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Hyderabad  
+91 40 6731 3131

Visakhapatnam  
+91 891 676 3333

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Hyderabad

 +91 40 6731 3131

Visakhapatnam

 +91 891 676 3333

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URINARY INCONTINENCE

What are the types of incontinence female suffering from?

There are 4 types of urinary incontinence.

  • Stress urinary incontinence: - urine leak while coughing, sneezing, laughing or lifting weight is called Stress urinary incontinence.
  • Usually, due to weakness of perineal muscles due to multiple pregnancies, virginal deliveries, obstructed labor SUI starts.
  • So, many females believe its part of ageing & normal phenomena.
  • It can be improved withkegle’s exercise, or medical treatment with Tab. Duloxetine, but the results are suboptimal.
  • SUI mainly treated with surgical treatment with either Prolene mesh or autologous tissue.

URGE URINARY INCONTINENCE

Urine leak before reaching washrooms is called urge urinary incontinence (UUI).

  • UUI can be associated with Frequency &/ or Nocturia.
  • UUI can be due to Urinary Tract infection, ageing, genitourinary tuberculosis, stones or bladder carcinoma.
  • UUI can be treated with various medications as Anticholinergics, B- agonists, or combinations.
  • If it is not responding with medications, requires Urodynamic study to check for Bladder function.
  • UUI, non-responding to medicines can treat with Intravesical injection of BOTOX.
  • Severe UUI can be treated with surgery like augmentation cystoplasty.

MIXED URINARY INCONTINENCE

Urge Urinary incontinence with stress urinary incontinence is called as mixed urinary Incontinence.

  • Usually, FOR MUI, first have to require treatment for UUI. Then Evaluate thept after sometime & require Urodynamic study.
  • Then, depends on pt bothersome symptoms require treatment for stress urinary incontinence.

OVER FLOW INCONTINENCE

Urinary incontinence (Continuous) with full bladder is called overflow incontinence.

  • Usually neurogenic chronic urinary retention pt has over flow incontinence.
  • Usually indwelling foley’s catheterization required for 3 -4 weeks & followed by evaluation of bladder with Urodynamic study requires.
  • If, On UDS found Atonic bladder, pt may require clean intermittent catheterisation or indwelling catheter.