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 How Loss Of Bladder Control Occurs
 Types of Urinary Incontinence 1. Stress Incontinence Over 50% of all urinary incontinence cases are due to stress incontinence (SI), and it is the most common form of incontinence for women under age 60. SI is caused by weak or damaged pelvic floor and sphincter muscles. The condition is triggered by physical activity that puts stress on the bladder sphincters, such as coughing, sneezing, laughing, or exercising.
The Two Kinds of Stress Incontinence: Urethral Hypermobility: When the pelvic floor muscles are lax, they cannot hold the urethra in place. As a result, the urethra changes positions or is “hyper mobile,” making it hard for it to stay closed. Intrinsic Sphincteric Deficiency: The sphincter muscles keeping urine from leaving the bladder cannot tighten completely because they are weak or the nerves supplying the muscle are damaged. Most patients with urinary incontinence experience both of the above types of stress incontinence.
Common Causes of Stress Incontinence: • Pregnancy: The fetus can put pressure on the vessels that supply blood to the pelvic floor muscles, interfering with circulation. Loss of bladder controls can cause muscles and surrounding soft tissues to atrophy. • Childbirth: Trauma during vaginal delivery can damage the pelvic floor muscles and the nerves involved in bladder control. • Loss of estrogen: For women, menopause or a hysterectomy can cause estrogen levels to drop. This can cause muscles to weaken and soft tissues in the pelvic floor to lose their elasticity. • Aging: With age, lean muscle mass decreases, causing atrophy in both the pelvic floor and sphincter muscles. • Nerve damage from surgical trauma • Obesity: Extra weight puts pressure on the bladder. • Chronic coughing from smoking or lung disease • Uterine fibroids: Large fibroids can put pressure on the bladder. • Diabetes: High blood sugar levels can damage the nerves that supply the pelvic floor muscles and bladder sphincters. • High impact sports and heavy lifting
 2. Urge Incontinence Urge incontinence is when an uncontrollable need to urinate leads to an accidental leak. It occurs as a result of faulty signals between the brain and the nerves that control the bladder. • Common Causes of Urge Incontinence: • Overactive bladder syndrome • Parkinson’s disease • Multiple sclerosis • Stroke or spinal cord injuries • Hysterectomy or prostatectomy • Benign prostatic hyperplasia • Bladder cancer 3. Overflow Incontinence (Urinary Retention) Overflow incontinence occurs when the bladder is unable to fully empty, causing the bladder to overfill and leak urine. Common Causes of Overflow Incontinence: • Nerve damage • An obstruction such as an enlarged prostate • Certain medications including sedatives, anticholinergenic drugs, narcotics, antidepressants, and antipsychotics 4. Mixed Incontinence It is very common for individuals to suffer from a combination of both stress and urge incontinence.
Rehaba | Urinary Incontinence
 Treatments for Urinary Incontinence Treating Stress Incontinence • Pelvic floor exercises: Pelvic floor exercises are the first line of treatment for stress incontinence. Kegels are the most commonly recommended exercise, but the TeslaMax treatment protocol offers a way to target and strengthen even the deepest pelvic floor muscles for faster, better results. • Pessary: This small plastic device is placed inside the vagina and provides support to the pelvic floor muscles and the urethra. • Lifestyle changes: Weight loss, avoiding alcohol and caffeine, and drinking small amounts of liquid throughout the day can help. Treating Urge Incontinence • Medication: There are many medications that relax the muscles of the bladder wall, including anti-cholinergenics, estrogen, and even botulinum toxin. However, it is important to weigh the risks for unwanted side effects with the benefits. • Biofeedback therapy: This tool can help patients gain better control over their bladder muscles. • Sacral nerve stimulation: A device implanted under the skin delivers electric stimulation to the nerves that control the bladder. • Pelvic floor exercises: Although pelvic floor exercises are usually intended for stress incontinence, strengthening the muscles that control the bladder may help to some degree with urge incontinence. • Lifestyle changes: Avoid caffeine, spicy foods, and acidic foods. Treating Overflow Incontinence • Medication: Alpha-adrenergic blockers relax the urinary sphincters • Surgery: Surgery for enlarged prostate • Placement of a catheter Facts on Urinary Incontinence • 1 in 3 women have stress incontinence. • 200 million people worldwide and 25 million Americans have some kind of urinary incontinence. • Of those 25 million Americans, approximately 9 to 13 million people have moderate to severe urinary incontinence. • Urinary incontinence affects more women than men for two reasons: 1.) Women have a shorter urethra, and 2.) Pregnancy and childbirth put pressure on pelvic floor muscles • More than 75% of Americans with urinary incontinence are women. • Over 30% of men and women ages 30 to 70 have lost bladder control at some point in their adult life. Myths About Incontinence • Some people think that loss of bladder control only affects the elderly. But in fact, 25% of women over the age of 18 have unintentional urine leaks. • Some people think that it is normal to leak urine. But the truth is that even minor cases fo leaking bladder are a sign that the urinary sphincters are not working properly. • Some people assume that strengthening the pelvic floor muscles can only benefit urinary confidence in women. Not true! The TeslaMax treatment protocol can help strengthen the pelvic floor muscles and urinary sphincters for both men and women with urinary incontinence.* *TeslaMax Rectal Incontinence Protocol also available.
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