If you have bladder control problems or infections,
this section will help you find an appropriate physician to
help you with a treatment plan.
- Urinary incontinence is a common problem
affecting millions of Americans.
- It is estimated that 1 out of every 25
Americans has some symptom of loss of bladder control.
- Bladder control problems are twice as common
in women as in men.
- Most bladder control problems can be helped
- Urge incontinence or overactive bladder
- Stress incontinence
- Overflow incontinence
You may have only one type or a combination
of two called mixed incontinence. The different types of incontinence
can be treated either by medicines, exercises that strengthen
the pelvic floor, or at times by surgery. The treatment used
depends on which type of incontinence you have and at times
requires a combination of therapies. You can determine which
type of incontinence you have by studying the patterns below.
- Severe urgency and leakage can occur if
you dont get to the bathroom quickly
- Nocturia or urinating frequently at night
- Nocturnal eneuresis or wetting the bed
- Feeling the need to urinate out of proportion
with the amount of fluid ingested.
- Leakage of urine with cough, sneeze, laugh,
- Leakage of urine on arising from a seated
- Patients avoid exercise or void more frequently
to prevent accidents
- Often times patients are dry in bed at
night but leak on getting out of bed in the morning
- Dribble urine constantly throughout the
- Void with a slow stream
- Take a long time to void and dont
feel completely empty
- Wet in bed at night
Urinary tract infections, which are more
common in women, can mimic the symptoms of overactive bladder
and can cause urge to urge incontinence. This is why it is
important to seek medical attention when you have these symptoms.
Your physician can evaluate initially with a simple urinalysis
to see if you have a UTI and then treat with an antibiotic.
He will want to take a detailed history from you and you can
help him by understanding better the symptoms that occur with
UTIs and incontinence. He may need to obtain a urine for culture
and sensitivity that will tell him what bacterial organism
is causing the infection, if present, and what antibiotic
would be best to treat the infection with. He may need to
do further studies such as x-rays of the urinary tract or
cystoscopy, which is to look in the bladder, if you have a
severe UTI or if you have recurrent UTIs.
X-rays of the urinary tract as well as cystometrics,
which are special pressure studies of the bladder, can be
done to help determine what type of incontinence you have
and to aid in the treatment of your condition.
- Many people dont consult their physician
when they have leakage problems. Common misconceptions are
that there is nothing that can be done about it or that
it is a natural process of aging. It is not a natural process
of aging but its frequency increases with age.
- Others are embarrassed or use pads to hide
the leakage which can become so severe that a diaper is
- Bladder control problems are not a normal
process of aging and should not affect your desire to exercise
or lead an active life
Urologists train specifically to handle these
types of urinary problems and treat thousands of patients
a day with problems similar to yours. So dont put it
off any longer and contact a physician today. Its simple,
just click on our Find a Doctor
section to locate a urologist in your area to assist you
in evaluation and treatment of your bladder control problem.