
Stress Urinary Incontinence is leakage of urine with physical activity that leads to increase in intra-abdominal pressure: coughing, sneezing, straining, running, jumping, exercising. In extreme cases, leakage may even occur with standing up.
Urgency Incontinence is leakage with sensation of urgency and may occur at rest. It occurs due to involuntary contraction of the bladder muscle.
Mixed Incontinence is a combination of stress and urgency incontinence.
Overflow Incontinence occurs in people with urinary retention. When bladder is filled with urine to capacity, urine overflows in small portions.
Stress urinary incontinence can be treated with physical exercises that are directed at strengthening of the sphincter muscle - Kegel exercises. If exercises not effective, then a surgical procedure can be recommended. Procedures may include injection of a "bulking" agent into the sphincter muscle and bladder neck to prevent leakage, or placement of a sling.
Urgency incontinence may improve with avoidance of urinary irritants such a coffee, physical therapy, medications, or neuromodulation.
Overflow incontinence is treated with treatment of urinary retention with relieving of urinary obstruction it that exists, medications, or intermittent catheterizations.
Please, discuss you condition with Dr. Elterman for best treatment