When you have involuntary urine leakage, you’re sure to have a lot of questions and may not know where to go for answers and advice. Seeking help from an experienced gynaecologist is the first step.  

What is Urinary Incontinence?

Urine leakage or Urinary Incontinence is a common condition and happens because of problems with the muscles and nerves that help the bladder hold or release urine. You may leak urine when you cough or sneeze. Or you may have a sudden urge to go but can’t get to the bathroom in time.

There are few basic types of Urinary Incontinence:

Stress incontinence causes you to leak urine when you sneeze, cough, laugh, lift heavy objects, exercise, or do other things that put pressure on your bladder.

Urge incontinence, also known as overactive bladder (OAB), is when you leak urine after feeling a sudden, strong urge to go. You may have OAB if you have to go eight or more times a day and more than once at night. Or you may feel the urge to go when you touch or hear running water.

Mixed incontinence is when you have stress and urge incontinence at the same time. This is more common in women.

What causes urinary incontinence?  Some causes include:

Pregnancy and childbirth:The strain from carrying a baby and giving birth can weaken muscles, ligaments, and nerves in the pelvis, bringing on incontinence.

Menopause: Stress incontinence and OAB are more common in menopause when estrogen levels drop. Estrogen helps keep the bladder, pelvic muscles, and urethra healthy.

Smoking: Experts aren’t sure why, but smokers are at a higher risk for incontinence than nonsmokers.

Being overweight: Excess weight can put pressure on your bladder, causing it to leak urine.

Medical conditions: Some conditions damage nerves or muscles, such as diabetes, multiple sclerosis, and Parkinson’s disease. Anxiety can also trigger incontinence in some people.

How is urinary incontinence treated?

A treatment plan is created based on your symptoms and any conditions that might be causing the problem. Some options include:·

Bladder training: By using the restroom at set times instead of waiting for the urge, you can slowly get control over your bladder and increase the time between bathroom trips.

Kegel exercises: Squeezing your pelvic floor muscles, which hold up your bladder, can make them stronger and help stop leaks.

Medications: prescription drugs can calm muscles and nerves and prevent bladder spasms·      

Surgery: a common type of surgery, called the sling procedure, which uses a small ribbon of mesh to support the bladder.·      

Non-Surgical Vaginal Laser: The procedure is fast, painless and completely safe, and provides highly effective results. Procedures are conducted in an outpatient setting, and do not require anaesthesia or downtime, ensuring that women can resume their routine – and regain their confidence – soon after.