How to treat involuntary urination. Spontaneous urination

Among women of different ages, a urogynecological disease is common - urinary incontinence. It is especially common after 45 years. Because of the frequent urge to urinate, the woman does not have time to run to the toilet. There are various effective methods on how to treat urinary incontinence in women at home.

Important! The problem described occurs when a woman loses control of her bladder muscles. Against the background of lifting weights, during laughter or sneezing, urine is released involuntarily. Unfortunately, most of this happens during the daytime.

Causes of the disease

The main factors affecting the failure in the body:

age, aging of the body;
lack of estrogen;
diseases of the cranial and spinal nerves;
diseases of the central nervous system;
the result of injury to the nerve trunks that regulate urination;
sports loads;
work associated with hard physical labor;
big weight;
spinal cord injury;
the presence of diseases (diabetes mellitus, bladder cancer, stroke, chronic cough).

Important! This disease is exacerbated by malnutrition, drinking alcohol, and certain medications.

Which doctor treats

A large percentage of women suffer from this disease. Some are embarrassed to talk about it, do not know which doctor to contact. If you experience involuntary urination, you need a specialist in a narrow profile - a urologist. This doctor will help in the diagnosis and treatment of the problem.

situations

There are various situations or precipitating factors that can cause involuntary bladder spasms and urination in women. Let's take a look at the common ones.

stress urinary incontinence

Stress incontinence is the most common cause of urinary incontinence. From drug treatment, drugs are isolated that will help solve the current problem:

beta-agonists (Mirabegron) - help to reduce the muscle tone of the bladder;
M-anticholinergics - Oxybutynin (atropine group);
Duloxetine is an antidepressant that increases the contraction of the sphincter muscles. Often used not for treatment, but to relieve symptoms. The best effect can be obtained in combination with exercises;
estrogens - hormones used during menopause, with concomitant age-related atrophic vaginitis.

When coughing

Sometimes even a normal cough can cause urination. In this case, it is necessary to undergo a course of treatment. Involuntary excretion of urine when coughing is treated as follows:

Kegel gymnastics - a conservative method of treatment, specially designed exercises to strengthen the pelvic muscles;
steep-free therapy is the use of weights;
magnetic stimulation of the pelvic organs and the pelvic floor, which strengthens the muscles;
the use of drugs (anti-inflammatory, antibacterial, hormonal);
in rare cases, surgical intervention (“sling” operation with pain relief and the urge to urinate).

Urinary incontinence at night

Often during sleep, when the muscles are weakened, involuntary urination occurs. To get rid of enuresis, treatment is carried out in three main ways:

conservative - regular performance of a number of exercises aimed at training the muscles of the perineum;
medication - taking medications to strengthen the sphincters, reduce the amount of urine produced;
surgical - an operation to create a special loop, relieve pain and get rid of urges.

How to treat incontinence after childbirth

Weakened muscles after childbirth should recover after a while. If this pathology has not gone away on its own, then treatment is necessary, which includes:

weight retention therapy;
Kegel exercises, bladder sphincter training;
physiotherapy to strengthen the pelvic muscles;
medical treatment.

In rare cases, after contacting a specialist, he may prescribe drastic measures:

loop operation;
gel operation;
surgery to strengthen the pubic-vesical ligaments.

How to treat in old age

To begin with, ladies of advanced years are prescribed a set of exercises and a diet that can strengthen the muscles of the pelvis:

Kegel exercises, a special ring for the uterus;
exclusion of tea, alcoholic beverages, caffeinated beverages and products;
use of pads, diapers.

Spontaneous excretion of urine from the body at the age of 50 can occur due to stress, increased activity of the bladder, incomplete urination, external influences. For treatment, the influencing factor must be taken into account and complex treatment is used:

prescribe antibiotics;
drugs that restore the ability to control urination, delay urine output;
recommend a special set of exercises;
visiting physiotherapy;
surgical treatment;
folk remedies (common option).

An alternative medicine recipe that will help you quickly get rid of the problem:

1 st. l. dill seeds pour 250 ml of boiling water, put in a warm place for 2 hours and cover with a blanket.
After the time has passed, drink the infusion.

Treatment with folk remedies

There are conservative methods of treatment of the described problem. Traditional medicine did not stand aside. If urinary incontinence occurs due to menopause, pathological childbirth, or for another reason, you need to pay attention to folk ways to fix the problem.

Herbs

Herbs to treat urinary incontinence in women:

sage infusion (traditionally a tablespoon of dry grass is brewed in a glass of boiling water) is taken 250 ml three times a day;
steam yarrow leaves, brew in boiling water. Infusion drink 100 ml three times a day;
drink a glass of fresh carrot juice on an empty stomach;
make an infusion of St. John's wort, be sure to filter. Drink throughout the day instead of tea and other drinks in unlimited quantities;
make a decoction based on fresh or dried blueberries. Drink 50 ml up to four times a day;
make a tincture of dill seeds and strain. The infusion helps to quickly and effectively cope with the problem of urinary incontinence. You need to drink 300 ml per day, at a time (do not stretch over several doses).

