A ny discomfort or lack of ability to hold urine and act appropriately to the urge to urinate is termed as incontinence. Urination is a combination of 2 major processes including the filling and storage phase and the emptying phase. The bladder starts filling with urine in the former phase and may need to stretch to accommodate an increased amount of urine.
According to leading experts in the field, an average woman is able to store not more than 200 ml of urine and feels the sensation to urinate once she reaches that limit. The emptying phase operates as the detrusor muscle comes into play. It causes the eventual passage of urine from the bladder. It helps to prevent the condition at an early stage since the consequences are physical and psychological morbidity, besides huge costs of treatment. This condition can be seen in older women who have crossed approximately 65 years old, but younger women are at an equal risk of developing incontinence.
Medical Diagnosis of Urinary Continence
The doctor will start the diagnosis by finding the root cause of the urinary inconsistency. Elderly women suffer from detrusor over- activity, while their younger counterparts may have to confront stressful circumstances and over-demanding situations. Behavioral therapies and pharmacological therapies are used by most of the doctors to treat the patients with overactive bladders. Behavioral techniques should be seldom resorted to since they are poorly reimbursed. It is a proven fact that it is difficult to restore continence by just taking certain drugs.
Traditional methods are therefore implemented by most of the health practitioners, who implement bladder-training exercises among such women. It is more economical compared to other expensive techniques like biofeedback. Biofeedback is the next alternative available to the doctors if the bladder-training program fails to make any significant improvements.
Pregnancy and Incontinence
There is a significant relationship between pregnancy and the incontinence syndrome. Some women have the tendency to lose bladder control after childbirth, but that is normal. However, prolonged incontinence for about more than 6 weeks may need expert guidance in the matter. A change in the existing position of the urethra, bladder, any surgeries made in the vagina or pelvic floor or damage to the bladder control nerves are all pregnancy related issues that need to be addressed at the earliest to avoid any unwanted experiences related to incontinence later.
There is a direct relationship between incontinence and the numbers of vaginal births or non-cesarean births, a woman has undergone. The greater the number of such births, the higher the chances of her leaking during any physical activity. Sometimes, this problem may not arise immediately, but after years of childbirth. Genetic factors, resistance and strength of the bladder control during birth, the aging process, straining during bowel movements and the ability to heal once the tissues are injured are all related factors to be taken care of, if possible. Prolonged labor or prolonged pushing is suggested by the doctor to avoid a cesarean section, but it can later result in permanent damage of the pelvic muscles and nerves inside the woman’s body.
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