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Female Urinary Incontinence

Urinary incontinence is seen in men and ladies. Females attain bladder management before males, however as age progresses there are often incidences of accidental outflow in each men and ladies. The causes area unit totally different. The embarrassment attributable to accidental leak creates a stigma and emotional distress for the ladies preventing her from enjoying outside activities or sexual activities. however like each sickness contains a cure, incontinency is additionally curable.

Bladder Control and Causes of Urinary Incontinence

Women face the embarrassment of weewee outflow once gestation, birth or throughout climacteric. The alignment of the bladder within the feminine pelvis additionally makes her double the maximum amount at risk of leaks as compared to males. The causes of incontinence area unit a similar in men and ladies apart from the addition of birth and climacteric.
The functioning of the bladder is controlled at the native level by a unconditioned reflex and by the medulla spinalis and therefore the brain at the upper level. The brain has centers that tell the individual if it's the correct place and time to urinate. These centers area unit affected in conditions like Stroke, degenerative disorder, Alzheimer’s and tumour due to that the person could urinate instantly once she gets the urge. The person could pass weewee in bed, during a gathering etc. this is often a sort of urinary incontinence.
At times the person could suffer from medulla spinalis injury. The medulla spinalis has nerves that carry sensation of bladder fullness from the bladder to the brain. As before long because the brain senses bladder fullness, it instructs the individual to travel to the toilet to alleviate him. until such an area is found the brain sends signals through alternative nerves to stay the bladder gap closed. however in cases of medulla spinalis injury, this affiliation between the brain and bladder is lost because the medulla spinalis nerves area unit cut. during this case the person gets the urgency to void weewee and he or she will it instantly. this is often additionally a sort of urinary incontinence. additionally in medulla spinalis injury the bladder gets spastic or hyperactive. to a {small degree|somewhat|slightly|alittle} little bit of weewee causes reflex contraction of bladder leading to its contraction and expulsion of small amounts of weewee with inflated frequency. this is often referred to as hyperactive bladder.
Urinary IncontinenceIn conditions like diabetes or alternative nerve diseases, the bladder muscles become weak and nerves inflicting the bladder contraction area unit unhealthy. As a result even once the bladder is full, there's no reflex contraction and remotion of bladder and therefore the bladder keeps filling up until it overflows. this is often referred to as urinary incontinence or actuation.
Vaginal delivery or the other surgery causes injury to the girdle floor muscles that truly give strength to the radial muscle muscles that surround the gap of the bladder. As a result the bladder isn't totally closed and a few quantity of urines leaks. this is often referred to as real enuresis and happens in things wherever intra-abdominal pressure will increase as in running, laughing, coughing, sneezing, lifting weights and fatness etc. lowered oestrogen seen some days before emission and through climacteric is additionally accountable for incontinence because the muscle muscles round the bladder mouth become weak.

Diagnosis
The Condition can be Diagnosed by Various Methods.
  • Maintaining a Diary on number of times you need to go to the washroom to relieve yourself is also a good indicator of incontinence.
  • Bladder Stress Test - is done by coughing vigorously. The doctor watches for loss of urine from the urinary opening.
  • Urinalysis and Urine Culture - Laboratory technicians test your urine for evidence of infection, urinary stones, or other contributing causes.
  • Ultrasound - This test uses sound waves to create an image of the kidneys, ureters, bladder, and urethra to see for any abnormality or compression.
  • Cystoscopy - The doctor inserts a thin tube with a tiny camera in the urethra to see inside the urethra and bladder.
  • Urodynamics - Various techniques measure pressure in the bladder and the flow of urine.
Treatment for Female Urinary Incontinence

1) behavioural modification : involves bladder coaching and regular discharge. Adjusting the time of fluid intake before time of day or before going for a automobile trip or party will facilitate avoid accidents throughout sleep or parties. additionally regular discharge involves remotion of bladder when regular intervals. this system is appropriate for individuals with mechanical compression of bladder or enuresis.

2) Kegel Exercise : involves strengthening of the girdle floor muscles that facilitate to stay the musculus muscles tight that successively keep the bladder outlet closed throughout strenuous activities. Pull within the girdle muscles and hold for a count of three. Then relax for a count of three. Repeat, however don't make it. exercise to three sets of ten repeats. this can be attainable with the assistance of training program additionally. This helps individuals with enuresis.

3) Medications : bound medications facilitate to relax the bladder and encompassing muscles to permit full remotion (Alpha blockers). Anticholinergics relieve the bladder spasm therefore preventing abrupt bladder contractions.

4) Neurostimulation : of the nerves that leave the funiculus and provide the bladder will facilitate by modulating the nerve signals to the bladder that helps to regulate discharge. it's useful in some individuals.

5) canal Devices : like pessaries ar a stiff ring that a doctor or nurse inserts into the epithelial duct, wherever it presses against the wall of the epithelial duct and therefore the near epithelial duct. The pressure helps reposition the epithelial duct, resulting in less stress leak. If you employ a birth control device, you must await attainable canal and tract infections and see your doctor frequently.

6) Surgery for enuresis : In some ladies, the bladder will move out of its traditional position, particularly when birthing. totally different techniques are developed by surgeons for supporting the bladder back to its traditional position. The 3 main kinds of surgery ar retropubic suspension and 2 kinds of sling procedures.

Retropubic Suspension : uses surgical threads referred to as sutures to support the bladder neck. the foremost common retropubic suspension procedure is termed the Burch procedure. during this operation, the operating surgeon makes associate incision within the abdomen a number of inches below the navel and so secures the threads to sturdy ligaments at intervals the pelvis to support the sphincter. This common procedure is commonly done at the time of associate abdominal procedure like a excision. Sling procedures area unit performed through a channel incision. the standard sling procedure uses a strip of your own tissue referred to as facia to cradle the bladder neck. Some slings could contains natural tissue or synthetic material. The operating surgeon attaches each ends of the sling to the os or ties them before of the abdomen simply on top of the os.

Midurethral Slings : area unit newer procedures that may be done on AN patient basis. These procedures use artificial mesh materials that the sawbones places midway on the channel.Midurethral slings
The two general forms of midurethral slings areretropubic slings, like the transvaginal tapes (TVT), andtransobturator slings (TOT). The sawbones makes tiny incisions behind the os or simply by the perimeters of the duct gap similarly as alittle incision within the canal. The sawbones uses specially designed needles to position an artificial tape below the channel. The sawbones pulls the ends of the tape through the incisions and adjusts them to supply the correct quantity of support to the channel.
If you have got girdle prolapse, your sawbones could advocate AN anti-incontinence procedure with a prolapse repair and probably a cutting out.

Catheterization : This can be done if the bladder does not empty completely in cases of poor muscle tone, past surgery, or spinal cord injury. It can be an indwelling catheter or intermittent type