Special exercises

Urinary incontinence occurs due to the inability to control the muscles of the pelvic floor. Therefore, the muscles need to be strengthened. For this, special Kegel exercises have been developed to help women in the fight against the described problem.

Important! Kegel exercises, in order for them to show results, must be performed regularly. They will contribute to recovery, strengthen the health of the entire genitourinary system.

Doing the exercises is quite simple: you need to squeeze and unclench the muscles of the vagina up to 100 times during the day. You can do lying down, sitting, while walking. Movements are not noticeable to those around you, so you can find time for Kegel exercises even at work.

What should be done:

normalize weight;
determine the types of food that irritates the bladder mucosa: citrus fruits and chocolate, tomatoes and vinegar, dairy products, spices. Harmful for urinary incontinence, alcohol in any form, coffee.

How to train a bubble

You should learn to go to the toilet on a strict schedule, even if there is no urge to urinate in the allotted time. It is necessary to stimulate urination by various methods in order to be able to control the urge in the future.

Medication treatment

Drugs for incontinence, which are used for this disease:

Anticholinergic drugs. Medicines help to relax the bladder, increase its volume.
Antidepressants. They help a person to calm down, accept the problem and begin to actively deal with it without fears and tantrums.

Tablets

Therapy of this kind of pathology takes place with the help of various drugs, which are prescribed based on the cause:

Imipramine, Tofranil, Duloxetine (antidepressants);
Ditropan, Ditrol, Oxytrol (anticholinergic drugs);
Trospium, Darifenacin, Solifenacin, Botulinum toxin A (selective anticholinergics).

Most drugs have contraindications and side effects. The effectiveness of some under certain factors may exclude the effect in other cases. It is recommended to use as prescribed by a doctor.

Driptan

Driptan is an antispasmodic with positive reviews. It is noted that it relieves discomfort in a short time, is easily excreted from the body within two hours and has indications for any age category. Its only drawback is drowsiness. Among the side effects, the following factors can be distinguished:

long-term use of tablets can lead to caries (women with dentures should not worry);
headaches, nausea;
blurred vision, increased eye pressure;
arrhythmia;
allergy.

Apply 5 mg 2-3 times a day.

Of the contraindications are:

some diseases of the gastrointestinal tract (intestinal atony, ulcerative colitis);
children under 5 years old and individual intolerance;
angle-closure glaucoma or bleeding.

Spasmex

Positive feedback from many women who suffer from involuntary urination testify to the effectiveness of Spasmex. The drug helps to reduce the tone of the muscles of the urinary tract. Treatment with these tablets is determined by the doctor, the duration of the course is up to three months.

The drug has contraindications and side effects. It is forbidden to take with:

tachyarrhythmias;
myasthenia gravis;
urinary retention;
glaucoma;
during lactation;
during pregnancy;
children under 14 years old.

oxybutynin

Oxybutynin is an antispasmodic used for cystitis, enuresis, bladder weakness. The drug relieves spasms, makes muscles more elastic, controls the urge to urinate, reduces their number. It has a significant number of contraindications and side effects, it is used as prescribed by a doctor.

Using a pessary

A special medical device made from rubber. It is inserted into the vagina up to the very cervix to create additional pressure on the walls of the urethra, to support the muscular wall.

The device helps to maintain the urethra in a closed position, which means that the fluid in the bladder is retained during exercise. Devices of this type should be used constantly.

Disease prevention

What is important for prevention:

Quit smoking (reduce the number of cigarettes).
Try to drink less during the day.
Review medications that are taken constantly. Involuntary urination is a side effect of many medications.

These are the main treatments for urinary incontinence in women at home. You need to see a doctor and determine the cause of the pathology, with the consent of the urologist, start drinking certain herbs, doing Kegel exercises. If treatment does not help, a further strategy should be developed with the doctor.

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About involuntary urination

Involuntary urination is, first of all, a disease. This problem affects many women of different ages. Most often, this problem occurs in older women. Sometimes the problem is caused by urogenital aging, however, as modern practice shows, a huge number of young women suffer from this disease. For many of them, it has already become a habit to live with this problem. Many do not go to the doctor because they believe that this is a normal physiological process. Some end up in the hospital with the disease in the later stages.

There are many solutions to the problem of involuntary urination.. From dietary changes to surgery.

Causes of involuntary urination

The causes of urinary incontinence are:

Infections in the genitourinary organs and in the lower urinary tract or their intoxication, for example, caused by excessive alcohol consumption;
Brain injury (especially if there was no bladder control);
Operations on the prostate gland;
Neurological diseases (Parkinson's disease, multiple sclerosis);
The use of sedatives;
stress or mental illness.

