Urinary incontinence is probably one of the most embarrassing conditions of aging. It is defined as the loss of bladder control. Bladder control is simply dependent on the coordination between the different muscles of the urethra, bladder, pelvis and the nerves that stimulate these muscles.
It is important to know the types of urinary incontinence. In the elderly, incontinence is caused by the weakness of the urethral sphincter. This condition is called stress incontinence. Pressure is exerted on the bladder during laughing, coughing, bearing down and doing strenuous activities. The weakness in the sphincter causes the leakage of urine. In women, stress incontinence is usually experience after childbirth or menopause. In men, it can happen when the prostate is surgically removed.
Another type is overflow incontinence. This can happen when a person is not able to completely empty his bladder upon urination that often results to leakage of urine and frequent visits to the toilet. Overflow incontinence occurs in people with enlarged prostate glands, tumors that can block the urethra or in diabetics with nerve damage to their bladder.
Urge incontinence is the third type. This is characterized by the sudden urge to urinate and followed by an involuntary flow of urine. Older persons who are stroke victims, those with Alzheimer’s and Parkinson ’s disease are prone to having this kind of incontinence.
The last type is functional incontinence. This is often seen in old people and is caused by mental and physical impairment. Elderly who are slow in movement and reflexes prevent them from making it to the toilet in time. Arthritis is also one condition that can cause older people to have difficult time in urination.
Complications and Treatment
Recurrent UTI (urinary tract infection) is one of the clinical complications of urinary incontinence. Some people may have skin rashes and ulcers due to frequent wetting of the skin especially in the groin area. Complications are not so pronounced but the social stigma and restrictions that it brings are far more devastating. Urinary incontinence may prevent a person from doing his daily activities and can affect his personal and social life. It may cause embarrassment, anxiety and worse, depression.
People with urinary incontinence should seek treatment early. Treatment involves managing one’s fluid consumption, bladder training, scheduling routine trips to the toilet and even making lifestyle changes.
Kegel muscle exercises help strengthen weak muscles. Medication is used in combination with exercise. Anticholinergic drugs are the ones often used in these cases. If medical and conservative remedies fail, surgery may be required.

