Dr. G.Thirumalai Ganesan

MS, M.Ch, FRCS(Glasg), FRCS (Urol)(UK)

Sarayu Medical Center, Q-39, 6th Avenue
Anna Nagar, Chennai-40 (Near K4 Police Station)
Tel: +91-44-45550367/68/69,
+91-97909-60550, +91-98412-33777
Email: endouro@gmail.com

Urinary Incontinence

Urinary incontinence is the inability to hold urine inside the bladder voluntarily or to prevent leakage or dribbling.

Overview

Urine is stored in the bladder until it is eliminated from the body through a tube called the urethra. Urine flow and leakageĀ are normally controlled by sphincter muscles, which tighten and close around the neck of the bladder and urethra. When urination begins, bladder muscles contract to squeeze urine out of the bladder and sphincter muscles relax to allow the urine to pass. When urination is completed, the bladder relaxes and the sphincter contracts.

Embarrassment prevents many people from seeking treatment. However, incontinence is a common medical condition and effective treatment is available in the majority of cases.


Types of Incontinence urinary tract infections

Stress incontinence is the most common form of incontinence. It occurs when the internal sphincter muscles do not close completely around the bladder neck. Activities such as coughing, sneezing, laughing, or lifting heavy objects apply pressure to a full bladder and cause urine to leak. Women are more prone to stress incontinence during pregnancy, child birth, and menopause. Prostate surgery and radiation treatment are the primary causes of stress incontinence in men.
Urge incontinence occurs when an overactive bladder contracts involuntarily and causes urine to leak, sometimes in large amounts. Bladder or prostate infection, bladder cancer, or stone disease can irritate the bladder lining and trigger overactivity. Neurological conditions such as spinal cord injury, stroke, Parkinson's disease, or multiple sclerosis affect communication between the brain and bladder and cause the bladder to contract inappropriately.

Overflow incontinence occurs when the bladder is allowed to become so full that it simply overflows. When bladder nerves are damaged due to illness or injury, they may not recognize when the bladder is full. Blockage or narrowing of the bladder outlet by cancer or scar tissue may prevent normal emptying of the bladder. Benign prostatic hyperplasia (an enlarged prostate) can also cause such blockage. For this reason, overflow incontinence is more common in men than in women.


Treatment Options

The Institute of Urology provides expert evaluation and treatment of all aspects of male and female urinary incontinence. A wide range of treatments is available, including bladder retraining, exercises, biofeedback, medication, and corrective surgery such as Tension free vaginal tape, artificial urinary sphincter.