Also important factors for the development of urinary incontinence are:

Violation of the anatomical structure and sensitivity. Overweight, inflammatory chronic diseases of the genitourinary organs, childbirth with complications, operations on the genitourinary organs, other injuries change the anatomical structure of the pelvic organs, which change the sensitivity. Involuntary urination is the result of changes in the bladder, urethra, ligaments, and pelvic organs.

Urinary incontinence caused by hormonal changes. With menopause, there is an acute shortage of estrogen. This leads to atrophic changes in the genitourinary organs, changes in their ligaments and muscles, which will be the cause of involuntary urination.

Diseases of the central and peripheral system and its injuries. If blood circulation is disturbed in the body, inflammatory diseases, tumors and brain injuries are present, there are malformations in the development of the central and peripheral nervous system, diabetes mellitus or multiple sclerosis, then involuntary urination can occur very quickly.

Involuntary urination in men and women

Today, involuntary urination in men is completely curable and is not a problem.. Involuntary urination cannot be caused by aging alone.

Involuntary urination in men, first of all, indicates other diseases or complications after prostate surgery.

In women, the degree of urine leakage depends on the loss of bladder function. The bladder may not function partially or completely. For example, some women lose a small amount of urine and only when laughing, sneezing or physical activity.

Video - causes and types of urinary incontinence in men and women 1:41 min (4 Mb)

Treatment of involuntary urination

It is possible to cure involuntary urination only in a complex. Treatment can be in different directions and on different organs. The use of modern methods of treatment makes it easy to cope with such a problem as involuntary urination.

Treatment of involuntary urination in women is prescribed by a gynecologist or urologist. Most often, stress urinary incontinence is eliminated by such measures:

The use of medicines;
Doing exercises that strengthen the pelvic floor muscles (Kegel exercises);
The use of a uterine ring (this ring presses on the urinary canal and thereby blocks involuntary urination);
Surgical intervention (restore the position of the urinary organs).

Treatment of involuntary urination in our clinic

In the medical center "DeVita" highly qualified medical specialists with many years of practical experience for the treatment of involuntary urination in men and women, the following methods are used:

Conservative treatment. This treatment can be given in case of urge incontinence (when there is an overactive bladder) or given to patients with a mixed form of incontinence when there is an urgency component along with a failure of the closing mechanism in the urethra, i.e. an overactive detrusor (muscular membrane of the bladder). In the case of urge incontinence, the treatment consists in the constant intake of m-anticholinergics (vesicar, detrusitol, etc.). In a mixed form of the disease, as a rule, these drugs are prescribed before and after surgery for the correction of urinary incontinence (sling urethropexy, TVT surgery, TVT-o), after surgery, the drugs are canceled.

Botulinum toxin type A injections into the bladder detrusor. The method is used to treat urgent involuntary urination, i.e. with urinary incontinence arising against the background of detrusor hyperactivity (overactive bladder). In urology, a Chinese drug Lantox is used. Transurethral (i.e., using a cystoscope) 200-300 IU of Lantox is usually injected into the wall of the bladder.

Video reviews of the treatment of involuntary urination in our clinic

Valentina, 75 years old. Treatment of urinary problems

Videos and publications about the treatment of urinary incontinence

About the treatment of urinary incontinence with Salyukov R.V.

On January 22, 2013, the head physician of the DeVita clinic, Candidate of Medical Sciences Roman Vyacheslavovich Salyukov, was invited as an expert for the program “Doctors” on the TVC channel. The program touched upon the issue of treating the disease as an overactive bladder. On air R.V. Salyukov spoke about the features of diagnosing the overactive bladder syndrome and about the modern method of treating this disease using botulinum toxin (BOTOX) injections. You can learn more about the treatment of an overactive bladder by watching the program on our website.

About urinary incontinence in women

Urinary incontinence is an actual problem, especially in women. The problem of uncontrolled urination, raised in the program "Doctor-I" on the TVC channel, was helped by the urologist of the DeVita clinic - associate professor, doctor of medical sciences Mikhail Yuryevich Gvozdev. The issues of causes, mechanisms of development of urinary incontinence and methods of treatment of this disease were discussed on the air. A fragment of the recording of the broadcast can be found on our website.

About surgical treatment of urinary incontinence

Objectively and simply, the chief scientific consultant of the DeVita multidisciplinary clinic, Doctor of Medical Sciences, Associate Professor of the Department of Urology of the Moscow State Medical University named after M.V. Evdokimova Mikhail Yurievich Gvozdev, who is a recognized Russian expert in the field of female urology.

Mikhail Gvozdev was a pioneer in the surgical treatment of postcoital cystitis. He developed an operative technique for transposition of the distal urethra protected by a patent of the Russian Federation. Currently, Mikhail Yuryevich has the most experience in such operations in the world.

Book a consultation about involuntary urination

Questions from users on our website about involuntary urination

Hello, a 6-year-old child has frequent urination (every half an hour), all tests are good, the head has not yet been opened, the doctor says it needs to be done

circumcision. Please tell me if there is frequent urination due to an unopened head

Salyukov Roman

Good afternoon! If your Boy has balanoposthitis, then yes. But the problem may be deeper. I would examine your child to rule out other provoking factors.

