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Stress Incontinence
Involuntary loss of urine when intra-abdominal pressures increase
CHARACTERISTICS
  • Common in women
  • Sudden loss of urine
  • Usually small amounts
  • Caused by increased intra-abdominal pressures as experienced when coughing, laughing, lifting and exercise
  • Occurs in upright position, not lying down
USUAL CAUSES
  • Weakness of the pelvic floor muscles (may be due to childbirth, diabetes, incompetent urethra, neuropathies or other causes)
  • Bladder neck descent
  • Intrinsic urethral sphincter deficiency (ISD)
  • Obesity may exacerbate the problem
  • In men following prostate surgery
DIAGNOSTIC PROCEDURES*
  • Urinalysis
  • Urodynamics (Videodynamics)
  • Pelvic pressure test
  • Ultrasound bladder scan
TREATMENT
  • Pelvic floor exercises (Kegal exercises)
  • Biofeedback
  • Electrical stimulation
  • Vaginal pessary or vaginal cones
  • Medications (for example, oestrogen therapy or drugs that act on bladder muscles)
  • Surgery (for example, bladder neck suspension or artificial sphincter)
* These are some examples of diagnostic procedures that may be ordered by your healthcare provider. Your healthcare provider will determine the appropriate procedure(s) for you.
Stress Incontinence
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