Urinary incontinence

Urinary incontinence (UI) is the involuntary loss of urine and is intimately associated with weakened muscles of the pelvic floor.

There are several types of UTI, the most common being the so-called stress urinary incontinence (or stress), consisting of the escape of urine when performing any type of physical activity even if it does not require great effort (for example, coughing, sneezing or laughing).

Although urinary incontinence is not a disease, who suffers it can end up suffering a low quality of life since this deficiency influences many aspects of our daily life being able to go from being a purely hygienic problem to being a real social and psychological burden

Urinary incontinence affects both men and women, but it is in the latter case where it occurs most frequently. It is estimated that more than 35% of women who practice high impact sports (aerobics, jogging, etc.) suffer from urinary incontinence. (Nygaard I). In the case of pregnant women, the percentage is even higher since more than 40% suffer from urinary incontinence (Dominique Gross, Jean Sengler). The data are similar for those women who have already given birth, being able to turn urinary incontinence into a chronic problem.

Muchas mujeres, en especial aquéllas en edades avanzadas, se resignan ante la aparición de la incontinencia urinaria limitándose a utilizar compresas que absorben los escapes de orina. Es fundamental saber hacer saber a estas mujeres que la IU se puede tratar, y en algunos casos, incluso eliminar por completo.

Entre los diferentes tipos de incontinencia urinaria que existen, encontramos los siguientes:

Stress urinary incontinence (also called stress stress):

The loss of urine occurs when performing any movement or physical activity as a result of a weakening of the pelvic floor muscles that impinge directly on the bladder. Laughing, sneezing, coughing, playing sports, carrying heavy objects and even standing or bending cause involuntary urine leakage.

It is the most common type of UI, representing the majority of cases.

Urinary incontinence of urgency (overactive bladder):

What characterizes this type of UTI is the uncontrollable desire or urge to urinate accompanied by involuntary leaking of urine. There is often an increase in diurnal and nocturnal urination as well as the feeling of incomplete voiding.

Mixed urinary incontinence:

As the name suggests, this type of UI is a combination of different types of incontinence. The most frequent is the combination of stress urinary incontinence (or stress) and urgency.

Functional urinary incontinence:

Urine leakage is caused by the inability to reach the bathroom in time (or substitute it as a urinal) as a result of a physical or mental disability. Many specialists do not consider that functional urinary incontinence is really a type of incontinence when it occurs in many cases due to the existence of external factors such as architectural barriers.

Transient urinary incontinence:

This type of incontinence occurs in a timely manner and can be caused by multiple factors such as: intake of certain medications, urinary tract infections, acute constipation, etc. In general terms, once the cause is treated, the incontinence also disappears.

Incontinencia urinaria por rebosamiento:

En este tipo de incontinencia, el “rebosamiento”, es decir, las pérdidas de orina, se producen porque la vejiga no llega a vaciarse nunca del todo, y por tanto se llena con mayor facilidad y rapidez. La incontinencia urinaria por rebosamiento es mucho más frecuente en los hombres que en las mujeres y a menudo quien la padece suele experimentar una sensación permanente de vejiga llena y de vaciado incompleto.