Hello. My name is Olga. I live in Kazakhstan in the city of Almaty. I have problems with the bladder. Initially, I was diagnosed with leukoplakia of the bladder and neck

They performed an operation to remove leukoplakia. It has already been 3.5 months, the cystitis does not change. As the menstruation passes, frequent urination and spasms begin again, and sometimes the same during menstruation. Incertial cystitis is suspected. But no treatment is prescribed. The doctor refers that this is still postoperative healing .We don’t have Urogeal here, can it be delivered somehow. And how should I treat my urinary tract. Thank you. I will be very grateful for the recommendations. Since no one deals with this problem here.

Salyukov Roman urologist, candidate of medical sciences

Olga, hello! Your condition is alarming, given that such periods significantly impair the quality of life. It is possible that in Kazakhstan there are other drugs for instillation into the bladder for cystalgia. In any case, the choice of drug is the choice of the attending physician and the patient. We need an accurate diagnosis! On my own behalf, I can add that instillations of the drug Urogial into the bladder can be used for almost all types of cystitis. If we are talking about postoperative healing, then it is usually limited to 3 months. I would recommend that you repeat the viewing cystoscopy. Contact your doctor for a re-examination.

Hello! Blood in urine and frequent urination with pain for 1 night. The urologist has told or said, that a cystitis. Tested the next day

urine. The analysis is perfect. Should I check my kidneys?

Doctor's answer:

The admixture of blood in the urine is ALWAYS an indication for a thorough examination. However, in the presence of blood in the urine, visible to the eye, a urinalysis cannot be perfect in any way ... Kolmakov A.S.

Hello! Frequent urination 3-4 times in one hour, this does not mean anything. Cystitis during pregnancy how to treat?

Doctor's answer:

Hello. Most often, frequent urination is a sign of a disease of the urinary system. If you are pregnant and there is suspicion of cystitis, you must pass a general urine test, as well as a urine culture (twice). Further, everything depends on the results obtained. Kolmakov A.S.

Involuntary urination can be caused by urological diseases or difficult childbirth. This problem cannot be ignored, since if left untreated, serious consequences and long-term treatment are possible.

There are several types of urinary incontinence in women:

Factors that provoke spontaneous urination in women are varied. Very often, pathology is diagnosed in women who have had a protracted or rapid birth. problems - weakening of the pelvic muscles and disruption of the urethral sphincter. They, in turn, can be triggered by such diseases and situations as:

childbearing and childbirth;
overweight, obesity;
bladder stones;
abnormal structure of the urinary organs;
chronic infections;
persistent cough;
diabetes;
oncological diseases;
cystitis and urethritis;
prolapse of the pelvic organs;
body aging;
hard physical labor.

Causes, as well as treatment of urinary incontinence in women can be different.

Smoking, long-term use of diuretics and antidepressants, frequent use of strong coffee and carbonated drinks contribute to the occurrence of problems with urination.

Urinary incontinence most often affects women who have given birth to a child, and it can be observed even during pregnancy. In this case, the cause is natural physiological factors: the ever-growing uterus presses hard on the bladder, resulting in a small amount of urine being released. This condition is considered normal. But if it persists after delivery, this is an alarming sign that cannot be ignored. Normalization of the process of excretion of urine after pregnancy can last up to a year. But sometimes a woman needs the help of specialists. We are not talking about any threat to life, but such a condition prevents us from leading a full life. The sooner the diagnosis is made and treatment is prescribed, the higher the chances of restoring the functioning of the bladder. Spontaneous urination after childbirth can be triggered by the following factors:

mobility of the urethra;
weakening of the pelvic muscles;
frequent changes in pressure inside the bubble;
a large fetus and a narrow pelvis in the mother;
surgical intervention during childbirth;
rapid weight gain during pregnancy;
neurological disorders;
structural features of the urinary organs;
hereditary factor.

Urinary incontinence most often affects women who have given birth to a child, and it can be observed even during pregnancy.

Post-pregnancy incontinence presents with a range of symptoms;

A small amount of urine is excreted during physical exertion, coughing or sneezing.
Spontaneous urination at night.
Uncontrollable urge to go to the toilet.

Treatment of incontinence in women who have given birth is carried out by sparing methods, as they are breastfeeding. Only a qualified specialist can choose the best therapy option.

During this difficult period, significant hormonal changes occur in the female body, which affect the work of various systems. The urinary organs are no exception. Involuntary urination can occur even in those women who have not encountered such a problem before. Among the main reasons are:

Gradual fading of the ovaries and a decrease in the amount of estrogen. As a result, tissue elasticity decreases.
Pathological changes in the location and functioning of organs. After the age of forty there is a gradual prolapse of the uterus and vagina, and they squeeze the bladder and intestines.
Dryness of the vagina, accompanied by itching and burning. In such conditions, infection can enter and, as a result, problems with urination.
Decreased elasticity of the walls of the bladder, causing its constant irritation.
Exacerbation of chronic diseases of the kidneys and pancreas.
Obesity - extra pounds lead to an additional load on the pelvic organs, because of which they cannot cope with their functions.

