Urinary Incontinence

What is Urinary Incontinence?

Urinary Incontinence is a urological condition wherein an individual accidentally leaks urine due to loss of control of the urinary bladder. It is most commonly seen among aged women, overweight/obese people, smokers, diabetics, and those having a family history of urinary incontinence. Those who live with urinary incontinence not only suffer physically but also emotionally, psychologically, and socially. Their life quality is significantly affected. Many of them are afraid of performing their routine activities.

If one is suffering the signs and symptoms of urine leakage, they can get it treated with Urinary Incontinence treatment doctor in Hyderabad at Sree Nandaka Advanced Surgery Hospital. At the hospital a team of expert surgeons and urologists provides treatment from these urological issues, using the state of the art treatments, experience and technology.

Causes of Urinary Incontinence

As per urinary incontinence doctor in Hyderabad at Sree Nandaka Advanced Surgery Hospital, urinary incontinence can happen due to various reasons, including underlying medical conditions, daily habits, and physical problems. It is usually the result of nerve and muscle problems that help control the holding or passing of urine. Normally, the urinary bladder stores the urine and only gets flushed from the body through the urethra when the bladder muscles contract and the sphincter muscles lying around the urethra relaxes. When there is a sudden contraction of the bladder muscles or the sphincter muscles are too weak to hold back the urine, urinary incontinence occurs.

The potential causes of urinary incontinence vary for temporary and chronic urinary incontinence. Persistent urinary incontinence can be the result of pregnancy, vaginal delivery, age, menopause, enlarged prostate, prostate cancer, underlying neurological condition, or urinary tract obstruction with tumours or stones. Temporary urinary incontinence can be an outcome of certain foods, drinks, and medications that stimulate the bladder and increase urine volume or treatable medical conditions like constipation and urinary tract infection.

Types of Urinary Incontinence

  • Urge incontinence/ Overactive bladder- It is the sudden, strong urinary urgency that may lead to leakage because the patient is not able to hold on to the urine before going to the toilet. An individual having urge incontinence feels fuller bladder than it is in reality. This means the bladder muscles contract when it is not expected to and are not even full of urine. It may occur during sleep, after hearing or touching running water, or after drinking water.
  • Stress incontinence- It is the leakage of urine in small amounts during activities that increases abdominal pressure that pushes down on the bladder. Mostly, it occurs when the patient coughs, laughs, sneezes, lifts things, walks, or plays sports. Other causative factors include obesity, constipation, diabetes, and chronic cough linked with smoking, asthma, or bronchitis.
    This type of urinary incontinence is common in females often as a result of physical changes during pregnancy, childbirth, and menopause. Men can also experience stress incontinence after they are operated on for prostate problems.
  • Functional incontinence- This happens when an individual cannot recognize the need to go to the toilet or the toilet location. Those who have this type of urinary incontinence may be suffering from issues with their movement, speech, or thinking that make them unable to reach the toilet on time. An Alzheimer patient or an individual who is physically handicapped would not be able to plan a toilet trip to urinate and be on time for it.   
  • Overflow incontinence- When a person experiences constant or frequent dribbling of urine because of a bladder that completely does not empty, it is called overflow incontinence.
  • Mixed incontinence- In this type, the patient experiences two or more forms of incontinence at the same time.  

For all these types of incontinence, one can visit at Sree Nandaka Advanced Surgery, and get best treatments from Top Urinary Incontinence Doctors in Hyderabad. The doctors can help one to correct the issues effectively and help manage the following symptoms:

Symptoms of Urinary Incontinence

  • Urine leakage without any indicatory signs
  • Bed wetting at night
  • Sudden urge to urinate
  • Being unable to timely reach the toilet and wetting pants.

Diagnosis of Urinary Incontinence

For deciding on the appropriate treatment of urinary incontinence, the stress urinary incontinence doctor in Hyderabad will detect the type of urinary incontinence the patient is suffering from. Diagnosis involves doing a physical examination of the patient and reviewing the patient’s medical history. The doctor may ask the patient to cough to check for urine leakage.

