What is involuntary urination in women?
Is it the same as urinary incontinence?
What is bedwetting or urinary incontinence:
Dr. Qassem Shehab , consultant gynecological and urological surgeon, provides you with an explanation of the condition, its symptoms, and how to prevent it. It offers you the best possible treatment for bedwetting or urinary incontinence
What is the definition of urinary incontinence?
Loss of bladder control is a common and often embarrassing problem. The severity ranges from occasional leakage of urine when coughing or sneezing to an urgent and strong urge to urinate that you do not reach the toilet in time. Although it occurs more often as people age, incontinence is not an inevitable consequence of aging. If urinary incontinence is affecting your daily activities, feel free to see your doctor. For most people, symptoms can be relieved by a simple lifestyle change, or some training activities for the pelvic muscles
What are the causes of urinary incontinence in women, and does it suddenly affect women?
Symptoms of bedwetting and urinary incontinence:
Many people have occasional minor urine leaks. Others may lose small to moderate amounts of urine more frequently.
Chronic urinary incontinence complications:
Chronic urinary incontinence complications include:
Skin problems: Rash, skin infections, and ulcers can occur from constantly wetting the skin.
Urinary tract infections: Incontinence increases the risk of recurring urinary tract infections.
Effects in your personal life: Incontinence can affect social, work and personal relationships.
Urinary incontinence isn't always preventable. However, to help reduce your risk, do the following:
Maintain a healthy weight.
Do pelvic floor exercises.
Avoid bladder irritants, such as caffeine, alcohol, and acidic foods.
Eat more fiber, which can prevent constipation, which is one of the causes of urinary incontinence.
What are the types of urinary incontinence?
Involuntary stress incontinence : Urine leaks out when pressure is increased on your bladder by coughing, sneezing, laughing, exercising, or carrying something heavy.
Urge incontinence A woman will have a sudden and severe urge to urinate, followed by an involuntary loss of urine. You may need to urinate a lot, and ironically damage the bed at night urination.
Overflow incontinence . Have frequent or continuous drips due to not completely emptying your bladder.
Mixed incontinence. It is the most common thing, and in this case, we need to treat what the woman considers most important in terms of symptoms, as one treatment does not have, in most cases, improvement of both types.
Sometimes, the cause of bedwetting is an inflammation of the bladder, or the result of diabetes. In girls and adolescents, bedwetting is usually caused by urge incontinence.
What are the causes of urinary incontinence in women, and does it suddenly affect women?
Sometimes, urinary incontinence comes on suddenly, lasts for a temporary period of time and then goes away, or it may persist in the long term; This is determined according to the reason for its occurrence and the patient's condition, and among these reasons:
Having a disease of the nervous system and brain, including Parkinson's disease, multiple sclerosis, stroke, and spinal cord injuries, these diseases cause a patient to lose the feeling or response to the urge to urinate
Having diabetes; It causes damage to the nerves that control the movement of the bladder and thus, the process of urination
Urinary system disorders such as urinary tract infections and bladder infections , overactivity of the urinary bladder , weakness in the pelvic floor muscles as a result of performing some surgeries such as hysterectomy , all of which affect the sphincter muscle in the bladder
The presence of blockages in the bladder, including the presence of tumors such as bladder cancer or kidney stones, these diseases cause a blockage in the urethra and thus affect the urination process
A prolapse in the pelvic organs such as the bladder, uterus, or rectum is an abnormal condition that usually occurs in women after childbirth as a result of muscle weakness, in which these organs move from their normal place to the vagina and thus prevent the bladder and urethra from carrying out their normal function and urinary incontinence remains. The reason is one of the most important causes of stress urinary incontinence
A side effect associated with the use of some drugs that affect the ability to control the muscles of the bladder, including diuretics, some drugs to reduce blood pressure and heart, sedatives and muscle relaxants
During pregnancy, a pregnant woman may develop urinary incontinence as a result of hormonal changes and an increase in the size of the fetus that may cause pressure on the bladder
Weight gain and a lot of drinking fluids that contain caffeine, as this causes temporary urinary incontinence
For age changes: Aging of the bladder muscle can lead to a decrease in the capacity of the bladder to store urine.
