Urge incontinence may occur when you have a strong, sudden need to urinate. The bladder then spasms or squeezes and you lose urine. In a proper functioning bladder, the bladder muscle (detrusor) remains relaxed because the bladder slowly fills up. As the bladder gradually stretched, you will get a feeling to pass urine when the bladder is about half full. Most of the people can hold on after this stage of initial feeling till a convenient time to pass the urine. Yet, if you are experiencing an urge incontinence or overactive bladder, the bladder can feel fuller than what it is actually. That means the bladder contracts too early when it is not full, and you don’t want to pass it. This will make you unexpectedly need the toilet and possibly leak some urine before you pass it.
SYMPTOMS:
Uncontrolled urine passage, having to urinate more often during the day and night time, need to urinate suddenly and urgently
CAUSES:
In many cases of urge incontinence, doctor won’t able to pinpoint exact cause. Some frequent and main causes could include like: bladder stones, bladder infection, bladder cancer, bladder inflammation, obstruction of the opening of the bladder, enlarged prostate (in men), diseases of the nervous system (like multiple sclerosis), and injury to the nervous system (like stroke or trauma to the spinal cord)
DIAGNOSIS:
While performing the physical exam, your doctor will check and observe at your belly and rectum.
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Pelvic examination was done to women.
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Genital examination done to men.
Cystoscopy is used to observe the inside parts of the patient’s bladder, pad test which will help to show how much urine was leaking. Initially patient needs to wear pad till urine leaks. Then the pad was weighed to know how much urine has lost, urinalysis to check for infection, abdominal ultrasound or pelvic, post void residual to determine the amount of the urine left after when you urinate, urodynamic studies to measure pressure and urine flow, urinary stress test (you stand with a full bladder and cough), urine cytology to rule out bladder cancer, voiding diary to assess your fluid intake, X-rays with contrast dye to look at your kidneys and bladder, urine output, and urination frequency.
