Urinary Incontinence

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    In both men and women, it is possible for constipation to lead to overflow incontinence. The rectum must become filled enough to create pressure on the bladder and the urethra. If this happens, overflow urinary incontinence may be the end result as the pressure continues to increase until urine dribbles out.

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    Overflow urinary incontinence can be caused by a number of medications. Anticholinergic drugs, which affect nerve signals, can affect the contractions of the bladder. Opioids can cause overflow incontinence as well. In addition, certain antihistamines, antidepressants, and antipsychotics can affect bladder contractions, leading to overflow urinary incontinence.

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    A Urology, answered on behalf of
    If you have urine leakage that you can manage - it doesn’t bother you or affect your quality of life - then there’s very little reason for you to talk to your doctor about it. However, if you have leaked urine and it has bothered you, then it’s time to evaluate and do some diagnostic tests.
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    Stress incontinence is primarily due to weakness of the valve mechanism (sphincter) in the bladder outlet and urethra. This may be due to intrinsic changes in the urethra, or loss of support and strength of the bladder neck and adjacent structures. It is also associated with post surgical or radiation changes in men following treatment for prostate cancer. With physical exertion or activity that increases abdominal pressure, urine is forced through the deficient valve.
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    A , Internal Medicine, answered
    For both urge incontinence and stress incontinence, you can strengthen pelvic muscles with Kegel exercises to retrain your bladder muscles how and when to contract properly. Also ask your doctor about medications to ease muscle contractions. You don't have to drip. You can get help!
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    A , Hematology & Oncology, answered
    Even if your urinary incontinence can't be cured, it can be managed. Absorbent underclothing is available that's no more bulky than normal underwear and can be worn easily under everyday clothing. Highly absorbent disposable pads are available in drug stores.

    In another approach, a flexible tube (called an indwelling catheter) can be placed in the urethra to collect urine in a container. However, long-term catheterization, although sometimes necessary, can create many problems, including urinary infections. Finally, an external collecting device is another option for men. This device is fitted over the penis and connected to a drainage bag. These procedures are used when other alternatives cannot be offered because of existing medical conditions or other co-morbidities.
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    A , OBGYN (Obstetrics & Gynecology), answered

    Being overweight, not doing pelvic floor muscle exercises (PFME-ask your doctor, obgyn or physical therapist), over or under intake of fluids, smoking and the chronic coughing that may accompany it, and certain medications (review with your physician). pregnancy, chronic constipation, menopause and a family history of SUI and pelvic organ prolapse.

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    A , OBGYN (Obstetrics & Gynecology), answered
    There are many kinds of urinary incontinence and some are more serious than others. New symptoms of incontinence should be shared with a physician so he or she can make sure there is not a serious cause. Urinary incontinence should also be cared for properly, with the vaginal area being cleaned and dried regularly to prevent ulcers and infections.
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    Other illnesses are usually the cause for urinary incontinence. Urinary tract infections, for example, can aggravate the bladder and trigger an accident. Multiple sclerosis and Parkinson's can cause urinary incontinence as nerve signals that control the bladder can be disrupted. In other cases, the medications or treatments of an illness can cause urinary incontinence. Surgery or radiation treatments for prostate cancer, for example, can sometimes lead to incontinence.