Urinary Incontinence Treatments In Wisconsin
What is Urinary Incontinence?
Urinary incontinence is the inability to hold urine. It can happen to both men and women, but it is more common in women – especially as they age. Although the term urinary incontinence is used generally, there is more than one type of urinary incontinence.
Urge incontinence is caused by an oversensitive bladder. When people suffer from this type of incontinence, urine may leak out involuntarily. An oversensitive bladder is characterized by urinary urgency (the sudden need to go) or frequency (the need to go more often than usual), along with little control of the bladder. Urge incontinence is also known as overactive bladder, spastic bladder and reflex incontinence.
The condition is common in older people, and both men and women experience it. Causes include:
- Cancer (typically of the bladder, prostate or uterus)
- Interstitial cystitis (IC)
- Surgeries like prostatectomy, hysterectomy or cesarean section
If you need to urinate more than seven times a day or two times during the night, you may have urge incontinence.
One treatment available at Aurora is InterStim therapy, which is a neuromodulation therapy that targets communication issues between the brain and the nerves that control the bladder.
Stress incontinence is the type of incontinence that occurs when coughing, sneezing, laughing, exercising or even standing up. Urine leakage is caused by sudden pressure on the bladder. If a sneeze or cough causes urine to leak, you may have stress incontinence. It’s the most common type of incontinence in women, and it is more likely to occur in women who have given birth naturally. Stress incontinence may also be caused by:
- Weakening of the muscles that hold the bladder in place
- Weakening of the bladder
- Weakening of the urethral sphincter muscles
- Damage to nerves controlling the bladder; the damage can occur with disease and conditions like diabetes, Parkinson’s, multiple sclerosis (MS), or stroke or from radiation or chemotherapy used to treat gynecologic and pelvic cancers
Treatment will vary depending on many factors, including your age, your overall health and the severity and frequency of your symptoms. Urologists at Aurora offer many treatment options, including sling procedures and injection procedures.
Overflow incontinence is a condition that keeps the bladder from emptying completely. This can lead to dribbling of urine and the need to urinate frequently. This type of incontinence most often occurs when the bladder muscles are weakened by nerve damage from diabetes or other diseases.
A blocked urethra can also lead to overflow incontinence. Urethral blockage may occur from stone disease, tumors, birth defects and an enlarged prostate, among other things.
This type of incontinence is due to difficulty moving, thinking or communicating well enough to get to the bathroom on time. It most often occurs in older adults who have Alzheimer’s disease, Parkinson’s disease and severe arthritis.
Mixed incontinence is a combination of two types of incontinence. Usually, the two types involved are stress incontinence and urge incontinence.
Physical or Neurologic Abnormalities
Sometimes incontinence can be caused by a physical abnormality, like a fistula between the bladder and other nearby structures, or by a leak in the urinary system.
Neurologic problems can also lead to incontinence. If your nervous system is damaged by disease, trauma or injury, loss of normal bladder function may occur. This type of incontinence is called neurogenic bladder, and it can cause an underactive or an overactive bladder.
Incontinence Treatment Options
Treatment for incontinence will vary depending on many factors, including the type of incontinence, the severity of symptoms and the extent that they are disrupting your life, and your overall health. Some common treatments are:
- Physical therapy
- InterStim therapy
- Behavioral modification therapy
- Nerve stimulation
- Surgery, including sling procedures
If you would like to see a urology specialist about incontinence, contact Aurora Health Care today.
How Do I Schedule a Consultation With a Urology Specialist?
To schedule a consultation or appointment with a urology specialist at Aurora, call one of the urology offices directly. View the list of Aurora urologists.