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Stress
incontinence is a storage problem in which the strength of the urethral
sphincter is diminished, and the sphincter is not able to prevent
urine flow against increased pressure from the abdomen.
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Storage
problems may occur as a result of weakened pelvic muscles that support
the bladder, or because of malfunction of the urethral sphincter.
Prior trauma to the urethral area, neurological injury, and some
medications may weaken the urethral closure.
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Sphincter
weakness may occur in men following prostate surgery or in women
after pelvic surgery. Stress incontinence may be seen in women who
have had multiple pregnancies, or who have pelvic prolapse (protrusion
of the bladder, urethra, or rectal wall into the vaginal space),
with cystocele, cystourethrocele, or rectocele.
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Additionally,
women with low estrogen levels may have stress incontinence due
to decreased vaginal muscle tone.Studies have documented that about
50% of all women have occasional incontinence, and as many as 10%
have regular incontinence. Nearly 20% of women over age 75 experience
daily incontinence. The risk increases with advancing age, obesity,
chronic bronchitis, asthma, and childbearing.
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