Also, involuntary contractions of the bladder become more frequent as you get older.
Menopause: After menopause, women produce less estrogen.
It is a hormone that helps keep the lining of the bladder and urethra healthy. And the deterioration of these tissues can worsen urinary incontinence.
Hysterectomy: In women, the bladder and uterus support many of the same muscles and ligaments. It may cause any surgery involving a woman's reproductive system.
Including a hysterectomy, damage to the supporting pelvic floor muscles, which can lead to incontinence.
Causes of bedwetting in women during sleep may be related to inflammations, or from a primary point of view (primary enuresis). Or it could be because of my best urinary incontinence.
When to see a doctor for urinary incontinence:
You may feel uncomfortable discussing incontinence with your doctor. But if incontinence is frequent or affects your quality of life, it is important that you seek medical advice because urinary incontinence may indicate a more serious underlying condition, or cause you to restrict your activities and limit your social interactions. The toilet
Diagnosis of urinary incontinence in women
In the event that you suffer from urinary incontinence symptoms in a way that affects your quality of life, this requires going to the doctor, who in turn will diagnose the condition through a clinical examination and knowledge of the medical history, and he will also direct some questions to determine the period in which the symptoms of the disease appeared, and the type of urinary incontinence You suffer from and know the daily habits followed, which include diet, nutritional supplements, and medications used
The doctor may also recommend some tests that help diagnose urinary incontinence, including:
Performing a urinalysis to check for an infection in the urinary system or for other problems, especially if blood appears in the urine.
For 2-3 days, record the amount of water you drink daily, as well as the number of times you go to the toilet during the day and the amount of urine you produce each time.
A stress test is a simple test in which your doctor asks you to do sudden pressure exercises such as coughing or bending over to monitor your urine loss.
Ultrasound imaging, which helps the doctor by providing images of your kidneys, bladder and urethra and being able to identify any abnormalities or abnormalities in them.
Doing some bladder tests to measure the extent of emptying the bladder and the amount of urine remaining in it after urination, and these tests include:
Cystoscopy is a simple procedure in which the doctor inserts a thin, flexible tube whose end is connected to a small camera and a light source through the urethra and into the bladder (via the urethra) so that the doctor can closely examine the bladder through it and confirm the presence of any disease in it.
Urodynamic examination , during this examination, the doctor inserts a thin tube that reaches the bladder and then fills the bladder with water. This examination helps the doctor measure the pressure that the bladder can withstand and thus determine the volume of fluid that the bladder can hold.
What is the treatment for over active bladder incontinence?
If you suffer from the symptoms of urge incontinence (irritation of the bladder), you may feel better if you stay away from the following foods and drinks:
Soft drinks and sparkling water
Foods high in spices, sugar, or sour, especially citrus fruits
Heart and blood pressure medications, sedatives, and muscle relaxants
High doses of vitamin C.
Urinary incontinence may also be caused by a condition that can be easily treated or gets better on its own after the cause is gone
Treating bladder irritation with medication;
There are many treatments that help reduce irritation, but they have some side effects that limit their use. But it must be taken under the supervision of a doctor.
Intra-bladder injection with Botox: This is a fairly recent treatment, and the doctor must be experienced in administering it. It is considered an effective treatment, if needed, but it is expensive and requires a cystoscopy.
The most important treatment for stress urine incontinence in women?
Initial treatment with simple things that can help with improvement such as;
Surgical treatment of urinary incontinence
Dr. Qassem Shihab offers you effective treatment to solve the problem of urinary incontinence with few complications and a high success rate.
1. Urinary tape operation: I personally prefer this operation, and it is the most common in Europe and America due to its effectiveness, and the large number of studies on it, which have proven to be the best.
2. (TOT) operation: It is also a tape operation, and it is very popular in Jordan due to its ease, but it is not the best.
3. Urethral lift operation: This operation is the most successful. But because of the surgery and the incision that the woman needs, I only offer this operation under certain circumstances.
Dr. Qassem Shehab , consultant of advanced laparoscopic surgery, gynecology and obstetrics. Subspecialty specialization in the treatment of urinary incontinence and gynecological edema
Abdali Hospital , Boulevard, 24th floor
For reservations and inquiries