Definition and causes
By involuntary urination is meant involuntary urine departure, which cause social and / or hygienic nuisance.
About 25% of all women over 30 years experience involuntary departure of urine, but it is far from everyone who sees it as a social or hygienic problem.
It divides incontinence after the symptoms appear.
- Stress incontinenceis the most common form. Here women may have less urine departure of the exertion, or when they cough or sneeze. The reason for this form of incontinence is that the muscle that surrounds the urethra and pelvic bottom-muscle, was to relax.
- Nervous bladder (urge incontinence)is a type of incontinence, where the woman suddenly get a violent urge to get to the toilet. Often when she is not and has departure of urine. This is usually an uninhibited contraction of the bladder, but can also be a result of neurological disorders, radiotherapy or blærebetændelse.
- Overflow incontinenceappears with symptoms resembling nervous bladder. Here's bladder rather large but escaped. The mode is best described by that one imagines that the normal bladder is behaving like a balloon that grows when it was inflated, and the pressure slowly rises. The large, relax the bladder is more that of a plastic football, easily inflated, to have reached its kind, after which the pressure rises suddenly violently. The reason for lax bladder with subsequent overflow incontinence may be the intake of medicines,
- Sivende constant incontinenceis a state of constant leaking urine, and the woman has no discretion to keep the urethra closed. This can be seen after major gynecological surgery or trauma to the basin.
- Finally, there was a mix of different types.
Symptoms of involuntary urination (urinary incontinence)
Precautions and diagnosis
The diagnosis is made primarily on the symptoms and the woman's story. In addition, however, to help in the determination using a urine table. It states Monday, when and how much they drink, when you go to the toilet, and how much wet (you have to measure), and when and in what context it has involuntary urination.
It performed a gynecological examination, and pelvic floor muscles assessed.
A measure of how sharply Monday wet, a so-called flow measurement is a common tool to assess incontinence. Here, the woman with a full bladder urinate in a toilet, which is equipped with a measuring apparatus.
The volume of urine that is left in the bladder (residualurin) can be judged by a simple bladder scan, based on ultrasound.
In the case of urge incontinence, a cystometri be necessary. This is a pressure sensing, where a probe is placed in the bladder while it filled with water or carbon dioxide.
A cystoskopi can be conducted if there is suspicion of anatomical defects in the bladder (such as tumor).
Treatment of incontinence
If the woman has been fluid / urination schedule may be at the first consultation to assess whether a bug. nocturnal incontinence caused by bad drinking habits.
Women with stress incontinence or mixed incontinence refers to the physiotherapist, which begins PFMT, for example, with vaginalvægte, placed in the vagina, and women can walk around with them. This training is to keep them inside. Alternatively, use some elstimulation.
Some women need to urinate practice, ie. the coach in to empty the bladder, go to the toilet often and urinate twice in quick succession (double voiding).
Some women (especially postmenopausal) to receive medical treatment.
In addition, other mechanical aids, such as. tampons, which are inserted into the vagina, and as these become wet, they will expand and support the bladder neck. There are also small plastic plugs that can be inserted in the urethra.
For some women is a last resort operation. Women with urge incontinence can benefit from physiotherapeutic training, where the woman coach bladder up to accommodate 200-400 ml, and having to urinate fixed intervals (typically 3 hours). If there is an established overactive bladder, may be made for medical treatment.
Prevention of involuntary urination (urinary incontinence)
Women may even reduce the risk of involuntary urination in the form of overflow incontinence, by not trying to stay a long time and go to the toilet by vanladningstrang.
In addition, nocturnal involuntary urination reduced or prevented by avoiding taking large amounts of fluid (especially tea or coffee) before bedtime.
Regular PFMT also reduces the risk of development of involuntary urination.
This article is formed on the Health Guide on 26.09.06