Most women experience urinary problems during menopause.

Developing with menopause, it causes physical and moral discomfort, which can be eliminated only after complex treatment.

The symptoms of urinary incontinence come down to one big problem - the inability to control urination. Patients usually complain about:

easy or profuse involuntary urination;
incontinence on the background of laughter, coughing or tension;
a sudden desire to urinate, not associated with any reason;
joint emptying of feces and urine;
irritation of the skin in the groin area - occurs as a result of constant contact with urine.

The symptoms of urinary incontinence come down to one big problem - the inability to control urination.

All of these symptoms cause significant discomfort and interfere with normal life. The constant desire to urinate does not allow you to move far from the toilet, causes irritation and isolation. Leaking urine stains underwear, and it begins to smell bad.

Urinary incontinence is a reason to go to the doctor and consult with him.

He will conduct the necessary research, make a diagnosis and prescribe adequate treatment. The patient must follow all the doctor's recommendations and take medications on time. Only in this case, you can achieve a quick and successful recovery. A severe degree of involuntary urination is treated with medication and physiotherapy, as well as through surgery.

Conservative therapy

Medications that help solve problems with urination are selected taking into account the diagnosis and the cause of the development of the pathology. A woman can be prescribed the following funds:

Estrogens - are indicated for hormonal failure.
Sympathomimetics - stimulate the pelvic muscles.
Anticholinergic drugs - relieve the overactivity of the bladder, resulting in the disease receding.
Antidepressants - will help solve the problem if it is caused by frequent stress and nervous fatigue.

During treatment, the following medical advice must be observed:

exclude coffee, tea and carbonated drinks from the diet;
avoid anxiety and normalize sleep;
give up physical activity, and in the acute phase observe bed rest;
do not drink alcohol;
improve the functioning of the digestive organs;
change pads every two hours to prevent the growth of germs and bacteria;
refuse sexual intercourse.

During treatment, it is necessary to exclude coffee, tea and carbonated drinks from the diet.

Treatment can be done at home or in a hospital setting. In the first case, the patient should regularly visit a doctor for examination and control. Chronic urinary incontinence requires longer therapy. A woman can be prescribed hormonal drugs and drugs, the action of which is aimed at improving the functioning of the bladder. Often, patients are offered physiotherapy treatment.

Surgery

The operation is performed in cases where conservative therapy does not give positive results. Methods may vary, and the specific choice depends on the results of the diagnosis. For urinary incontinence:

Sling operations - a synthetic mesh is introduced into the bladder, made in the form of a loop. It is designed to hold urine and prevent it from leaking.
Injections of specific drugs, thanks to which the urethra is fixed in the optimal position.
Laparoscopy - tissues located around the urethra are suspended from the groove ligaments.
Colporrhaphy - the vagina is sutured, and urine stops leaking.

One of the most effective treatments for urinary incontinence is surgery.

Folk remedies

Treatment of incontinence with the help of alternative medicine recipes is possible only after consulting a doctor, since self-medication threatens with serious complications. At home, you can use tools such as:

Sage infusion - the herb is brewed and taken in a glass up to three times a day.
Dill seeds - put in boiling water, wrap and leave for two hours. Strain the finished medicine and drink immediately.
Lingonberries - chop the berries and leaves, mix with St. John's wort, brew and soak in a water bath for a quarter of an hour.
Yarrow - pour water and send to a low fire, insist for an hour and use inside.
Corn stigmas - boil, leave for fifteen minutes and strain. Ready broth to drink throughout the day.

Infusion of sage herb should be consumed one glass three times a day

In some situations, treatment with folk remedies gives a good result. But if there are no improvements, they should be abandoned and other methods of therapy should be used.

Possible Complications

If left untreated, involuntary urination can cause serious consequences that are unsafe for health:

the transition of the disease to a chronic form;
constant pain during emptying;
menstrual irregularities;
the development of serious diseases affecting the genitals.

Unpleasant consequences can be avoided if you consult a doctor in time, undergo an examination and adequate treatment.

Prevention

To prevent spontaneous urination, you need to follow simple recommendations:

Avoid severe stress and nervous tension.
Avoid hypothermia.
Give up all bad habits.
Empty the bladder in a timely manner and monitor this process.
Maintain optimal water balance - for this you need to drink up to two liters of fluid per day.
Control weight.
Limit your intake of spicy foods and salt.
During pregnancy, do exercises to strengthen the pelvic muscles.
Include dairy products in the menu.
Treat any disease promptly.
Regularly undergo preventive examinations.

