There is normal bladder control, but you are unable to reach the toilet in time. It may be a result of a condition like severe arthritis. Drugs which cause confusion or sedation can also cause functional incontinence.
These risk factors increase your chance of developing urinary incontinence:
Urinary incontinence is a symptom of other conditions. Any loss of bladder control can be considered incontinence.
Your doctor will ask about your symptoms and medical history. You will be asked about your urine leakage and how often you empty your bladder. A physical exam will be done to look for any physical causes, such as blockages or nerve problems. You will keep a diary of your bladder habits. You may be referred to a specialist. A urologist is a doctor who focuses on urinary issues.
Tests may include:
Stress test—You relax, then cough as your doctor watches for loss of urine. This will confirm if you have stress incontinence.
Tests to determine problems with your prostate (eg, prostate exam, blood tests)
Blood tests to detect diabetes
Ultrasound—This test uses sound waves to examine structures inside the body to determine if any urine remains in your bladder after urinating.
—A thin tube with a tiny camera is inserted into the urethra to view the urethra and bladder.
Urodynamic tests—These tests are used to measure the flow of urine and the pressure in the bladder.
In men, surgery may be done to relieve a physical blockage due to an enlarged prostate. Other procedures involve surgical repair or implants into the bladder sphincter. The sphincter is the gate that allows the urine to flow through.
To stimulate the nerves, there are devices like Urgent PC and Inter-Stim. The procedure may involve implanting a thin lead wire with a small electrode tip. In some cases, the tibial nerve, which extends down to the ankle, is stimulated. This electronic stimulation therapy can be done as a series of treatments in the doctor's office.
Absorbent diapers are often used by men with incontinence.
are sometimes used to treat more severe cases.
catheters may also be used. Another option is a penile clamp. These clamps are padded and have a sleeve to absorb leakage.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a