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Sunday, 24 November 2013

Urinary Incontinence - The Symptoms

Urinary Incontinence, a medical, psychological, social, economic, and hygienic problem, is defined as a condition of loss of the bladder to control that can lead to mild or severe form of involuntary leakage of urine. Involuntary urine leakage or urinary incontinence is frequent among elderly women, adult women, even among adolescent women
I. Symptoms of Urinary incontinence
In the observation to determine the incidence and resolution rates of different types of urinary incontinence in Australian women and examined the course of urinary incontinence with or without treatment, showed that At baseline and followup 442 women provided data. Mean ± SD age was 59.28 ± 12.1 years at followup. The total incidence of any new urinary incontinence was 17% (95% CI 12.4-21.6) in unaffected women and the total resolution rate was 16.8% (95% CI 11.4-22.2) in women with urinary incontinence during 2 years regardless of receiving treatment for urinary incontinence. There was also movement of women among the diagnoses of stress only, urge only and mixed urinary incontinence during followup. A total of 34 women reported having received treatment for urinary incontinence and 5 experienced resolution of the condition. All types of urinary incontinence were associated with impaired quality of life (p <0.001) and adversely impacted daily activity. A negative impact on quality of life (p = 0.02) was also observed in incident cases at followup compared with baseline(1). Symptoms of urinary incontinence depending to the types of conditions, including
1. Stress incontinence
Stress urinary incontinence (SUI) has a significant impact on the quality of life for many women(2).It is defined as a condition of leakage of urine during physical activity, such as coughing, sneezing, laughing, exercising, etc. as a result of weakening the the sphincter pelvic muscles, supporting the bladder and urethra.  A. sample comprised by a group of 154 adolescents aged 13 to 18 from a charter school and questionnaire was developed to obtain information about possible urine leakage and a pilot test was run in order to verify its accuracy show that 94.2% of participants suffer from urinary incontinence occasionally. Another significant finding reveals that 27% of case reports had suffered from urinary tract infection (UTI) and participants felt upset about it(2a).
2. Urge incontinence
Urge incontinence, also known as overactive bladder,  is defined as a condition of involuntary loss of urine and  intense urge to urine as a result of  bladder spasms or contractions with no apparent reason. incontinence is also called overactive bladder. 
3. Overflow incontinence
Overflow incontinence is defined as a condition of bladder inability to empty completely and normal flow of urine is blocked that can lead to constantly urine dribbling.
4. Mixed incontinence
Mixed incontinence is defined as condition of combination of stress incontinence and urgency incontinence.
5. Functional incontinence
Functional incontinence is defined as a condition of functioning difficulty that prevent one to urine normally as a result of mental or physical disabilities. 
 
6. Total incontinence
Total incontinence is defined as a condition of total loss of urine control as a result of certain conditions such as bladder fistula, injury to the urethra, ectopic ureter, etc.

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Sources
(1) http://www.ncbi.nlm.nih.gov/pubmed/21334659
(2) http://www.ncbi.nlm.nih.gov/pubmed/22408333
(2a) http://www.ncbi.nlm.nih.gov/pubmed/22558715