Urinary incontinence refers to the involuntary loss of urine in men and in women. Incontinence is not a disease but rather a sign of weakness in the bladder and the pelvic floor.
The causes can be very different and include: disorders of bladder function, the nerves that control emptying of the bladder, anatomical features, sphincter and prostate problems, drugs, and generalised diseases (e.g. Parkinson's disease). There are many possible symptoms in addition to the inability to hold urine. A precise diagnosis is often the key to successful treatment.
The frequency and the risk of incontinence increases with age, and women are generally more affected than men. There are different types of urinary incontinence: The main ones are stress urinary incontinence (SUI), urge incontinence (urge incontinence), and mixed incontinence.
In the case of stress incontinence, involuntary loss of urine occurs during physical stress e.g. coughing, sneezing, or lifting heavy loads. It many cases, it only involves a few drops of urine. In others, it involves a complete and uncontrolled evacuation of the bladder. This form of urinary incontinence is caused by a weakness of the sphincter. Women are affected by stress incontinence more often than men are. In men, this problem may occur after prostate surgery.
This form of incontinence is characterized by the sudden onset of urination and the immediate loss of urine before the toilet is reached. The problem can be cause by persistent bladder and urethral inflammation, bladder stones, and bladder tumours as well as neurological disorders. Urge incontinence is often accompanied by frequent urination during the day and at night. An over-active bladder is often regarded as a cause.
This combined form of urinary incontinence involves both a sudden urge to urinate and the involuntary loss of urine during physical stress. Women over 30 are most commonly affected.
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According to this quick check, there is no indications of typical urological diseases. If you have any issues that have not yet been examined, it may best to contact your family doctor.
Please contact your family doctor with the symptoms. Depending on the diagnosis, you will be referred to a dermatologist or gynaecologist.
Please have yourself examined by a urologist. Our doctors will be happy to assist you.