6 types of urinary incontinence


Stress incontinence or incontinence during exercise accounts for 1 in 2 of those suffering from urinary incontinence. Whether it's a small or big effort, this type of incontinence affects women of all ages. The leak can occur during mundane moments such as sneezing, coughing and/or laughing. However, it can be more physical effort such as lifting a load, jumping, running, etc. The main treatment recommended is progressive training of the pelvic floor muscles using Kegel exercisers.



Briefly, urgency, also known as overactive bladder (HAV), is manifested by contractions of the bladder muscle requiring an immediate and uncontrollable need to empty the bladder when it is not full yet. Contrary to the nocturia, that we will see a little further, urgency can occur as much during the day as at night and at an average frequency of 8 times a day. Some pharmaceutical treatments can help reduce urge episodes. Some health professionals, however, will suggest a rather conservative approach: pelvic floor therapy and rehabilitation. Therefore, the use of vaginal dilators and/or Kegel exercisers may be an interesting solution.



There is one type of mixed incontinence that combines 2 symptoms at a time. In fact, sufferers will have the symptoms of incontinence due to effort or stress in addition to urge incontinence. Among people with incontinence, 32% say that it is mixed incontinence, placing it in the second position just after stress incontinence and before urge incontinence. The treatments are then quite similar, the use of Kegel exercisers to help firm and strengthen the pelvic floor muscles.



In a simplified manner, the overflow occurs when the bladder reaches its filling capacity and the individual is unable to empty it completely. The main symptoms are the lack of need or urge to urinate as well as a slow and rather weak urinary stream. The excess urine in the bladder may be so large that the body will have to evacuate frequently to avoid overflow. The suggested accommodation to avoid radical treatment is to allow enough time to completely empty the bladder.



Unlike other types of enuresis, functional incontinence does not affect individuals with normal urinary system. Indeed, it creates an impact for people who find it impossible or difficult to go to the bathroom when necessary. This will cause an involuntary and unwanted urinary leak. Some factors may cause reduced accessibility such as a disability, a physical or cognitive problem, the layout of the premises or taking certain medications. As a result, the proper treatment is to adapt the site to improve accessibility and encourage the affected person to move to fill the urge to urinate. In some cases, the assistance of a physiotherapist or occupational therapist may be required. It may also be necessary to consult a pharmacist to make sure that certain medications do not cause functional incontinence.



In definition, nocturia also called nocturnal enuresis is the fact of having to get up again and again during the night to have to urinate, thus fragmenting sleep. Men and women are affected by this problem, which mainly affects people over 50 (nearly 50% of the population). Side effects of urinary incontinence are added to that of extreme fatigue. Several treatments are suggested to improve the quality of sleep, including refraining from drinking fluids in the evening, urinating according to a pre-established routine, promoting good hygiene and using Kegel balls to strengthen the pelvic floor muscles. It may be advisable to consult a health professional since it may be that nocturia persists despite the treatments.

Sources :
Clinique Avenir MD, Profession Sante, Canadian Continence
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