Leaking Urine When You Don't Want To
Marja Sprock, MD FACOG
Leaking urine when you do not want to or urinary
incontinence is a common problem. Urinary incontinence
is more common in women who have had children, women
over 65 years of age and women with diabetes or
neurologic diseases as multiple sclerosis. Weekly loss
of urine occurs in at least 10% of women. Over 60 years
of age 30-50% of women are affected by urinary
incontinence. The condition is common and has a large
impact on the quality of life of numerous women.
women prefer not to have the insecurity of never being
able to rely that your clothes stay dry or having to cut
in line for a public bathroom.
involuntary loss of urine increases with age as well as
the severity. Daily incontinence occurs in about 12% of
women in the US between the ages of 60-64 years and in
21% of women 85 years and older. In younger women having
children is the main risk factor and in older women
often functional impairment. Obesity, some medications
and functional impairments are also important risk
factor for incontinence.
Stress incontinence (leakage with activity, coughing,
laughing) is the reason for about half of the
incontinence in women, urge (“got to go”) incontinence
becomes more common with increasing age.
incontinence is a combination of stress and urge
incontinence and is the most common type of urinary
Overflow incontinence is a continuous dribbling/leakage
because of incomplete bladder emptying, which can be
caused by an obstruction or a bladder which does not
contract well. The bladder’s under activity to empty
occurs less often in younger women and occurs in 5-10%
of women getting to the more advanced ages.
Stress incontinence, urge
incontinence, mixed incontinence
and overflow incontinence are
four major types of urinary
symptoms alone it is not entirely possible to make a
diagnosis of which incontinence is being dealt with, but
it can give a good indication. If you have a strong urge
to void and leak before getting to the toilet often
occurs in urge incontinence.
jumping on the trampoline, coughing and laughing causes
leakage, it is often stress incontinence.
there are many symptoms that can occur with any of the
incontinence examples, like frequency, nocturia (going
to the bathroom at night) or leakage when bending over.
bladder infection, severe constipation or uncontrolled
diabetes can also cause incontinence. Treatment for
incontinence can vary from treating the underlying
disease to muscle training, to medications, nerve
stimulation, timed voiding, and change in fluid intake.
impact on the quality of life is enormous and can
influence self-esteem, sleep, infection, sexual
interaction, social withdrawal and having to deal with
are numerous treatment options available for
incontinence. See Dr. Sprock at Central
Florida UroGynecology in Rockledge for a consultation.
Call 321-806-3929 for an appointment or
leave a note here.
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performed incorrectly and a
short instruction course can
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before deciding to have a
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but better if you can keep