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Urinary Incontinence

Urinary incontinence is the loss of bladder control that can range in severity from occasionally leaking urine to sudden and strong urges to urinate.
Illustration of various types of urinary incontinence

Types of Urinary Incontinence

Individuals with urinary incontinence may experience occasional minor leaks, or small to moderate leakage that occurs more frequently.

  • Stress incontinence (SI): Patients with SI have urine leaks that occur due to pressure on the bladder during laughing, coughing, exercising, sneezing, or lifting something heavy.

  • Urge incontinence: With urge incontinence, patients have a sudden, intense urge to urinate followed by an involuntary loss of urine. Individuals may urinate frequently, including throughout the night. The condition may be caused by infection, a neurological disorder, or diabetes.

  • Overflow incontinence: Frequent or constant dribbling of urine caused by a bladder that doesn’t empty completely is called overflow incontinence.

  • Functional incontinence: Functional incontinence is when a physical or mental impairment prevents the individual from making it to the toilet in time. For example, patients with severe arthritis may not be able to unbutton their pants fast enough.

  • Mixed incontinence: Individuals who experience more than one type of urinary incontinence have mixed incontinence. This condition typically refers to a combination of stress incontinence and urge incontinence.

medical concept of the urinary system
patient experiencing urinary incontinence

When to Seek Medical Attention

Patients with frequent incontinence that is negatively affecting their quality of life should seek medical advice because urinary incontinence may:

  • Cause patients to restrict their activities and limit social interactions

  • Indicate a more serious underlying condition

  • Increase the risk of falls in older adults as they rush to the toilet

Left untreated, urinary incontinence can lead to rashes, skin infections, and sores caused by constantly wet skin. Incontinence also increases the risk of repeated urinary tract infections.

Causes of Urinary Incontinence

Temporary urinary incontinence may be caused by certain drinks, foods, and medications that act as diuretics. They include:

  • Alcohol
  • Chili peppers
  • Carbonated drinks and sparkling water
  • Artificial sweeteners
  • Chocolate
  • Large doses of vitamin C
  • Foods that are high in spice, sugar or acid, especially citrus fruits
  • Heart and blood pressure medications, sedatives, and muscle relaxants
  • Caffeine

Urinary incontinence may also be caused by a urinary tract infection and constipation.

Persistent urinary incontinence may be caused by underlying physical problems or changes, including:

  • Pregnancy

  • Aging of the bladder muscle

  • Childbirth

  • Menopause

  • Enlarged prostate

  • Prostate cancer

  • Obstruction

  • Neurological disorders

Risk Factors of Urinary Incontinence

The following factors increase the risk of developing urinary incontinence:

  • Men with prostate gland problems
  • Older age

  • Being overweight

  • Family history of urinary incontinence

  • Smoking and tobacco use

  • Neurological diseases or diabetes

Axonics Therapy

Axonics Therapy gently stimulates the nerves that control the bladder and bowel, helping to restore normal control and improve symptoms.

To determine if a patient is a good candidate for Axonics Therapy, they will undergo a short period of therapy using a temporary system. The evaluation period will allow the patient to experience the level of symptom relief the therapy may provide before committing to long-term therapy.

Patients who choose long-term Axonics Therapy will have the miniaturized Axonics implanted just beneath the skin in the upper part of their buttock.
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