Uninary incontinence is the involuntary leakage of urine, meaning that a person urinates when they do not want to due to the lost or weakened control of the urinary sphincter. About 200 million different age people suffer from this around the world. According to scientific research, up to 40 percent or older than 60 year old people may suffer from this condition and around 80-90 percent of older than 75 year old people.
Types of urinary incontinence:
- Stress incontinence or effort incontinence, is due essentially to insufficient strength of the pelvic floor muscles to prevent the passage of urine, especially during activities that increase intra-abdominal pressure, such as coughing, sneezing, or bearing down. This often occurs after giving labour traumas, menopause, overweight; for males the condition occurs after prostatectomy. Urine incontinence is the result of disruption of distress to the sphincter muscles that control the release of urine. Any additional pressure occurring while coughing, sneezing or due to any other stress, causes urine incontinence.
- Urge incontinence is common to appear for no clear reason when suddenly feeling the need to urinate appears. The condition occurs due to enlarged ureter, prostatitis or ureter inflammation.
- Overflow incontinence occurs when a person constantly feels the need to urinate without actually needing it. This pathology is often found in men due to prostate diseases.
- Neurogenic incontinence is a bladder dysfunction caused by neurologic damage or diseases.
- Post-operative incontinence often occurs after prostatectomy.
Treatment: typically there are few types of treatment, longterm, individual and complex.
- Insertion of TOT ( transobturator tape ) which provides a supportive backboard for the urethra and helps to prevent the bladder from leaking urine;
- Exercising the muscles of pelvis and perineum;
- Vaginal pessary ring is often used in case of urinary incontinence and vaginal or pelvic organ prolapse. It helps to return pelvic organs into its usual position;
- In case of severe cases of urine incontinence (after surgeries) the condition is treated by implanting inflatable artificial sphincter.