CJUA 

23 Kilmer Dr, Suite C
Morganville, NJ 07751

ph: 732-972-9000
fax: 732-972-0966

Condtitions we treat

Urine Incontinence


Urine incontinence is defined as the involuntary loss of urine.  This loss of urine may cause hygienic or social problems.  Regardless of the cause, any involuntary loss of urine is considered abnormal, regardless of age or functional status of the patient.  Additionally, this is not a problem only encountered in women; many men suffer with this problem as well.  While the physiology of incontinence in men is different than in women, it is still readily treatable.  It is estimated that over 10 million Americans suffer with urine incontinence.  Interestingly, the majority of the elderly living in long-term care facilities suffer from urine incontinence. 

Urine incontinence is divided into five categories. 

  • Stress Urine Incontinence:  The loss of urine is associated with a rise in intraabdominal pressure, as seen with coughing, sneezing, lifting, laughing etc.  This type of incontinence is commonly linked to multiple vaginal childbirths. 
  • Urge Incontinence:  The loss of urine is associated with a contraction of the patients’ bladder.  This “uninhibited” bladder contraction may sometimes be counteracted by the patient squeezing his/her urethral sphincter and limiting or stopping any urinary leakage.  To complicate the matter, the uninhibited bladder contractions may be induced by stress maneuvers such as coughing, sneezing, lifting or laughing which often confuses the patient or practitioner into believing the patient is suffering from stress incontinence.
  • Mixed Incontinence:  The loss of urine is caused by a combination of urgency and stress incontinence.  Often the treatment of one component of the urine incontinence will dramatically improve symptoms.
  • Overflow Incontinence:  The loss of urine is caused by the patient retaining urine and then intermittently leaking a small amount throughout the course of the day.  This type of incontinence is most commonly seen in men, and the treatment of the cause of the retention will typically resolve the symptoms.
  • Continuous Incontinence:  The loss of urine is continuous, typically arising from the vagina.  This is seen when there is an abnormal communication between the bladder and vagina.  This abnormal communication can be caused by prolonged or difficult childbirth, pelvic radiation or a complication from pelvic surgery.  Occasionally this type of incontinence will respond to conservative management, buy typically surgery is needed to close the abnormal communication.

 

 

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23 Kilmer Dr, Suite C
Morganville, NJ 07751

ph: 732-972-9000
fax: 732-972-0966