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Incontinence
- Incontinence
is the inability to control urination (passage of urine). Urinary
incontinence can range from an occasional leakage of urine to a complete
inability to hold any urine. (loss of bladder control, uncontrollable
urination)
- Incontinence
is seen more frequently among the elderly. Women are more likely than
men to be affected by urinary incontinence.
- Incontinence
is not a hopeless situation. Although incontinence is usually not
an emergency, problems with incontinence should be reported to the
doctor. The gynecologist and the urologist are the specialists who
are most familiar with incontinence and can evaluate the causes of
incontinence and recommend several treatment approaches.
- NORMAL URINATION:
The ability to hold urine and maintain continence is dependent on
normal anatomy and function of the lower urinary tract and the nervous
system. Additionally, the person must possess the physical and psychological
ability to recognize and appropriately respond to the urge to urinate.
- The process of
urination involves two phases: 1) the filling and storage phase, and
2) the emptying phase. Normally during the filling and storage phase,
the bladder begins to fill with urine from the kidneys. The bladder
stretches to accommodate the increasing amounts of urine. The first
sensation of the urge to urinate occurs when approximately 200 ml
of urine is stored. The healthy nervous system will respond to this
stretching sensation by alerting you to the urge to urinate while
also allowing the bladder to continue to fill. The average person
can hold approximately 350 to 550 ml of urine. The ability to fill
and store urine properly requires a functional sphincter (the circular
muscles around the opening of the bladder) and a stable bladder wall
muscle (detrusor).
- The emptying
phase requires the ability of the detrusor muscle to appropriately
contract to force urine out of the bladder. Additionally, the body
must also be able to simultaneously relax the sphincter to allow the
urine to pass out of the body.
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