Urinary incontinence in women

The complaint of urinary incontinence in adult women can most commonly is either due to wekness of the sphinctor mechanism to keep her dry leading to leakage whenever the abdominal pressure rises like coughing sneezing jumping (Stress incontinence) or due to a bladder which contracts and pushes urine out when it should be holding it in, patient usually finds it difficult to hold whenever she gets this urge to pass urine (urgency to urinate)and cannot make it to the toilet in time (urge incontinence).
There can be quite a few other causes for urinary leakage but most common complaints fall in the above two groups.
The treatment is dictated by the type of incontinence.
With Stress Incontinence the target is to support the and strengthen the muscles that support the urethra and the pelvic organs including the bladder vagina uterus and rectum. treatment methods availible range from pelvic muscle strengthening exercises, abdominal operations to reposition prolapsing pelvic organs and vaginal operations to suuport the organs and to provide extra suppoert to urethra.
For Urge incontinence the aim to calm the bladder to damp down these uncontrolled bladder contractions. Bladder retraining tablets to controll the bladder and operations to paralyse the muscle (botox injection in bladder) or by cutting the nerve supply to bladder or by removing muscle layer partially from the bladder or by putting a piece of bowel in the bladder.