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Urology (Expert Forum)
Incontience-What causes it?
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Incontience-What causes it?
by Rosie__0__0, Jan 31, 1999 12:00AM
I am a 71 year old woman who has tremendous problems with
bladder control. I would like to know what causes it and
what can be done about it. With this problem , I have to
be prepared for anything at all times. If there is anything
can be done I would like to know about it. Thank you.
____________________________________________
Dear Rosie,
It sounds like you have incontinence. This involves loosing urine when you don’t want to, or your bladder is not full. Incontinence can come in two major varieties. Neurogenic incontinence(urgency), or stress urinary incontinence(coughing ). Your brief history does not give me enough clues to answer your question directly, therefore I will provide you with general information about incontinence.
Neurogenic, or urgency type incontinence occurs in patients that have a neurologic problem that alters the brains ability to control the bladder. These neurologic diseases include, Parkinson’s, stroke, Multiple Sclerosis or spinal cord injury. A more mild type of this disorder causes an overactive bladder or one that has instability.
Stress urinary incontinence is divided into three categories (primarily divided by the fluoroscopic or radiologic evaluation). The definition of stress urinary incontinence(SUI) denotes involuntary loss of urine when the total intravesical pressure exceeds the maximum urethral pressure in the absence of bladder activity. Type 1, is incontinence without primary sphincter incompetents and on fluorourodynamics(FUDS) a bladder above the pubic symphasis. Type two SUI is a competent sphincter with a bladder below the pubic symphasis on FUDS. Type three SUI what you have is an incompetent urinary sphincter(weak muscle). On the pressure portion of your study, your bladder leaked at a pressure below 60 cmH2O.(some Urologists use a threshold of 90 cmH2O.)
My recommendation is that you see a urologist to evaluate your incontinence. He or she can classify your condition by asking you some simple questions. Once a history and physical are done, a systematic work-up can be performed.
This information is provided for general medical education purposes only. Please consult your physician for further diagnostic treatments and options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1-800-653-6568).
Sincerely
HFHS M.D.-AK
*keyword: Incontinence
bladder control. I would like to know what causes it and
what can be done about it. With this problem , I have to
be prepared for anything at all times. If there is anything
can be done I would like to know about it. Thank you.
____________________________________________
Dear Rosie,
It sounds like you have incontinence. This involves loosing urine when you don’t want to, or your bladder is not full. Incontinence can come in two major varieties. Neurogenic incontinence(urgency), or stress urinary incontinence(coughing ). Your brief history does not give me enough clues to answer your question directly, therefore I will provide you with general information about incontinence.
Neurogenic, or urgency type incontinence occurs in patients that have a neurologic problem that alters the brains ability to control the bladder. These neurologic diseases include, Parkinson’s, stroke, Multiple Sclerosis or spinal cord injury. A more mild type of this disorder causes an overactive bladder or one that has instability.
Stress urinary incontinence is divided into three categories (primarily divided by the fluoroscopic or radiologic evaluation). The definition of stress urinary incontinence(SUI) denotes involuntary loss of urine when the total intravesical pressure exceeds the maximum urethral pressure in the absence of bladder activity. Type 1, is incontinence without primary sphincter incompetents and on fluorourodynamics(FUDS) a bladder above the pubic symphasis. Type two SUI is a competent sphincter with a bladder below the pubic symphasis on FUDS. Type three SUI what you have is an incompetent urinary sphincter(weak muscle). On the pressure portion of your study, your bladder leaked at a pressure below 60 cmH2O.(some Urologists use a threshold of 90 cmH2O.)
My recommendation is that you see a urologist to evaluate your incontinence. He or she can classify your condition by asking you some simple questions. Once a history and physical are done, a systematic work-up can be performed.
This information is provided for general medical education purposes only. Please consult your physician for further diagnostic treatments and options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1-800-653-6568).
Sincerely
HFHS M.D.-AK
*keyword: Incontinence
