What is urinary incontinence?
Urinary incontinence is a medical term for uncontrolled urination. Many people who have urinary incontinence are embarrassed or ashamed to talk about it. Others feel that there is no point in talking about it with their physician because nothing can be done.

Actually, urinary incontinence is not an uncommon problem in adults, especially older adults. It is no reason to be ashamed. It can be caused by medical conditions such as pregnancy, certain foods or medications, or urinary tract infections. And, incontinence does not have to be simply accepted. In about 80 percent of all cases, there is a cure or significant improvement after treatment.

Do pregnancy and childbirth affect bladder control?
Yes, incontinence is common both during and after pregnancy but often goes away by itself. Muscles may need a little time to recover. If, however, the problem still exists six weeks after childbirth, consult your physician. Without treatment, lost bladder control may become a long-term problem. In some cases,the solution may be as simple as doing exercises to increase muscular control.

Is urinary incontinence a result of aging?
Approximately ten percent of Americans over 65 experience some form of urinary incontinence, ranging from mild and occasional to frequent and severe. For some reason, women are more likely to experience urinary incontinence than men. It is not an inevitable part of aging, however.

Should I see my doctor about it?
You should see your doctor or healthcare provider at the first sign of urinary incontinence. You may have to bring the subject up. Many physicians do not ask about urinary incontinence during routine exams.

What could be the cause of urinary incontinence?
Tell your physician or healthcare provider about your usual food and drinks, especially coffee or alcohol. He or she will also want to know what medications you are taking, both over-the-counter and prescription, as well as other medical problems you have experienced.

What sort of treatments are available?
In women, incontinence may be the result of pelvic muscles that have weakened. Involuntary urination may occur when lifting, coughing, or even laughing. Your doctor may recommend certain exercises to help strengthen those muscles. Incontinence may also be the result of an infection. Your doctor may prescribe medication for the problem. In a few cases, surgery may be needed to correct the problem. Even if the condition does not respond fully to treatment, there are ways to manage the condition and enjoy an active life.

Links:

• Urology Department Home Page
• Urology Channel.com - Your Urology Community
• UT Medical Group Departments
• UT Medical Group Physician Directory

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