Involuntary urination is a common problem in women that does not go away on its own. It requires mandatory treatment, so do not ignore the alarming symptoms. The specialist will help to find the cause of the problems and quickly get rid of them.

Involuntary urination is not an independent nosological entity. This is a kind of symptom that indicates that some pathology is progressing in the human body that requires treatment. Most often, this pathological condition is encountered by women, but it is also often diagnosed in men and children. More often, involuntary urination worries women in old age, as well as after childbirth. It is important to understand that this is not a physiological condition, but a pathology that requires timely correction with the help of conservative and surgical treatment methods.

Varieties

Depending on the causes of involuntary urination, clinicians distinguish the following types of pathology:

senile involuntary excretion of urine. As the body ages, the number of muscle structures decreases, and the muscle mass of the human body also decreases. In women and men, there is a weakening of the sphincters, the muscles of the small pelvis, so there may be an uncontrolled release of urine;
night type. In this case, the release of urine is observed at night due to too much accumulation of it in the bladder;
stress type. The main reason for the manifestation of this condition in men and women is a violation of the full functioning of the sphincter of the bladder. In this case, the release of a certain amount of urine is observed during coughing, strong laughter, even minor physical exertion;
urgent type. In this case, involuntary urination in men and women is manifested due to increased contraction of the muscle structures of the bladder. The main symptom of this type of pathology is that a person suddenly has a strong urge to urinate;
mixed type. Several signs characteristic of the above forms are observed at once. Involuntary urination can be observed both with a strong cough and because of an irresistible and strong desire to urinate.

Urinary incontinence in men

In men, involuntary urination is observed several times less often than in women. To some extent, this is due to the peculiarities of the structure of their urinary system. Most often, this condition in representatives of the strong half of humanity is manifested due to such reasons:

age-related changes in the muscles of the small pelvis, in the organs of the urinary system, as well as in the tissues of the prostate gland;
previously undergone operable interventions on the prostate;
severe stress or mental pathology can also cause urinary incontinence in men;
neurological pathologies. Most often, involuntary excretion of urine is observed in men against the background, after and other ailments;
infectious processes occurring in the lower part of the urinary tract;
traumatization of the spinal cord or the brain, as a result of which the direct relationship of these organs with the bladder is disrupted (disturbance of innervation);
consumption of certain groups of pharmaceutical drugs;
the formation of conglomerates in the bladder or in the kidneys.

Involuntary urination delivers not only physical, but also psychological discomfort to a man. Sometimes urine can even come out when you cough or sneeze. But, despite this, the representatives of the stronger sex are in no hurry to seek help from a competent specialist, as they believe that everything will normalize by itself. In fact, the sooner the diagnosis and competent treatment is carried out, the higher the chances of avoiding various complications. It is important to establish the true cause of the progression of this condition in a man. For this purpose, the doctor may prescribe the following examinations:

profilometry;
X-ray of the urinary organs with a contrast agent;
uroflowmetry;

Treatment of this pathological condition is carried out by several methods:

special gymnastics - aimed at strengthening the muscles of the small pelvis;
medical treatment. A man may be prescribed antidepressants, antibiotics (included in the course of treatment in case of infection), antispasmodics and anticholinergic drugs;
operable intervention. In this case, specialists resort to the implantation of an artificial sphincter for the bladder, sling surgery, as well as the introduction of a special gel into the wall of the urination canal.

Involuntary excretion of urine in women

Involuntary urination is much more common in women than in men. The main "provocateurs" of this condition are infections of the genitourinary system, pregnancy, gynecological ailments, and so on.

Etiological factors:

. During this period, the secretion of estrogen in the woman's body decreases, which negatively affects the work of some organs and systems, in particular the genitourinary system;
elderly age. In older women, the tone of the muscles of the bladder decreases, which is why the ability to fully retain urine disappears. Urine can be excreted even when coughing;
pregnancy with a large fetus or several at once;
childbirth in a natural way. Often, incontinence manifests itself if the size of the baby's head was larger than the exit from the pelvis itself. Such childbirth is complicated, and is fraught not only with violations with the release of urine, but also with other pathologies;
operable intervention on organs located in the small pelvis;
traumatization of the perineum of varying severity, as a result of which the nervous structures of the pelvic musculature, which are responsible for controlling the process of urination, were damaged;
complete removal of the reproductive organ;
3 or 4 degrees;
injury or inflammation of the spinal cord;
constant lifting of weights due to work or sports;
(often becomes a provocateur of incontinence in women);
conglomerates in the kidneys and bladder;
long;
chronic cough, due to smoking or. During coughing, pressure in the abdominal cavity increases, which provokes the involuntary release of urine. In addition to coughing, involuntary urination is also observed when sneezing;
CNS ailments.

In the case of uncontrolled urine output, the woman should immediately go to an appointment with a urologist. Basic diagnostic methods:

cystoscopy;
x-ray of the urinary tract with contrast;
gynecological examination;
taking a smear from the vagina;
taking a swab from the urethra;
, as well as .

