There are only two reasons why urinary incontinence occurs in women, some women have both.
The first reason. Urinary incontinence appears due to pressure when a woman laughs, coughs, sneezes, jogs and so on, that is, at the time of pressure on the bladder. Such a subspecies of ailment is most often found in the representatives of the weaker sex.
The second reason. It is impossible to overcome the urge to urinate, when such a desire appears suddenly and a person simply does not have time to reach the assortment. And such a problem appears even when there is no liquid in the bladder. Some women are simply deprived of warning signs that leakage of urine is coming. Many patients feel this at the time they touch the pouring water or when they themselves drink water. An ellipsis bladder also has a relationship to the problem of a strong urge to urinate, which can not be overcome. Also, not every woman who has a very active urinary bladder suffers from urinary incontinence.
Mixed urinary incontinence is a combination of some types of bladder dysfunction, as a rule, incontinence due to an irresistible urge to urinate and out-squeeze. Often mixed type is inherent in elderly women.
Causes of urinary incontinence in women
There are several reasons for urinary incontinence:
- Urinary incontinence with an irresistible desire to emerge. In this situation, the muscles of the urinary bladder are involuntarily reduced, with a strong urge and the patient does not have time to reach the toilet.
- Because of a baby's birth or excessive weight, the tantalum muscles stretch out when the pressure is incontinent. In the case where the muscle fibers are not able to maintain the location of the bladder, this organ begins to lower to lower the vagina, blocking the reduction of the sphincter of the urethra. Therefore, with each additional pressure: coughing, laughing, sneezing and other actions, urinary incontinence occurs. Chronic cough, which occurs due to smoking, develops urinary incontinence in women.
Too active bladder caused incontinence because of an uncontrollable urge.
Women often suffer mixed incontinence of urine, when there is not one reason, but several.
There are other types of urinary incontinence in women who are not so prevalent. These include:
- Total incontinence;
- Anatomic incontinence;
- Overflow incontinence;
- Functional incontinence.
Are there any differences in the symptoms of urinary incontinence in women?
The most important and common manifestation of such a disease as incontinence is the inability to control urination. The type of incontinence and the characteristics of the disease depend on the causes that led to such a disease.
Symptoms of incontinence include involuntary emiction, which occurs when active actions occur. And men suffer this much less often. As a rule, the incontinence of pressure entails the allocation of an average or a small volume of urine.
Symptoms of urinary incontinence include uncontrollable urge to take a momentary urge to urinate, need to wash. In this situation, a small or significant amount of urine is released. A small leakage of fluid is possible only at the moment when the bladder is weakly filled.
Because of what the disease appears?
Urinary incontinence, which occurs spontaneously and, as a rule, disappears after the treatment of the cause, is called temporary. For example, urinary incontinence can occur due to an infectious lesion of the urinary system, and when the pathogen is overcome, the ailment disappears.
Chronic or simply prolonged incontinence often occurs and develops in stages and the disease worsens very slowly. When symptoms increase, women change their habits and behavior:
- become more passive;
- they are ashamed of being on a bagel or in a company of people, so they begin to avoid it;
- there are physical problems due to the fact that the skin is often in contact with urine, for example, infection of the genitourinary system, irritation in the groin.
Treatment, which is directed at the source of the disease-the cause, makes it possible to control the ailment.
What increases the possibility of developing such a disease?
Sometimes a combination of factors is necessary to bring about incontinence. For example, age changes in the body, severe coughing due to smoking or chronic bronchitis, several episodes of childbirth in the past can greatly increase the risk of urinary incontinence.
Diseases that contribute to the emergence of this disease:
- birth of a baby and pregnancy;
- elderly age;
- overweight and obesity;
- removal of the uterus (transferred hysterectomy);
- chronic bladder disease;
- stones in the urinary vesicle;
- blockade of the bladder (stone / infection);
- structural anomalies of the genitourinary system.
Diseases, manifestations of which can cause urinary incontinence in women:
- Parkinson's disease
- Diabetes
- Chronic cough due to smoking or chronic bronchitis
- Stroke
- Multiple sclerosis
- Damage to the spinal cord
- Prolapse of pelvic organs
- Cancer of the bladder
- Alzheimer's disease.
Food and medicinal products that enhance the manifestations of urinary incontinence:
- alcoholic beverages;
- smoking;
- beverages containing caffeine or carbonate, for example, carbonated water, tea, coffee;
- prescription drugs that increase the production of urine (eg, diuretics) or relax the bladder (antidepressants or anticholinergic drugs).
What diagnostic methods are used?
In order to diagnose urinary incontinence, the doctor must first clarify the woman's details of the development of the disease and conduct a medical examination, including gynecology. Sowing for sterility, a culturological study of the fluid that separates from the urinary tract and a general urinalysis will help determine if there is an infection of the urinary system.
It is very important to accurately diagnose, because an erroneous decision can not only not give effective results, but you can damage the patient.
The doctor must necessarily ask the patient about the symptoms of urine incontinence she had, about her habits, for example, how often a woman urinates, in what situations a leakage of urine occurs, how much and what fluid she drinks throughout the day, are there any other symptoms , which bother the woman. The answers the doctor receives will give him the opportunity to establish the real cause of urinary incontinence.
If the patient has started to keep a diary in advance, it will be easier for her to answer questions. It is especially important to note all the urges for kmochepuskaniyaniyu, the situation when the leakage of liquids occurred and visits to the toilette 3-4 days before the visit to a specialist.
What additional procedures do you need to go through to confirm the diagnosis?
- Bonnie test or stress test for urinary bladder. To conduct such an investigation, the doctor enters a liquid into the bladder and asks for a little cough (or give pressure in another way) to determine if the patient has an incontinence. Bonnie's test differs from the first test in that the neck of the bladder rises (stretched) with the help of a tool or a finger that is inserted into the vagina when a normal stress test is performed.
- Test of gaskets. Thanks to this study, it is possible to determine how often and how much the leakage of the fluid from the urinary bladder occurs throughout the day. Particularly useful is this test, when an ordinary medical study does not provide specific information to identify and diagnose incontinence.
- Cultural studies or general urine analysis is carried out if the doctor has suspected an infectious burden of the genitourinary system, and also has the opportunity to see the sugar and blood in the secreted fluid.