PELVIC ORGAN PROLAPSE & PESSARY EDUCATION
PELVIC ORGAN PROLAPSE & PESSARY EDUCATION

Incontinence

Urinary incontinence is an inability to hold your urine until you get to a toilet.

The World Health Organisation has said that around 20% of women in each country young and old experience some sort of incontinence. It may be temporary but in most cases results in long term incontinence of different degrees. It may also be a result from an underlying medical condition.

 

Women experience incontinence twice as often as men. Pregnancy, childbirth, menopause, and the structure of the female urinary tract account for this difference. Both women and men can become incontinent from neurological injury, birth defects, strokes, multiple sclerosis, and physical problems associated with aging.

 

Older women, more often than younger women, experience incontinence. But incontinence is not inevitable with age. Incontinence is treatable and often curable at all ages. If you experience incontinence, you may feel embarrassed. It may help you to remember that loss of bladder control can be treated.

Try to overcome your embarrassment and see a doctor to learn if you need treatment for an underlying medical condition.


Incontinence is a medical condition just as much as any other condition, which needs to be addressed.

Incontinence in women usually occurs because of problems with muscles that help to hold or release urine. The body stores urine—water and wastes removed by the kidneys—in the bladder, a balloon-like organ. The bladder connects to the urethra, the tube through which urine leaves the body.

 

During urination, muscles in the wall of the bladder contract, forcing urine out of the bladder and into the urethra. At the same time, sphincter muscles surrounding the urethra relax, letting urine pass out of the body (see Diagram . Incontinence can occur if the bladder (detrusor muscle) suddenly contracts or muscles surrounding the urethra suddenly relax.

Female urinary tract.
Cycle of bladder

Men

Women

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