Urinary Incontinence

Urinary Incontinence Overview:

Urinary incontinence is the involuntary loss or leakage of urine. It is fairly common in older adults, with women significantly more likely to become affected than men.


Aetiology:

+ Urge Incontinence

The involuntary loss of urine due to increased bladder pressures. The bladder may feel fuller than it actually is, as the detruser muscle contracts prematurely. This is often the cause of urinary frequency and nocturia.

Causes may include stress, prostate enlargement, constipation, stroke, Parkinson's disease, or multiple sclerosis.

Risk Factors:

  • High stress
  • Constipation
  • Multiple Sclerosis
  • Stroke

Red Flags:

  • Haematuria
  • Other signs of bladder cancer
  • Current or frequent UTI's
  • Medication side effects
  • History of pelvic trauma


+ Stress Incontinence

The decreased ability of the vesicourethral sphincter to prevent the escape of urine. This can occur in women after childbirth, surgical procedures, or reduction in pelvic floor muscle tone.

Can also be due to increased abdominal pressure causing leakage.

Risk Factors:

  • Women
  • Obesity
  • Diabetes
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Symptoms:

Symptom

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Symptom


Diagnostic Considerations:

Postvoid residual (PVR) urine volume testing can provide information on bladder emptying. A PVR less than 50 mL can be considered adequate bladder emptying, though many specialists would move this figure up towards 100 mL. A PVR over 300 mL indicates an increased risk for urinary tract dilation and renal insufficiency. [1].


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Differential Diagnosis:

  • Bladder cancer
  • Multiple sclerosis
 

Cautions:

Urinary incontinence is a sign of bladder cancer. it is important that this is ruled out.

 

Herbs For Urinary Incontinence

 

Urinary Incontinence Formula

Herb Name Ratio Amount in mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Total 100 mL

Author:

Justin Cooke

The Sunlight Experiment


Recent Blog Posts:

References:

  1. Kelly, C. E. (2004). Evaluation of voiding dysfunction and measurement of bladder volume. Reviews in urology6(Suppl 1), S32.
  2.