Methods for treating pathology in women:

drug therapy;
the appointment of special exercises designed to tone the muscles of the pelvic floor;
installation of the uterine ring;
surgery.

Involuntary excretion of urine after childbirth

With the problem of urination disorders of this type, women who have already undergone childbirth are most often encountered. But it is worth noting that incontinence can be observed even during pregnancy. But here the reasons are more physiological than pathological. During pregnancy, the enlarged uterus begins to put a lot of pressure on the bladder. Which leads to the release of a certain amount of urine. But this is not a pathology, but the norm. But if this symptom persists after pregnancy, then this is already an alarming sign that cannot be ignored.

After pregnancy, the normalization of the process of excretion of urine lasts up to one year. But it also happens that this process does not recover on its own. Of course, such a condition does not pose a threat to the health or life of a woman, but it significantly reduces the quality of her life. The sooner after pregnancy the diagnosis and treatment of involuntary urination is carried out, the more likely it is to normalize the functioning of the bladder.

Factors contributing to the appearance of involuntary urination after childbirth:

unusual mobility of the urination channel;
failure of innervation of the muscles of the bladder, as well as the pelvic floor;
frequent changes in pressure inside the bladder.

Risk factors that contribute to the appearance of involuntary excretion of urine after childbirth:

hereditary factor;
too large a fetus and a narrow pelvis in the mother;
surgical intervention during childbirth;
too rapid weight gain during pregnancy;
the future mother has neurological ailments;
features of the structure of the organs of the genitourinary system.

Symptoms of incontinence after pregnancy:

allocation of a certain amount of urine at physical. load;
urinary incontinence at night;
severe coughing or sneezing can provoke urination;
The urge to urinate can occur in a woman after childbirth quite abruptly and unexpectedly. She cannot control him;
urine can occur in a woman with a completely filled bladder - she cannot hold urine.

Diagnosis of this symptom in a woman after childbirth:

collection of anamnesis;
gynecological examination. Sometimes the cause of incontinence after childbirth can be hidden in the tears and injuries of the birth canal;
cystoscopy;
cystometry;
uroflowmetry.

The treatment of this condition in women after pregnancy is carried out by sparing methods, since she can breastfeed the baby. The selection of a treatment regimen is carried out only by a qualified specialist.

Urinary incontinence is quite common in men, the causes and treatment of this specific disease are established by a specialist. To combat the disease, there are various therapeutic methods aimed at eliminating the symptoms characteristic of the disease. To deal with this effectively in a relatively short time, it is necessary to seek help early in the illness.

nasty problem

Urinary incontinence is a phenomenon that not everyone can talk about freely. This negatively affects the ability of a person to work and carry out other life processes in the usual mode. This unenviable position causes mental and emotional disorders in the patient. You can deal with the problem, but this process is not easy. The disease does not pose a particular threat to health, but it reduces the quality of life of a man.

Involuntary urination is treated by a urologist. According to statistics, it is not possible to effectively eliminate the disease due to the fact that patients seek help too late. This leads to a complication of the problem, although some forms of the disease are effectively treated in the initial stages. It is undesirable to carry out treatment at home with the help of folk remedies, since there is a high probability of aggravating the problem.

Urinary incontinence is characterized by such manifestations as enuresis, incontinence and leakage. All presented forms are detected in patients at a particular age and at certain stages of development. Enuresis is called adolescence, which cannot be controlled. It usually happens in a dream. In adult men, this symptom is extremely rare. Incontinence implies direct incontinence, which can be in various forms, accompanied by characteristic symptoms.

Often, patients also have leakage - the release of a small amount of urine (literally a couple of drops) after each urine output. Experts explain this process by the fact that physiologically the representatives of the stronger sex have a longer channel through which urination occurs.

Diagnosis and control of the disease is carried out through complex therapeutic measures. First of all, special laboratory tests should be carried out aimed at identifying the cause, and treatment is already prescribed on their basis.

There are patients for whom it is not enough to contact one specialist to effectively eliminate the disease. They have to visit other doctors who are able to determine in a complex which set of procedures will optimally cope with the task.

While the patient is being treated, it is extremely important to observe the necessary hygiene rules. Doctors recommend using special urological pads designed specifically for men. Moreover, you need to resort to them not only at night, but also during the day.

What causes the disease

In men, the causes of incontinence are different. Often the factors are deviations in the functioning of the human central nervous system. The likelihood of involuntary urination increases in the following cases:

transferring strokes, the presence of multiple sclerosis, Parkinson's disease, problems with blood circulation in the brain;
traumatic effect on the spinal cord or brain;
congenital malformations of the central nervous system;
alcohol, drug, diabetic and other chronic intoxication.

