Is there any type of mediacation for it? Does it go away? Am I too young for it, I'm only 13.. Urge incontinence involves a strong, sudden need to urinate, followed by a bladder contraction, which results in leakage
* Sudden and urgent need to urinate (urinary urgency)
* Frequent urination, in the daytime and at night
* Abdominal distention or discomfort
* Involuntary loss of urine
A physical examination will include examination of the abdomen and rectum. Women will also have a pelvic exam. Men will also have a genital exam. In most cases the physical exam reveals nothing abnormal.
If there are neurologic causes, other neurologic abnormalities may be found.
Tests include the following:
* Post-void residual (PVR) to measure amount of urine left after urination
* Urinalysis or urine culture to rule out urinary tract infection
* Urinary stress test (the patient stands with a full bladder and coughs)
* Pad test (after placement of a pre-weighed sanitary pad, patient exercises, then pad is weighed to determine urine loss)
* Pelvic or abdominal ultrasound
* X-rays with contrast dye
* Cystoscopy (inspection of the inside of the bladder)
* Urodynamic studies (measurement of pressure and urine flow)
* EMG (myogram) - rarely needed
Further tests will be performed to rule out other types of incontinence. These tests may include the "Q-tip test," which measures the change in the angle of the urethra at rest and when straining. An angle change of greater than 30 degrees often indicates significant weakness of the muscles that support the bladder, which is common in stress incontinence.
Treatment
Medications used to treat urge incontinence are aimed at relaxing the involuntary contraction of the bladder and improving bladder function. There are several types of medications that may be used alone or in combination:
* Anticholinergic agents (oxybutynin, tolterodine, enablex, sanctura, vesicare, oxytrol)
* Antispasmodic medications (flavoxate)
* Tricyclic antidepressants (imipramine, doxepin)
Oxybutynin (Ditropan) and tolterodine (Detrol) are medications to relax the smooth muscle of the bladder. These are the most commonly used medications for urge incontinence and are available in a once-a-day formulation that makes dosing easy and effective.
SURGERY
The goal of any surgery to treat urge incontinence is aimed at increasing the storage ability of the bladder while decreasing the pressure within the bladder. Surgery is reserved for patients who are severely debilitated by their incontinence and who have an unstable bladder (severe inappropriate contraction) and poor ability to store urine.
Augmentation cystoplasty is the most frequently performed surgical procedure for severe urge incontinence. In this reconstructive surgery, a segment of the bowel is added to the bladder to increase bladder size and allow the bladder to store more urine.
Possible complications include those of any major abdominal surgery, including bowel obstruction, blood clots, infection, and pneumonia.
There is a risk of developing urinary fistulae (abnormal tubelike passages that result in abnormal urine drainage), urinary tract infection, and difficulty urinating. Augmentation cystoplasty is also linked to a slightly increased risk of developing tumors.
DIET
Some experts recommend a regimen of controlled fluid intake in addition to other therapies in the management of urge incontinence. The goal of this program is to distribute the intake of fluids throughout the course of the day, so the bladder does not need to handle a large volume of urine at one time.
Do not drink large quantities of fluids with meals -- limit your intake to less than 8 ounces at one time. Sip small amounts of fluids between meals. Stop drinking fluids approximately two hours before bedtime.
Additionally, it may be helpful to eliminate your intake of foods that may irritate the bladder, such as caffeine, spicy foods, carbonated drinks, and highly acidic foods such as citrus fruits and juices.
BLADDER RETRAINING
Management of urge incontinence usually begins with a program of bladder retraining. Occasionally, electrical stimulation and biofeedback therapy may be used in conjunction with bladder retraining.
A program of bladder retraining involves becoming aware of patterns of incontinence episodes and relearning skills necessary for storage and proper emptying of the bladder.
Bladder retraining consists of developing a schedule of times when you should try to urinate, while trying to consciously delay urination between these times. One method is to force yourself to wait 1 to 1 1/2 hours between urinations, despite any leakage or urge to urinate in between these times. As you become skilled at waiting, gradually increase the time intervals by 1/2 hour until you are urinating every 3 to 4 hours.
KEGEL EXERCISES
Pelvic muscle training exercises called Kegel exercises are primarily used to treat people with stress incontinence. However, these exercises may also be beneficial in relieving the symptoms of urge incontinence. The principle behind Kegel exercises is to strengthen the muscles of the pelvic floor, thereby improving the urethral sphincter function. The success of Kegel exercises depends on proper technique and adherence to a regular exercise program.
Another approach is to use vaginal cones to strengthen the muscles of pelvic floor. A vaginal cone is a weighted device that is inserted into the vagina. The woman contracts the pelvic floor muscles in an effort to hold the device the place. The contraction should be held for up to 15 minutes and should be performed twice daily. Within 4 to 6 weeks, about 70% of women trying this method had some improvement in their symptoms.
BIOFEEDBACK AND ELECTRICAL STIMULATION
For people who are unsure if they are performing Kegel exercises correctly, biofeedback and electrical stimulation may be used to help identify the correct muscle group to work. Biofeedback is a method of positive reinforcement in which electrodes are placed on the abdomen and the anal area.
Some therapists place a sensor in the vagina (for women) or the anus (for men) to assess contraction of the pelvic floor muscles. A monitor will display a graph showing which muscles are contracting and which are at rest. The therapist can help identify the correct muscles for performing Kegel exercises.
About 75% of people who use biofeedback to enhance performance of Kegel exercises report symptom improvement, with 15% considered cured.
Electrical stimulation involves using low-voltage electric current to stimulate the correct group of muscles. The current may be delivered using an anal or vaginal probe. The electrical stimulation therapy may be performed in the clinic or at home. Treatment sessions usually last 20 minutes and may be performed every 1 to 4 days.
Another form of electrical stimulation called sacral neuromodulation involves the placement of a "bladder pacemaker," which stimulates the bladder nerves. This device may provide excellent relief of symptoms for those who do not respond to other therapies.
BOTOX
An experimental therapy involves injecting botulinum toxin (Botox) into the bladder muscle to help stop the involuntary contracts that lead to urge incontinence. Early study results suggest this is a promising treatment option for those who do not respond to other therapies.
ACTIVITY
People with urge incontinence may find it helpful to avoid activities that irritate the urethra and bladder, such as taking bubble baths or using caustic soaps in the genital area.
in your case say ur mind is pissed off in literary sense.....even i get those when exams are near......
its due to generally anxiety/ mind problems usually.......
its not urge incontinence from what u just said.....
see your counsellor/psychologist maybe |
