Poor bladder control or urinary incontinence is a medical condition that is generally linked with pregnancy, childbirth, menopause or a variety of prolonged conditions like asthma, diabetes or arthritis.
Urinary incontinence can vary from a few leaks anytime you laugh, cough or exercise to the complete inability to control your bladder, wetting yourself.
Additional symptoms you can suffer from including the periodic need to urgently visit the toilet, sometimes associated with leaks.
Types of Urinary Incontinence
These are the different types of UI:
- Stress Incontinence – urine leaks while you apply pressure on your bladder when coughing, sneezing, laughing, exercising or lifting something heavy.
- Urge Incontinence – a feeling of a sudden, intense urge to urinate followed by an involuntary loss of urine. The need to urinate is frequent and occurs throughout the night.
- Overflow Incontinence – frequent or continuous dribbling of urine because of a bladder that doesn’t fully unload.
- Functional Incontinence – a physical or mental disability that prevents you from getting to the toilet in time.
- Mixed Incontinence – you have more than one type of urinary incontinence.
Urinary Incontinence Treatment
The treatment for urinary incontinence is based on the type of incontinence, its severity as well as the cause. A combination of treatments might be necessary.
Your physician will probably recommend the least invasive treatments first and proceed to other alternatives only if these treatments fail.
Bladder training – to hold off urination once you have the urge to go. Begin by attempting to hold off for 10 minutes each time you feel an urge to urinate. The goal is to increase the time between trips to the toilet until you’re urinating only every two to four hours.
Double voiding – to help you learn to drain your bladder more thoroughly to prevent overflow incontinence. Double voiding means urinating, and then waiting a short while and trying once more.
Scheduled toilet trips – to urinate every two to four hours instead of waiting for the need to go.
Fluid and diet management – regaining control of your bladder. Avoid alcohol, caffeine, or acidic foods. Cutting down on liquid intake, reducing weight or exercise may also relieve the symptoms.
Pelvic Muscle Floor Exercises
Your physician may suggest that you perform pelvic floor exercises regularly to enhance the strength of the muscles that regulate urination.
Generally known as Kegel exercises, these exercises are primarily helpful for stress incontinence but may also help urge incontinence.
To do these exercises, imagine that you’re trying to stop urine flow. Then,
- Stiffen (contract) the muscles you use to stop urinating and hold for five seconds, next relax for five seconds.
- Build up to holding the contractions for 10 seconds each time.
- Target a minimum of 3 sets of 10 repetitions every day.
To let you pinpoint and contract the right muscles, your physician may recommend you work with a physical therapist.
Other treatments include:
- Medical devices
- Surgery – if non-surgical treatments aren’t working, a few surgical procedures can deal with the problems that cause urinary incontinence:
- Sling procedure
- Prolapse surgery
- Bladder neck suspension
- Artificial urinary sphincter
Bowel Incontinence Treatment
Bowel incontinence is often treatable. On many occasions, it is cured completely.
Suggested treatments differ based on the cause of bowel incontinence. Sometimes, more than one treatment plan is necessary to control the symptoms.
Nonsurgical options are usually preferred as initial treatment for bowel incontinence, for example:
- Consume 20 – 30 grams of fiber daily. This will make stool extra bulky and easier to control.
- Avoid caffeine. This tends to help prevent diarrhea.
- Drink a lot of water each day. This can prevent constipation.
- Medication – You could try these medications to lessen the number of bowel movements and the urge to move the bowels.
- Exercises – get started on a habit of regularly contracting the muscles used to control urine flow (Kegel exercises). This develops strength in the pelvic muscles and helps reduce bowel incontinence.
- Bowel training – plan bowel movements at the same times every day. This will aid in the prevention of accidents in between.
Surgery is appropriate for people whose bowel incontinence is not managed by noninvasive treatments. The types of surgery are:
- Sphincter surgery – the surgeon stitches the anal muscles more tightly together in a procedure called sphincteroplasty. This surgery will treat people with bowel incontinence that is caused by a tear of the anal sphincter muscles.
- Sacral nerve stimulator – the surgeon embeds a device that triggers the pelvic nerves. This procedure is most appropriate in individuals with bowel incontinence due to nerve damage.
- Sphincter cuff device – the surgeon installs an inflatable cuff that surrounds the anal sphincter. The individual deflates the cuff during bowel movements and re-inflates it to prevent bowel incontinence.
- Colostomy – this surgical procedure redirects the colon by way of an opening created in the skin of the abdomen. This procedure is only advised when all other treatments fail.
Take the first step and contact us through our no-cost virtual consultation. During this process, we will recommend options that will work best for you. Every client is different, so our virtual consultants and surgeons tailor the procedure to match each person’s needs.