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Bladder Control Problems Facts
People who have bladder control problems have trouble stopping the flow of urine from the bladder. They are said to have urinary incontinence. Incontinence is uncontrollable leaking of urine from the bladder. Although urinary incontinence is a common problem, it is never normal.
Incontinence is both a health problem and a social problem. Most people with incontinence suffer social embarrassment. Many become depressed and limit their activities away from home, often becoming socially isolated and lonely.
Physical conditions linked to incontinence include infection, skin irritations and infections, falls, fractures, and sleep disturbances.
Many people with incontinence are too embarrassed to talk to their health-care provider about it. They “cope” or “just learn to live with it.” This is changing gradually as people realize that help is available.
Approximately 15%-30% of elderly people who live at home are affected by urinary incontinence. Another 40% of elderly people who live in nursing homes are affected.
Incontinence is a major reason for people going into nursing homes. However, it is not an inevitable consequence of aging.
Bladder Control Problems Causes
Incontinence is a symptom with a wide variety of causes. The most common causes include the following:
Urinary Tract Infection
Side Effect of Medication: Examples include alpha-blockers, calcium channel blockers, antidepressants, antihistamines, sedatives, sleeping pills, narcotics, caffeine-containing preparations, and water pills (diuretics). Occasionally, the medicines used to treat some forms of incontinence can also worsen the incontinence if not prescribed correctly.
Impacted Stool: Stool becomes so tightly packed in the lower intestine and rectum that a bowel movement becomes very difficult or impossible.
Weakness of muscles in the bladder and surrounding area: This can have a variety of causes.
Overactive bladder
Bladder irritation
Blocked urethra, usually due to enlarged prostate (in men)
Many of the causes are temporary, such as urinary tract infection. The incontinence improves or goes away completely when the underlying condition is treated. Others are longer lasting, but the incontinence can usually be treated.
What Kind Of Bladder Control Problems Do Men Have?
Men can have several types of bladder control problems.
Urinary incontinence (UI) is the accidental leakage of urine. Urine can leak in three ways: when you cough, sneeze, or lift-actions that put pressure on the bladder following a sudden, strong urge to urinate as a constant dribbling; men with this problem usually need to urinate often and only pass small amounts of urine each time.
Overactive bladder is a condition in which the bladder squeezes urine out at the wrong time. You may have overactive bladder if you have two or more of these symptoms: Urination eight or more times a day or two or more times at night suddenly.
Strong need to urinate immediately, urine leakage that follows a sudden
Strong urges to urinate.
Home Remedy of Bladder Control Problems
Just changing some daily habits may help. For example, you could limit fluids at certain times of the day or plan regular trips to the bathroom to avoid an accident.
Don’t be embarrassed to talk with your doctor about your problem. Your doctor may prescribe medicine to calm abnormal nerve signals to the bladder. Other medicines relax the bladder or shrink the prostate. Surgery can help bladder control problems caused by nerve damage.
Frequent or painful urination, especially with blood in the urine, could be signs of bladder cancer. If you have these symptoms, see your doctor.
The Bladder
The bladder is a pouch that collects urine draining from the kidney(s), and empties the urine through the urethra. The bladder holds a maximum of 2 to 3 cups (400 to 600 ml) of urine. The urinary tract starts at the kidney(s) and travels through the ureters into the bladder and expelled during urination through the urethra. In men, the prostate surrounds the urethra just below the bladder.
Bladder symptoms include urinary retention, microscopic hematuria, gross hematuria, and leaking urine when coughing or sneezing called stress incontinence.
Other urinary symptoms such as urinary frequency (nocturia) and a weak urinary stream may appear to be a bladder problem, when in fact they are prostate symptoms in men.
A prostate exam can reveal benign prostatic hyperplasia (BPH) which can be the cause of urinary frequency (nocturia) and a weak urinary stream. What is BPH? BPH is a noncancerous condition which is common in older men, and occurs when the prostate enlarges and may narrow or even close the urethra making it difficult to empty the bladder completely.
The bladder can be prone to infection in women more so than men, because bacteria can travel up the urethra which is short in women, 1 ½ inches. In men, the urethra is 8 inches and may be affected by prostatitis.
The urologist or urology specialists are the medical doctors and surgeons that specialize in the bladder. Bladder surgery is performed to remove a cancer bladder tumour if it is only on the surface of the bladder, or the urology specialists may remove part of the bladder (partial cystectomy) or the entire bladder (cystectomy). Prolapse surgery is performed by the urologist for a “dropped bladder” by placing a sling to support the bladder or reattaching the bladder so that it goes back to its original position. Urinary incontinence and cystitis are the most common bladder symptoms that occur. The bladder may develop bladder stones when kidney stones come down the ureters and the stone becomes trapped in the bladder.
Bladder health can be maintained with natural alternative medicine as a preventative therapy, or by da Vinci surgery when cancer of the bladder invades deep into bladder tissue and the surrounding organs.
The urology specialist uses neural stimulator implants, Holmium lasers, green light lasers, a flexible cystoscope, a urodynamic study, bladder scans, uroflow, stents, and catheters to address bladder problems.
