Doctor's Notes on Bladder Control Problems
Bladder control problems (urinary incontinence) involve difficulty stopping the flow of urine from the bladder. There are several types of urinary incontinence and many people have more than one type. Stress incontinence and urge incontinence are the most common. Other types of incontinence include mixed incontinence, overflow incontinence, neuropathic incontinence, fistulas, traumatic incontinence, congenital incontinence, and obstruction to urine flow.
Incontinence is uncontrollable leakage of urine from the bladder and is the main symptoms of bladder control problems. Other symptoms of bladder control problems include urinary urgency, urinary hesitancy, urinary frequency, pain or burning with urination, blood in the urine, nighttime urination, dribbling, and straining. Other symptoms of bladder control problems may include bedwetting, dribbling immediately after urination, and an inability to reach the bathroom in time.
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Bladder Control MedicationsPeople who have bladder control problems have trouble stopping the flow of urine from the bladder. This problem is also called urinary incontinence. A number of medications are available to treat urinary incontinence.
Foley CatheterA Foley catheter is a thin, sterile tube inserted into the bladder to drain urine. Because it can be left in place in the bladder for a period of time, it is also known as an indwelling catheter.
Inability to UrinateThe inability to urinate (urinary retention) may be caused by an enlarged prostate, a urinary tract infection, or ruptured disc. Symptoms include abdominal pain and fever. Acute urinary retention requires a trip to the emergency department.
Incontinence FAQsGet answers to frequently asked questions about urinary incontinence types, causes, health factors, symptoms, tests, treatment, and exercises to strengthen the pelvic floor muscles.
Prolapsed BladderBladder prolapse is the name of a condition in which a woman's bladder descends into the vagina, usually resulting from the stress of childbirth or other bodily harm to the pelvis. Urinary difficulties, discomfort, and stress incontinence (urine leakage caused by sneezing, coughing, exertion, etc.) can result from a prolapsed bladder.
Urinary IncontinenceUrinary incontinence is when there's an involuntary loss of urine. There are many types of incontinence, including urge incontinence (overactive bladder), mixed incontinence, reflex incontinence, and stress incontinence. Potential causes of incontinence include overactive bladder muscles, weak bladder muscles, blockage of urine flow, and nerve damage. Treatment may involve dietary changes and exercise, including Kegel exercises and using vaginal weights.
Urologic Dysfunction After MenopauseUrologic conditions that can occur around the time a woman goes through menopause include bladder control problems, bladder prolapse (descent of the bladder into the vagina), and urinary tract infections. Diagnosis of urologic problems may include: urinalysis, microscopy of the urine, and urine culture. Treatment may include behavioral modification, medication, and surgery.
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.