![]() ![]() Whilst the problem is being investigated it is important that the bladder is emptied properly to reduce the risk of the residual urine in the bladder becoming infected as this can cause further complications. When the underlying cause is not known then pelvic floor exercises may help improve the condition although will not resolve it. if medication is causing the problem then the solution may simply be to stop the medication or change the drug used. Often treatment depends on the diagnosis of the underlying cause of the Overflow Incontience, e.g. A catheter, is inserted into your bladder through your urethra and water is then passed through the catheter so the pressure on the bladder can be recorded. Urodynamic testing measures the pressure in your bladder and the flow of urine. These specialists may carry out more detailed tests such as an Ultrasound (commonly used to check that your bladder is emptying properly), Cystoscopy (Looking inside the bladder and urinary system to identify abnormalities that may be causing the incontinence) or Urodynamic testing. ![]() Alternatively, depending on the results of the examination, women may find themselves referred to a Gynaecologist (a specialist in women's reproductive health) or Urogynaecologist (a specialist in urinary and associated pelvic problems in women). In some cases you may be referred to a Urologist who specialises in treating conditions of the urinary system). They may also carry out a test on a sample of your urine to check that your urge incontinence isn't being caused by a secondary cause such as an infection in your urinary tract and they may also do a blood test to check that your kidneys are working properly. This should record your fluid intake (what and how much you drink) and fluid output (the amount of urine you produce, and when you pass urine), whether you had an urge to urinate and the number of times you unintentionally pass urine. You may be asked to keep a ‘bladder diary’ for a week or so. To diagnose an incontinence condition, your health professional should ask about your symptoms and medical history. The detrusor muscles may not fully contract if there is damage to the nerves (for example as a result of surgery to the bowel or other conditions such as diabetes, Parkinson's Disease or Multiple Sclerosis) or a spinal cord injury, or as a side-effect of certain medications (including some anticonvulsants and antidepressants). This means that the bladder does not completely empty when you go to the toilet and this may result in the bladder becoming stretched. Overflow incontinence may also be caused by the bladder (detrusor) muscles not fully contracting. As these are all treatable and also symptoms of other conditions it is important you consult a doctor or health professional if you experience overflow incontinence. ![]() The main reasons that the bladder can become obstructed, causing overflow incontinence are an enlarged prostate (this is very common for men), constipation or bladder stones. At the same time, pressure from the urine that is still in the bladder builds up behind the obstruction, causing frequent leaks. The bladder will fill up as usual, but as it is obstructed it will not be possible to empty it completely. Overflow incontinence, sometimes called chronic urinary retention, is usually caused by a blockage or obstruction to the bladder. ![]()
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