Urge incontinence

Urge incontinence

What is urge incontinence?

Urge incontinence is a form of incontinence (the unintentional loss of urine), which is accompanied by sudden, intense urge to urinate. It is more common in women than in men. About 10 percent of all women under the age of 65 have to deal with this form of incontinence.

Complaints (symptoms) with urge incontinence

You can recognize urge incontinence by:
  • a sudden strong urge to pee
  • being unable to stop the pee
  • accidentally losing small or larger amounts of urine (you often lose a large amount of urine before you reach the toilet)

How does urge incontinence arise?

With urge incontinence, your bladder reacts hypersensitive to a small amount of urine in the bladder. Many people know this feeling when, for example, they often have to pee for an exam. Urge incontinence often arises from psychological factors. Excessive use of alcohol or coffee and the use of medicines can also be the cause of this form of incontinence. It can also arise as a result of neurological diseases or after surgery on the urinary tract.

When to the doctor?

If you think that you suffer from urge incontinence, it is advisable to contact your general practice. In case of urge incontinence, further research is necessary to find the cause. In some cases it is necessary to relearn a toilet pattern, or to discuss any psychological problems with your doctor or a psychologist. Try to keep a diary of your complaints for two weeks before your visit.

What can you expect?

The course of urge incontinence depends on the cause. If the accidental loss of urine is caused by medication, the symptoms disappear after the medication is stopped. Before you stop taking your medication, it is wise to consult your doctor. Reducing alcohol or coffee consumption can also result in an improvement in symptoms. If the incontinence is caused by psychological factors, then counseling by a psychologist can offer a solution. Bladder training is good in all cases. If there is insufficient effect with bladder training after 3 months, your doctor may prescribe any supporting medication. Parasympaticolytics relax the overactive bladder muscle in people with insistence. Examples are oxybutynin ( Dridase® ), tolterodine ( Detrusitol ® ) and solifenacin ( Vesiscare ® ).

What can you do about it yourself?

Using incontinence material Unintentional loss of urine is particularly annoying when you are in the company of others. Many people tend to withdraw. This prevents some people from doing the things they would like.
By using good incontinence materials, you can protect yourself well. Other people do not have to notice anything about the incontinence, so that you can do what you like again.
Keeping a diary If you suffer from unwanted urine loss, it can be very enlightening when you keep a complaint diary. Record the moments in which you accidentally lost urine and what you were doing then. Based on this, the doctor can determine the type of incontinence.
Bladder training by training your bladder, can reduce the symptoms or disappear. You can do that by always delaying urinating for five to ten minutes. If that works, you can try to delay peeing longer each day, so that you only have to go to the toilet every three to four hours.
A number of things can help you postpone going to the toilet:
  • at the moment that you actually want to go to the toilet, you can first sit on a chair close to the toilet
  • then try to relax yourself, for example by concentrating on your breathing
  • If you feel the urge is really too big, you can take a seat in the toilet, and try to relax yourself first when you go to pee, then do not press and pee the entire bladder

General advice and precautions

It is wise to follow a normal drinking and peeing pattern. This means that you:
  • urinate 1.5 to 2 liters of fluid per day (by drinking a lot)
  • only go to the toilet when you have an urge
  • take the time to go to the bathroom
  • your pelvic floor relaxes when you sit on the toilet
  • let the urine run smoothly, do not press
  • tries to urinate at once, and the urine stream does not interrupt
For women who have just given birth, it is important that they do pelvic floor exercises. These exercises are simple and you can do it yourself: by interrupting the jet a few times during urination, you can feel which muscles are involved. To strengthen the muscles, you can always contract and relax them during the day.
This exercise should be repeated ten times at a time. If you do this several times a day (about five to ten times) you can see an improvement occurring after six to eight weeks.
Source : dokterdokter

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