Changes in habits (behavioral methods) and exercise are often used first to treat urinary incontinence because they do not involve surgery, have no serious side effects, can be done at home, and do not limit future treatment options.
Urinary incontinence in men is often related to prostate problems. As men age, the prostate gland grows larger, squeezing the urethra and pushing the neck of the bladder out of position. These changes can lead to incontinence.
Urinary incontinence may be treated with medications. However in many cases, treatment with behavioral methods (for urge incontinence) and Kegel exercises (for stress incontinence) are tried before medications.
Functional incontinence occurs when a person is unable to reach the bathroom in time to urinate because of physical or mental limitations, such as problems with walking, conditions such as arthritis, or problems with reasoning (such as dementia). People who have functional incontinence can try timed voiding and prompted voiding to control incontinence.Timed voidingTimed voiding is also called habit training. It sets a schedule for urinating (voiding) that is determined by your personal habits. It doesn't attempt to increase how long you can wait before having to urinate or teach you to resist the urge to urinate.Prompted voidingPrompted voiding requires a caregiver to prompt you to urinate. The goal is to decrease the chance of accidents by making you aware of the need to urinate periodically. Prompted voiding usually is used in combination with timed voiding for people who are unaware of their bodily functions, such as people who have dementia.
Overflow incontinence is the involuntary release of urine-due to a weak bladder muscle or to blockage-when the bladder becomes overly full,even though the woman feels no urge to urinate. Symptoms Symptoms of overflow incontinence include: Sudden release of urine. A feeling of fullness in the bladder even after urination. Leakage of urine while sleeping. A urine stream that stops and restarts ...
Total incontinence is the continuous and total loss of urinary control. One cause of total incontinence is neurogenic bladder, a neurological problem that prevents the bladder from emptying properly. Spinal cord injuries, multiple sclerosis, and other disorders that affect nerve function can also lead to total incontinence. Total incontinence in women can also be caused by a vesicovaginal fistula, an abnormal connection between the urinary tract and the vagina.TreatmentTotal incontinence is usually treated by using a thin tube (catheter) to empty the bladder regularly. This is called intermittent self-catheterization.Absorbent products such as pads or disposable underwear are usually used when other methods of treating incontinence have failed or cannot be used. These methods don't treat the incontinence but may make it possible to manage the problem.