Urinary Incontinence in Women

Urinary Incontinence in Women

 

About urinary incontinence

Urinary incontinence means losing control of urine passing from the bladder. This is common in women and can occur because of problems with the muscles that help to hold or release urine flow. Incontinence can be caused by pregnancy and childbirth, menopause, aging, strokes or other problems. Some women may lose a few drops of urine when they cough or laugh. Others may feel a sudden urge to urinate and cannot control it.

Urinary incontinence can be embarrassing, upsetting and get in the way of doing activities. Fortunately, it can often be treated and there are options depending on the cause. Talk to your health care provider about testing and treatment.

 

Types of Incontinence

Stress incontinence - Urine leaks after a cough, laugh, sneeze or other physical activity because the muscles that control the flow of urine are weak.

Urge incontinence - The bladder contracts and releases urine when it is not supposed to and leaking occurs. This happens when there is a sudden feeling or need to urinate. This can happen during sleep, after drinking water, or when you touch water or hear it running.

Mixed incontinence - When a person has both stress and urge incontinence.

Overflow incontinence - This happens when a woman is not able to empty her bladder well. The bladder gets full and overflows to cause urine to leak.

 

Treatment options

  • Kegel exercises - Also known as pelvic floor exercises, these strengthen the muscles that control urine flow. 
  • Electrical stimulation - A small non-painful electrical pulse is used to help calm the nerves and muscles of the bladder.
  • Biofeedback - You learn to control the muscles of your bladder based on measurements from devices.
  • Medicines - Various medicines are used to treat this. Talk to your provider about their risks and benefits.
  • Behavior modification - You change behaviors that may make the urine leakage more of a problem. 
  • Pessary - A ring placed in the vagina puts pressure on the opening of the bladder to help control urine leaks.
  • Implant - The tissues around the bladder opening are injected with a substance to surround and tighten it. 
  • Surgery - If other treatments have not worked, surgery may be an option. The type of surgery can vary.

 

© 2005 – July 29, 2019, The Ohio State University Wexner Medical Center.

This handout is for informational purposes only. Talk with your doctor or healthcare team if you have any questions about your care. For more health information, call the Library for Health Information at 614-293-3707 or email: health-info@osu.edu.