Urinary Incontinence

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Urinary Incontinence

Loss of bladder control

“I kept leaking urine when I sneezed, then one day I was out and couldn’t make it to the toilet in time.

I didn’t tell anyone about my accident because I was so embarrassed. I stopped going out and kept making excuses for missing family events.

I finally plucked up courage to see a doctor and started treatment. Regaining bladder control has given me back my life!”

What is Urinary Incontinence?

Urinary incontinence, or loss of bladder control, causing leaking of urine.

Who does it affect?

• Men and women of all ages.

• More common among the elderly. What problems can it cause?

• Feelings of shame.

• Unable to apply weight on the leg of the injured hip.

• Skin irritation and broken skin (sores) on the buttocks and perineum, if the skin is in constant contact with urine.

What are the signs?

• Leakage of urine.

• Having a strong urge to urinate even if the bladder is not full.

• Urinating more than once in 2 hours or more than 7 times a day.

• Waking up to urinate at least twice when sleeping at night.

• Painful or difficult urination.

• Bed-wetting.

Can it be treated?

Yes! Treatment can improve or help you to gain back the control of your bladder.

Your doctor or nurse will recommend the best treatment for you depending on the type of incontinence you have and how bad it is.

What treatments are there?

Bladder Training

This involves delaying the urge to urinate. It starts with a 15 minute delay and is slowly increased. The goal is to lengthen the time between toilet trips to 2 - 4 hours.

Following

a Toilet Routine

To prevent accidents, you go to the toilet at a set time (usually every 2 to 4 hours), instead of waiting until you need to go.

Medication

Your doctor may prescribe pills to treat urinary tract infections, or to slow down an overactive bladder.

Pelvic floor (Kegel) exercises

These are exercises to tighten your urine sphincter and pelvic floor muscles that help to control urination.

Surgery

Men may need an operation to reduce the size of an enlarged prostate gland.

Women may need surgery to align the urethra and bladder neck to normal position.

Protective clothes and pads

A range of pads and underpants are available to help you to cope with urine loss. Most of these products are the same size as normal underwear and can be worn easily under every day clothing.

Catheterisation

If your urine leaks because your bladder does not empty properly, a soft thin tube (catheter) may be put through your urethra into your bladder, so that all the urine can be drained out of the body.

This is done several times a day. You may need to learn how to put in the tube to drain the urine.

In some cases the catheter is left in the bladder all the time and the urine drains into a bag.

Intermittent

catheter

The catheter is inserted into the bladder when urine needs to be drained out. It is then removed.

Indwelling catheter

A small balloon holds the catheter in the bladder. Urine drains into a bag outside the body.

How can I prevent it?

• Keep a healthy weight.

• Avoid constipation by drinking at least 6 to 8 glasses of fluid a day and eating enough fibre.

• Practice Kegel exercises.

• Quit smoking.

Yishun Health is a network of medical institutions and health facilities of the National Healthcare Group in the north of Singapore. It comprises Khoo Teck Puat Hospital, Yishun Community Hospital and community extensions such as Admiralty Medical Centre and Wellness Kampung. Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg

Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg

The information is correct at the time of printing and subject to revision without further notice. IP.PE.11.0624

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