Common causes of urinary incontinence in men include:

The presence of infectious diseases of the genitourinary system. These include: urethritis, cystitis, prostatitis.
Incontinence, which gradually develops due to surgical effects on the prostate gland, urethra, pelvic organs, bladder. The risk of developing the disease increases when the operation is performed by an inexperienced surgeon.
In men, deviations occur in the processes of local blood supply with age, changes in the regulation of physiological functions of the neurohumoral type are observed.
The occurrence of neoplasms of a benign or malignant nature. Patients are diagnosed with cancer of the pelvis and organs of the genitourinary system, prostate adenoma.
Diseases associated with the formation of stones in the kidneys, bladder.
Constant stay in a state of stress, increased nervousness, irascibility, insufficient amount of time allotted for rest, which leads to a negative effect on the nervous system.
Treatment of a malignant tumor of the prostate with the help of external remote beam exposure to the organ.

Also, the cause of the development of the disease is a decrease in the tone of the muscles and connective tissue, the frequent performance of physically difficult work, lack of activity, and a sedentary lifestyle. These factors cause shifts of the internal organs located in the abdominal cavity and prolapse of the small pelvis, which negatively affects the prostate and bladder. In some men, the disease occurs due to a genetic predisposition, anomalies in the normal development of the urinary organs.

Violation of the functions performed by the urethra, bladder, ureters can also start the process. Urinary incontinence in men can be provoked by tranquilizers, antidepressants, antihistamines, drugs aimed at eliminating congestive processes, diuretics. All of these drugs have a negative effect on muscle tone.

Types of incontinence

If we classify the disease according to the causes of its occurrence, then 6 types can be distinguished. Stress incontinence or a form that is due to tension occurs due to a significant and rapid increase in pressure in the abdominal cavity during laughter, bouts of coughing or sneezing, exercising, etc. The main feature of incontinence is that the urge to urinate before the involuntary release of urine missing. Incontinence is mild.

The next type of disease is called imperative or urgent. It is characterized by a sudden urge to urinate, which is especially strong, it is difficult to cope with them. With insignificant filling of the bladder, a spasm is formed, the result is the release of urine. It was found that when a man restricts the amount of liquid consumed, there is no improvement in the situation.

An additional possibility of loss of urine appears when a person touches the water or when he hears the babbling sound of water. Urgent urination can be every few hours during the day and at night. In some cases, the desire to urinate is not accompanied by loss of urine. The main factor of violations is excessive activity of the bladder. This contributes to the development of infections in the organs of the urinary system, tumors of various kinds, neurogenic pathogens. An additional negative factor in the development of an urgent type of disease is the age of a man.

Mixed and postoperative forms

Involuntary urination of mixed type. It combines 2 types: stress and urgent incontinence. The symptoms of each type are expressed with different strength. Modern medical research indicates that a mixed type of disease affects more than 32% of male patients. According to statistical data, the described forms of involuntary urination are most often found in patients.

Postoperative urinary incontinence is provoked by surgical intervention on the prostate gland and urethra. Examples:

operations for structural disease of the urethra;
removal of the prostate in a man with the formation of a malignant tumor;
truncation of the prostate with the development of inflammation or the appearance of a benign formation;
surgical intervention to eliminate problems caused by injuries of the urethra.

After surgery, incontinence may occur in some men. After 1 or 1.5 years, the problem without a therapeutic effect on the body can stop on its own. But it is better to contact a medical institution for qualified help. The disease will require conservative therapy with a mild degree of deviation.

Incontinence from overfilling the bladder is called paradoxical ischuria. Due to the narrowing of the urethra, the patient urinates frequently, but in small quantities. Transient or temporary urinary incontinence is caused by infectious diseases, medications, etc. If the external factor that provokes the disease is eliminated, the defect will disappear on its own.

Prevention

Prevention of urinary incontinence in males consists of the following activities:

Leading an active lifestyle, keeping the body in shape, moderate physical activity.
Daily exercise to maintain muscle tone.
Refusal to drink alcohol and smoking.
Periodic visit to the urologist for examinations.
Treatment and early detection of neurological diseases. These can be strokes, Parkinson's disease, etc.

In order to eliminate the existing problem, doctors resort to conservative and surgical methods. The choice is based on the form of the disease and the degree of its development. Conservative treatment involves the use of drugs that can tone certain muscles. In addition, they improve blood flow in the organs responsible for urination.

Often, specialists turn to physiotherapy, which is carried out on the basis of electrical stimulation.

Surgery can be performed in various ways. A popular method is considered to be the implantation of the valve in the form of a ring. This kind of operation effectively fights the problem. However, certain indications are necessary to apply this method.

Sometimes physicians perform periurethral injection therapy, which is based on the use of collagen. However, this surgical method also has a negative side: after a certain time, collagen is subject to resorption, and the previously obtained effect is weakened. Therefore, it is rarely recommended to patients.

There is another type of surgical intervention, which involves the implantation of a loop. It is able to support the urethra, due to which urination becomes restrained. This method is the most effective, as it allows a larger number of the male population to get a positive result.

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Urinary incontinence leads to great discomfort. Therefore, at the first symptoms of the disease, you should go to the hospital.