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Any 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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