urinary incontinence and overactive bladder


Urinary incontinence occurs when your urinary sphincters cannot control the release of urine. This article will examine the Causes of Urinary Incontinence and Overactive bladder.

urinary incontinence and overactive bladder

Causes of Urinary Incontinence

Below are general Causes of Urinary Incontinence

  • Inflammation
  • Stress
  • Medications like opioids, sedatives and diuretics
  • Spinal cord injury
  • Multiple Sclerosis
  • Bladder lesions
  • Pelvic surgery
  • Stroke(cerebro vascular accident)
  • Large intentive diseases
  • Weak abdominal and Perineal muscle
  • Urethral deformity due to recurrent UTI
  • Psychosocial factors such as regression anxiety, rebellion etc
  • Severe central nervous system disorder
  • Diabetes inspidus
  • Old age
  • Obesity
  • Immobility

"Causes of Urinary Incontinence and Overactive bladder"

Types of Urinary Incontinence

  1. Enuresis: This is bedwetting. It is common in childhood
  2. Stress Incontinence: This is dribbling of urine when you are having physical stress such as coughing, sneezing and coughing.
  3. Urgency Incontinence: This is an inability for you to hold back urine flow when you are feeling the urge to void.
  4. Mixed Incontinence: Combination of urgency and stress incontinence.
  5. Overflow incontinence: This occurs when you have frequent, constant loss of urine from your bladder.
  6. Functional Incontinence: It occurs when the functions of your lower urinary tract is intact but other factors make it difficult for you (the patient) to void e.g. physical or mental impairment.


PATHOPHYSIOLOGY ("Causes of Urinary Incontinence")

Normally, When your bladder has filled to capacity between 400 and 500 ml of urine, parasympathetic stretch receptors located within your bladder will be stimulated and contraction will occur and sphincters will response and micturation will take place. The various causes of urinary incontinence will interrupt the normal physiology of micturation in your body, thereby making voluntary and involuntary muscle action of the internal and external sphincter to be altered. This will lead to incontrollable voiding resulting in your inability to get to the bathroom before voiding, this can result in depression, frustration, poor-self esteem and ego hopelessness.

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Urinary Incontinence Symptoms

  • Uncontrolled Micturition
  • Bed wetting
  • Depression
  • Frustration
  • Anxiety
  • Hopelessness
  • Poor-self esteem
  • Pruritus


"Causes of Urinary Incontinence and Overactive bladder"

Overactive Bladder

The Medical condition called Overactive bladder arouses a sudden urge to urinate in you. it may be difficult for you to stop this urge and this medical condition is likely to cause you urge incontinence (which simply means 'an involuntary loss of urine'.

Overactive bladder will make you to feel embarrassed and also make you to isolate yourself which will in turn restrict your social life and your work.

This medical condition can be managed and it first begins with strategies involving your behavior this includes: bladder holding techniques(i.e. making use of your pelvic floor), timed voiding and restrategizing your fluid schedules. After applying this efforts and it doesn't help you (i.e. stop your overactive symptoms) then use medications after seeing your doctor.

The Symptoms of Overactive Bladder

  • The likely symptoms that you could experience from overactive bladder includes: You will always feel like urinating suddenly and you will always find it difficult.
  • You will also experience Urge incontinence: this involves loss of urine involuntarily and is normally followed by an urge to go and urinate
  • You'd always urinate often, at least eight or more times within 24 hours
  • Nocturia: You will always wake up in the night to urinate at least two or more times in the night

This symptoms of overactive bladder can possibly disrupt your life pattern.

"Causes of Urinary Incontinence and Overactive bladder"


  • Urinalysis and urine culture test are performed to identify hematunia, polyuria, pymia and bacterimia
  • Patient's voiding history: Post voiding residual urine volume, stress maneuvers are used to determine types of incontinence
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