stroke, Parkinson's disease) and obstruction (usually prostatic enlargement) can all cause urge incontinence Overflow incontinence Urinary infections, bladder stones, bladder cancer, neurological disease ( e.g. In most patients, the underlying cause is unknown. This is due to bladder muscle overactivity. It is also made worse by obesity Urge incontinence This is usually the result of sphincter weakness cause by childbirth, loss of hormone support due to the menopause, hysterectomy or increasing age. combined urge & stress incontinence) Stress incontinence In some patients, there is more than one cause and different types of incontinence may also co-exist (e.g. The causes of incontinence are many and depend on the type of incontinence. telescopic examination of the bladder (especially if you have recurrent urinary infections, blood in your urine or difficulty passing urine).video screening of the bladder & bladder neck (often combined with pressure tests) and.pressure tests on the bladder(urodynamics).a voiding flow rate (a measure of how fast you pass urine).a pad test (leakage following certain, specified exercises is regarded as abnormal).

Thereafter, additional tests will only be performed after your GP refers you to a urology clinic. This may be to check your kidneys, to assess your bladder emptying and to find out whether your symptoms are caused by a problem within or close to the bladder. Your GP may wish to arrange an ultrasound scan ( pictured), although this is not routinely required. A urine sample will normally be sent to the laboratory to exclude infection if the dipstick suggests this is needed, or if you have symptoms of urine infection. The actual tests performed will be left to your GP's discretion.Ī routine dipstick test will be performed. This will normally include one or all of the following: Your GP should work through a recommended scheme of assessment for incontinence of urine. surgery may be effective in incontinence if conservative measures do not work.Ĭlick here to view a short video on incontinence of urine from the NHS Health & Care Video Library.conservative treatment may help in improving incontinence and.urge incontinence is usually caused by an overacrtive bladder (OAB) for which, typically, we do not know the cause.stress incontinence is due to sphincter weakness for which the commonest causes include childbirth and obesity.incontinence is caused by bladder abnormalities and/or sphincter (valve) weakness.60-80% of these patients have never sought medical advice for their condition and 35% view it simply as part of the ageing process.there may be as many as 3 million people in the UK with urinary incontinence.What are the facts about incontinence of urine? Giggle incontinence - tends only to occur in young girls and normally resolves as the child grows.Post-micturition dribble - leakage from the urethra a few minutes after passing urine (not to be confused with terminal dribbling when it is difficult to shut off the stream immediately after passing urine - usually a sign of prostatic obstruction) and.Continuous incontinence - constant leakage of urine due to an inherited or acquired abnormality, or damage to the control mechanisms of the bladder (which may be caused by surger y).Functional incontinence - inabilty to use the toilet in time due to poor mobility or brain disorders.Overflow incontinence - inability to empty the bladder with resulting overflow of urine.Mixed incontinence - combined stress & urge incontinence.Urge incontinence - leakage which follows an irresistible urge to pass urine.Stress incontinence - leakage during periods of abdominal pressure (coughing, sneezing, lifting, straining).Incontinence can be divided broadly into the following types but 90% of patients suffer from stress and/or urge incontinence: If you have any involuntary loss of urine which is a social or hygienic problem, you should contact your GP for further advice What should I do if I have incontinence of urine? NOTE: Some of the information provided contains graphic, medical images which individuals may find upsettingĬlick here to use our feedback form & send us your comments about this section of the BAUS website this will help us to improve it for the benefit of our patients

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