User:Mr. Ibrahem/Urinary incontinence
Medical condition / From Wikipedia, the free encyclopedia
Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine.[1] It is a symptom rather than a disease in and of itself.[2] Incontinence that occurs when sleeping is known as nocturnal enuresis (bed wetting).[2] It can negatively impacts quality of life.[1] Complications can include urinary tract infections, pressure ulcers, depression, and side effects from medications.[1]
Urinary incontinence | |
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Other names | Involuntary urination |
Video explanation | |
Specialty | Urology, gynecology |
Complications | Urinary tract infections, pressure ulcers, depression, side effects from medications[1] |
Types | Stress incontinence, urge incontinence, mixed incontinence, functional incontinence, overflow incontinence[1] |
Risk factors | Pregnancy, childbirth, menopause, overweight, constipation, pelvic surgery, urinary tract infections, certain medications[2] |
Treatment | Pelvic floor muscle training, bladder training, weight loss, stopping smoking, electrical stimulation, medications, a pessary, surgery[3][2] |
Prognosis | Variable[1] |
Frequency | Common (>40% of women over 65)[1][2] |
Risk factors include pregnancy, childbirth, menopause, overweight, constipation, pelvic surgery, urinary tract infections, and certain medications.[2] There are five main types of incontinence: stress incontinence due to poor closure of the bladder; urge incontinence due to an overactive bladder; mixed incontinence involving a combination of stress and urge incontinence; functional incontinence were people are unable to get to the bathroom; and overflow incontinence due to either poor bladder contraction or blockage.[1]
Treatment depends on the type.[1] This may include pelvic floor muscle training, bladder training, weight loss, stopping smoking, electrical stimulation, medications, a pessary, or surgery.[3][2] Behavioral therapy generally works better than medication for stress and urge incontinence.[4] The benefit of medications is small and long term safety is unclear.[3] Outcomes are variable.[1]
Urinary incontinence is common in older people.[5][1] It; however, is often underreported.[1] Women are affected twice as often as men.[2] More than 40% of women over 65 are affected.[2]