Urinary incontinence means that the normal urine control is lost and the urine leaks quite often. This leaking urine becomes a common trouble with such activities that cause a sudden pressure on abdominal areas like sneezing, laughing as well as coughing, and so on. Urine leakage is much more common in women as well as senior people than young males. 

When should I see a Urologist for Urinary Incontinence?

Some urinary incontinence that occurs after having caffeine-rich beverages and alcohol are temporary and it does not call for any kind of treatment. However, when there are recurring episodes of urine leakage that leads to embarrassment or lifestyle problems then it must be treated by a urologist. The severity of urine leakage varies from occasionally leaking urine when you cough or sneeze to having a strong impulse to urinate that’s so abrupt that you don’t get to a bathroom in time. So, delaying the treatment will just intensify the situation, which is not suggested. It takes place in the middle-aged and also senior population in most cases, however if it occurs in children, it is known as bed-wetting.

Causes of Urinary Incontinence

• Pregnancy

• Any recent surgery 

• Delivery

• Menopause

• Bladder or Urinary tract Infection (UTI)

• BPH (Enlarged prostate) and also various other prostate illness

• Stones in Kidney or bladder 

• Loss of bladder control or pelvic floor muscle weakness 

• Stress

• Severe Obesity etc.

Common Types of Urinary incontinence

• Stress Incontinence – In this type of incontinence, lifting something heavy, exercise, coughing, doing breathing exercises, yoga and even laughing can result in dribbling of urine.

• Urge Incontinence – As the name suggests, there is a regular urge to pee or urinate which is hard to manage. The patient feels the need to urinate even if the bladder is not completely full.

• Overflow incontinence – the urine continuously dribbles or drips and the patient is unable to hold urine once the bladder is full.

• Functional incontinence – This type of incontinence is not because of any type of urinary system problem yet due to any kind of functional issues such as arthritis, or any defect that makes the patient not able to get to the washroom on schedule. The patient’s mobility is hampered in this type of incontinence. 

• Mixed urinary incontinence – This is the most severe kind of urinary system incontinence in which the urine can not be kept in the bladder at all. So the urine leaks as quickly as there is urine in the bladder. This is one of the most severe type of urinary incontinence and the patient needs to wear a diaper most of the times.

Urinary Incontinence Treatment in Delhi at South Delhi Urology Clinic

• Nutritional Modification – You are requested to avoid the bladder irritant beverages such as soft drinks, tea, coffee, as well as spicy foods as they can increase the severity of urinary incontinence. 

• Medicines – The medications vary from anticholinergics, alpha blockers to antidepressants depending upon the reason and type for urinary incontinence.

• Pelvic floor Muscle Exercises– Kegel’s exercises are taught to the patient to increase the strength of pelvic floor muscles. This enhances the urine control. Start and stop while urinating and muscle contraction exercises are taught to the patient. 

• Bladder training – Bladder training is the best choice for urge incontinence patients. Delayed Voiding and also double voiding (urinate completely then wait on a while then urinate again) are simply a few bladder training techniques that Dr Atul teaches his patients while treating urinary incontinence.

• Botox Injections – These botox injection are given in controlled quantity to relax the bladder muscles. They work best in the mild cases of urinary incontinence.

• Urine Absorbent Paddings – There are the urine absorbent paddings that can be worn to manage any urine leaks. The patient doesn’t need to wear a bulky diaper because of these urine absorbent paddings. 

• Surgical treatment of Urinary Incontinence – There are many types of surgical treatments readily available for urinary incontinence therapy,

• Mesh sling procedure is one of the best urinary incontinence treatment in which a mesh is inserted with minimally invasive procedure known as laparoscopy. Synthetic mesh or strips of your body’s tissue are utilized to develop a pelvic sling underneath your urethra. The sling helps maintain the urethra closed, especially when you cough or sneeze. It provides support to urethra so that the leaking of urine stops.

• Another surgical procedure is Urethral sphincter insertion, in which a sphincter is implanted in the urethra. A little, fluid-filled ring is implanted around the bladder neck to keep the urinary sphincter shut till there’s a need to urinate. The patient can trigger urination by pressing the valve to urinate. 

• Bladder neck suspension. This treatment is developed to offer assistance to your urethra as well as bladder neck. It is performed by laparoscopy technique to provide support to the bladder neckl that helps in treating incontinence. 

• Prolapse surgery – In ladies who have uterine prolapse that is combined with urinary incontinence, surgery might include a mix of a sling treatment as well as prolapse surgical treatment. 

If you are looking for the best urinary incontinence treatment in Delhi, then you can book a clinic appointment or an online appointment with the best urologist in Delhi, Dr Atul Jain here.