Urge incontinence

Complete bladder emptying during urination no to oppression
Therapy

Anticholinergics, possibly estrogen, antidepressants, toilet training, Thermoval
Those affected do not make it more to reach the bathroom in time.
Characteristic of urge incontinence is not to be suppressed urination, which leads to an involuntary loss of urine. Interested parties must almost immediately to the toilet when they feel an urge to urinate. Often they do not make it more until then emptied and the bladder itself, without that you can do something about it. This form of incontinence occurs when standing, sitting or lying on. There are two types.


The bladder muscle is "hyperactive".
Motor urge incontinence. Here, the bladder muscle (detrusor) is involuntarily tense. The muscle is overactive and tightens, even though the bubble has not yet filled. In addition to neurological causes, such as errant impulses from the brain to the bladder muscle, the motor "Urge" to an instability of the detrusor muscle to back out. Psychosomatic causes are often found.


Pre-existing conditions may favor one sensory Urge.
Sensory urge incontinence: Not too without suppressing urinary bladder contraction of the muscle. This form often arises as a consequence of bladder diseases such as bacterial and non-bacterial infections, tumors or foreign bodies. And estrogen deficiency (see Menopause) can promote urge incontinence. Cold feet or sitting for long periods can be on a cold surface, on autonomic nerve impulses that lead to urge incontinence due to cold.


Is treated with medication and toilet training.
The motor urge incontinence is treated with anticholinergic drugs that dampen the overactive muscles. The mechanism is described in detail here. In the sensory urge incontinence can also be used anticholinergics. Antidepressants may also act. This act not only on the central nervous system, but also calm the bladder muscle. Importance of toilet training and keeping a connection is so micturition diary.