Female incontinence protection products and information

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Millions of people suffer some degree of incontinence and approximately 8 out of 10 of them are women. For women, the muscles of the bladder are either too weak or they can be overly active. If the bladder muscles are weak, urine leakage is common. This is known as stress incontinence.

Stress incontinence is a very common bladder control issue for women. Some of the causes of stress incontinence are laughing, sneezing, picking up a heavy object or simply standing up.

Pregnancy and childbirth can weaken pelvic floor muscles that normally provide support for the bladder. Menopause also causes the bladder muscles to weaken because they no longer get female hormones.

Bladder muscles can also be too active. A strong and/or sudden urge to get to the bathroom is called urge incontinence. Nerve damage, bladder infections or even some medications can contribute to urge incontinence.

There are several options for women who suffer from incontinence. Fashionable garments and discreet pads are just a few of the types of female incontinence protection products that women can find here at www.SeniorsProducts-kdr.com

Urinary Incontinence in Women

Urinary incontinence is defined by the International Continence Society as “the complaint of any involuntary leakage of urine” (2).

This supplants the group’s previous long-held definition, in which the diagnosis of incontinence required that the leakage be a social or hygienic problem.

The less restrictive definition is likely to capture more individuals who experience incontinence, including the many women who may leak daily but do not describe leakage as a social or hygienic problem.

A diagnosis of urinary incontinence can be based on the patient’s symptoms, the sign of incontinence noted during physical examination, or diagnostic urodynamic testing. Table 1 lists ICD-9 codes commonly used to identify urinary incontinence.

The International Continence Society further categorizes types of incontinence, as well as other bladder symptoms. Stress urinary incontinence is the complaint of involuntary leakage on effort or exertion or on sneezing or coughing.

Stress urinary incontinence also describes the sign, or observation, of leakage from the urethra synchronous with coughing or exertion. When stress incontinence is confirmed during urodynamic testing by identifying leakage from the urethra coincident with increased abdominal pressure (for example, during a cough or sneeze) but in the absence of a bladder contraction, the diagnosis of urodynamic stress incontinence is made.

Urge urinary incontinence is the complaint of involuntary leakage accompanied by or immediately preceded by an urge to urinate and may be further defined with urodynamic investigation.

Conventional urodynamic studies take place in a laboratory and involve filling the bladder with a liquid, then assessing bladder function during filling and emptying.

If during urodynamic testing the patient demonstrates either spontaneous or provoked involuntary detrusor contractions while filling, she is said to have detrusor overactivity.

If a relevant neurologic condition exists, the detrusor overactivity is further categorized as neurogenic; when no such condition is identified, the overactivity is termed idiopathic.

These terms replace the previously used detrusor hyperreflexia and detrusor instability. Many women with urge incontinence do not manifest detrusor overactivity on urodynamic testing.

This may be due in part to the fact that such testing, which lasts approximately an hour, is merely a snapshot of the patient’s overall bladder function. Ambulatory urodynamic studies can also be performed to document the patient’s leakage during everyday activities; such studies identify more detrusor contractions during filling than do conventional ones.

Nonetheless, treatment for urge incontinence is often based on implicit clinical assessment because of the low predictive value of a negative test. Other diagnostic tests may be used to help characterize incontinence and its severity.

A pad test quantifies the volume of urine lost by weighing a perineal pad before and after some type of leakage provocation. This type of test has also been used in attempts to distinguish continent from incontinent women.

Pad tests can be divided into short-term tests, usually performed under standardized office conditions, and long-term tests, usually performed at home for 24 to 48 hours. Short-term pad tests are generally performed with a symptomatically full bladder or with a certain volume of saline instilled into the bladder before the patient begins a series of exercises.

A voiding diary, or bladder chart, is a record maintained by the patient of her urinary frequency and leakage, voided volumes, and fluid intake over a 3- to 7-day period. This noninvasive test provides useful information about bladder capacity, type of incontinence symptoms, diurnal versus nocturnal voiding patterns, and appropriateness of fluid intake.

For the entire report and charts in pdf, Source: NIDDK.NIH.Gov

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