Overview Of Uncontrollable Urination
Uncontrollable urination is commonly associated with urinary incontinence.
Urinary (or bladder) incontinence occurs when urine leaks from the urethra. Incontinence can happen for many reasons that include urinary tract infections, vaginal infections, and also constipation.
There are three main types of urinary incontinence:
- Stress incontinence. Occurs during actions like sneezing, laughing, and coughing.
- Urge incontinence. Occurs as a result of a strong urge to urinate immediately.
- Overflow incontinence. Occurs when the volume of urine in the bladder exceeds its capacity.
Overactive bladder is a term used by doctors to describe urine incontinence and this happens when the bladder muscles and certain nerves do not work together.
A person can have urinary and stress incontinence simultaneously, which is known as mixed incontinence.
Causes Of Uncontrollable Urination
Incontinence is commonly caused by urinary tract infections, vaginal infections, and constipation.
Some medication also causes bladder control problems. Childbirth, aging, menopause contribute to women’s bladder control problems.
Aging and prostate problems may also cause urinary incontinence in men.
Reason for Persistent incontinence:
- Weak bladder muscles
- Overactive bladder muscles
- Weak pelvic floor muscles
- Diseases such as multiple sclerosis, diabetes, or Parkinson’s disease damaging nerves that control the bladder
- Blockage from an enlarged prostate
- Diseases that may make getting to the toilet in time difficult such as arthritis.
- Pelvic organ prolapse (when pelvic organs such as the bladder, uterus, or rectum shift out of their normal place into the vagina).
Incontinence in men is mostly related to the prostate gland.
Male incontinence may arise due to:
- Prostatitis (The inflammation of the prostate gland)
- Injury to nerves or muscles from surgery
- An enlarged prostate gland
Symptoms and signs of urinary incontinence include
- Leaking urine during everyday activities
- Sudden, strong urge to urinate
- Inability to reach a toilet in time
Treatment Of Uncontrollable Urination
If you’re having problems with incontinence always consult your doctor for tests and treatment. The reason for incontinence determines the treatment.
There are different approaches to treating urinary incontinence:
Lifestyle changes that may be necessary alongside other treatments include:
- Regular bowel movements to avoid constipation.
- Quitting smoking to reduce bladder irritation and coughing.
- Avoiding alcohol and caffeinated drinks, which can stimulate your bladder.
- Losing weight if necessary.
- Avoiding foods and drinks that could irritate your bladder.
- Ensuring blood sugar is under control if you have diabetes.
Bladder retraining and pelvic floor exercises.
This retraining helps you better control your bladder. Kegel exercises help you strengthen the muscles of your pelvic floor.
Formal bladder strengthening and retraining with a pelvic floor specialist is typically beneficial.
Depending on the type of incontinence you have, your provider may prescribe drugs that help prevent muscle spasms, relax the bladder, and improve bladder function.
Your healthcare provider can also help you manage side effects.
If other treatments fail or you have substantial incontinence then your doctor may recommend surgery.
The mode of surgery will depend on:
- Type of incontinence
- Severity of symptoms
- Cause of incontinence
You may require a catheter if you have overflow incontinence or can’t entirely empty your bladder.
You can either use a catheter that stays in place for a long time or one that you can insert and remove yourself.
Bladder nerve stimulation
Electrical nerve stimulation can also be used to treat incontinence and reprogram bladder reflexes. In this instance, you insert a stimulator through the skin near a nerve in the leg.
A battery-operated implant, similar to a pacemaker, can also be placed under the skin in the lower back.
You can treat incontinence with an onabotulinum injection (also known as Botox), which relaxes the bladder muscles and increases the storage capacity of the bladder. It is delivered through a cystoscope (a thin tube with a camera on its end).
This procedure is mostly done in the provider’s office.
Managing Urinary Incontinence
Medicines can also help empty the bladder during urination or tighten muscles to lessen leakage.
Women use estrogen vaginal cream to help relieve stress or incontinence. A low dose of estrogen cream is applied to the vaginal walls and urethral tissue.
A doctor may inject a substance to thicken the area around the urethra to help close the bladder opening.
To avoid leaking in a prolapsed bladder or vagina, some women use a urethral implant or a pessary.
Surgery can also improve or cure incontinence when caused by a blockage. This blockage can be due to an enlarged prostate or a change in the position of the bladder.
Furniture pads, adult diapers, urine deodorizing pills, and special skin cleansers can also help the situation.