Urinary incontinence refers to the unintentional release of urine when an individual coughs, sneezes, laughs, or when the individual is engaged in physical activities. The sudden need to urinate can also occur and in some instances, the person cannot get to a restroom in time. While it is not typically an indication of a serious illness, it can disrupt an individual’s everyday routine and cause them to feel less confident when participating in social activities. Persistent urinary incontinence can present in two forms, stress incontinence, and urge incontinence. Stress incontinence is marked by the leakage of urine after coughing, sneezing, laughing, jumping or pressure on the pelvis. It is due to structural problems of the uterus pelvic floor bladder and urethra. Urge incontinence is usually a neurological problem and shows as a severe urge to urinate with no time to find a bathroom. This is where the person feels they have to go and if they don't find a toilet within a few moments the will leak, sometimes quite a lot. Mixed incontinence is a combination of the two and is the most common type of incontinence.
If you have this problem, you could have an underactive or overactive bladder. You could hold urine, not know when you have a full bladder, and leak urine. You could be unable to empty your bladder completely, not be able to control your urination, and go frequently. You could also develop urinary tract infections.
A variety of medications might help you have more normal urination. These include medications that encourage nerve activity, medications for bladder relaxation, and other options. Other treatment choices include using a catheter to the bladder or having one of a few different surgical options. Some lifestyle changes might also help. You can learn exercises that build strength in the muscles of the pelvic floor and pay attention to your urination pattern. Your doctor will decide on the best course of action for your specific situation.
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