Urinary incontinence

Urinary incontinence The term bladder weakness, incontinence medically accurate (negated form of Latin incontinentia; dt Suppress, retention), indicates the (partial) inability to retain urine in the bladder and empty the bladder programs. For people with involutary urination, the bladder emptied uncontrollably and often in inappropriate moments. The amount of urine that is lost varies from patient to patient.

Worldwide, many people are affected

Urinary incontinence is a problem for many people around the world. In particular, elderly often suffer from bladder weakness. So it's basically no one alone with this disease and yet want to least talk about it. It is therefore difficult to make a precise number of people suffering from incontinence to rise: The information in the literature vary 5-50%. In a by the Robert Koch Institute (RKI) survey conducted approx. gave 17% of women and about 8% of men over 50 years, to be affected by involuntary loss of urine. In the age group over 70-year-old suffers from almost every third woman and every fourth man to bladder weakness. It is likely that will increase because of demographic trends, the number of students concerned.

Women are affected by urinary incontinence more often than men. The reason is that the anatomy of the urogenital tract and the pelvis in men and women differ significantly. The pool of women is adapted to the demands of pregnancy and birth. It is more flexible than that of men. These anatomical features and the birth of a child's discharge and increase the risk of incontinence.

Forms of bladder weakness

The Urge incontinence is a strong Urination sensation in combination with an involuntary loss of urine characterized by. Due to the strong urge to urinate frequently, it is already on the way to the toilet to urine leakage. This is due mainly, the involuntary contraction of the bladder muscle and a Hypersensitive bladder. In men and in women over 50 years, the urge incontinence is the most common form of the disease.

In so-called stress incontinence occurs in physically strenuous activities (eg, the lifting of heavy objects), but even with sudden body reactions (such as coughing or sneezing), in urine. This form of incontinence are the mechanism of the bladder and sometimes the pelvic floor muscles weakened. Often, the stress urinary incontinence in women under 50 years; frequent cause is childbirth.

From a mixed incontinence is then said to occur when there are symptoms of both forms.

In the reflex incontinence signaling pathways are coming from the brain to the bladder disturbance. This leads to involuntary contractions of the bladder muscle, without an urge to urinate that is. This form occurs frequently people with spinal cord injury or multiple sclerosis in on.

Overflow incontinence is present when the urine comes about that the bladder pressure exceeds the urethral closure pressure. This occurs when the bladder is full. It is then a trickle of urine. Men are often affected with prostate problems.