To confirm the diagnosis of urinary incontinence, the doctor recommends for one or more of the following tests:

  1. Urinalysis (urine sample test)- The patient’s urine sample is checked for blood traces, infection signs, or other urine abnormalities.
  2. Urodynamic tests- These include tests done to check the bladder and urethral functioning.
  3. Cystoscopy- It involves inserting a cystoscope (a thin tube with a lens and light) to look inside the bladder and urethra.
  4. Post void residual measurement- Ultrasound scanning is performed to check the residual urine volume after voluntarily emptying the bladder. 
  5. Pelvic ultrasound- This is ordered by the doctor only when the doctor suspects any pelvic abnormality.

Urinary Incontinence Treatment in Hyderabad

The treatment that the patient with urinary incontinence receives depends upon the type of urinary incontinence the patient is suffering from and the extent of the symptoms. At Sree Nandaka Advanced Surgery Hospital, we have top-notch doctors who can best diagnose and treat urinary incontinence and take good care of patients experiencing urinary incontinence episodes or having persistent urinary incontinence.

The different treatment options available for urinary incontinence include:

  • Lifestyle modifications- The patients must avoid or limit the intake of diuretics like caffeine, avoid straining during bowel movements, and drink adequate fluids. If obese, they must lose weight to reduce the frequency of urine leakage. Patients with chronic coughing should get treated for the same and smokers must quit smoking.
  • Bladder behaviour techniques- One of the techniques is bladder training wherein patients are trained to delay urination after experiencing a urinary urgency. After a week of training, the frequency of urine leakage and the need for toilet visits gets reduced. Another technique is double voiding wherein the patient is asked to pass urine and then wait for a few minutes and then again try urinating. This technique helps the patient to learn complete emptying of the bladder.
  • Pelvic floor exercises (Kegel exercises)- The exercises that strengthen the muscles surrounding the bladder and urethra and have a role in controlling the urine flow while urination is recommended by a therapist. They are usually effective for treating stress incontinence but may even treat urge incontinence. The feedback of such exercises can be provided and the doctor can monitor how well the exercises are done. It is possible when probes are attached to the body to sense the muscular contractions while exercising on the monitor screen.
  • Sling surgery- During sling surgery in Hyderabad, the surgeon creates a pelvic sling using strips of the patient’s bodily tissues or synthetic material/ mesh, around the urethra and the neck of the urinary bladder. This sling works to keep the urethra closed especially while the patient coughs or sneezes. Therefore, it is recommended for patients having stress incontinence. 
  • Pelvic Organ Prolapse Suspension Surgery- The pelvic organ prolapse treatment in Hyderabad is recommended for females having urinary incontinence as a result of genito-urinary prolapse- the descending of the bladder down into the vagina. It is an advanced surgical technique with encouraging results.

Frequently Asked Questions

1. Who is more likely to suffer from urinary incontinence?

Women are more likely to experience urinary incontinence compared to males. The factors are childbirth, menopause, and female body anatomy.

But even men who suffer from prostate gland problems, are at an increased risk of suffering from incontinence.

2. How does urinary incontinence affect an individual daily life?

People suffering from these issues often feel wet, smelly, dirty, and itchy. This often causes one to restrict their social and physical activities such as exercise, shopping, dancing, going on outings and visiting friends.

3. What body organs are affected by incontinence?

Incontinence is a concern related to the human urinary system, it comprises kidneys, ureters, bladder, and urethra.

If one is looking for Urine Leakage Treatment in Hyderabad, then get in touch with the team of expert doctors and surgeons at Sree Nandaka Advanced Surgery Hospital. All types of minimally invasive surgeries and treatments are offered at the hospital. Visit now for more details.

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Sree Nandaka Advanced Surgery (Laser and Laparoscopic Centre) has been founded by Dr. Praveen Koduru, a distinguished laparoscopic and hernia surgeon with a remarkable record of over 30,000 surgeries.

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