Urinary incontinence is simply defined as leakage of urine or involuntary urination. This disheartening condition affects women twice as much as men. There are four main types of incontinence which need to be carefully considered, evaluated and diagnosed. Stress incontinence is the result of poor closure of the bladder. Urge incontinence is the result of an overactive bladder. Overflow incontinence can be caused by either blockage or obstruction of the urinary tract or because of weak bladder function. Lastly, functional incontinence is a situation when urinary leakage is the result of medications or health problems such as arthritis that can make it difficult to reach a bathroom.

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Frequent and Sudden uncontrollable need to urinate

Involuntary release of urine when you cough, sneeze, laugh, lift something heavy, exercise or have sex.

A feeling of fullness in the bladder even after urination leakage of urine while sleeping a urine stream that stops and restarts during urination difficulty urinating even while feeling the urge to urinate

Dementia, poor eyesight, poor mobility, lack of motor skills unwillingness to go to the toilet due to depression, anxiety or anger environmental factors such as poor lighting, low chairs that are difficult to get out of, and toilets that are difficult to access.


Stress Incontinence

Urge Incontinence

Overflow Incontinence

Functional Incontinence


Treatment of urinary incontinence is based on the type and underlying cause. Stress incontinence is sometimes treated surgically with a sling when the urethra is malpositioned as a result of childbirth or hysterectomy for example. When the urethra is well positioned and leakage occurs due to poor sphincter cooptation or closure, a collagen like bulking agent or specialized laser therapy may be beneficial. In cases of urge incontinence, medication is used to suppress an overactive bladder, when a problem with bladder muscle is the cause and neuromodulation or nerve stimulation is utilized when the nerves controlling bladder function are faulty. In more severe cases, botox can be used to “paralyze” the bladder.

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It can be a major inconvenience living with urinary incontinence, but hiding the fact that you have this problem from your doctor will only prolong and make the situation worse. Don’t hide from this issue call us today and get back to enjoying life