This obstruction can be caused by an enlarged prostate in men, a kidney stone blocking the urethra, constipation, or stricture of the urethra in either men or women, which makes it difficult for urine to flow out of the bladder outlet. In some cases, overflow can be due to an obstruction which is making it more difficult for you to empty your bladder. With larger amounts of urine being held in the bladder all the time, urine will leak out when you don’t want it to, and you may have a constant feeling of fullness. Īs you cannot empty your bladder completely, your bladder and its muscles can gradually become floppy. This can often be caused by an obstruction or blockage in your bladder or in cases where there may have been nerve or muscle damage, perhaps caused by injury, surgery or disease such as Parkinson’s Disease, Multiple Sclerosis and Spina Bifida. Overflow incontinence occurs when the muscles of the bladder are not able to squeeze properly to empty the bladder. If medications are not successful in treating overflow incontinence associated with an enlarged prostate, then surgery may be required.What Causes Bladder Overflow Incontinence? Men may receive alpha-adrenergic blockers, which help relax the muscles at the base of the urethra for a smoother passing of urine. For example, men commonly experience overflow incontinence as a result of an enlarged prostate, so the treatment aims to address the problem of prostate enlargement. Treatment for overflow incontinence in men and women may differ based on the cause. Treatment for overflow incontinence in men and women These may include a bladder stress test, catheterization, urine analysis and urine culture, and an ultrasound to look for any abnormalities.įurther testing may include urodynamic testing, cystoscopy, and IVP, which is basically an X-ray examination of your urinary system. These questions can help inform your doctor’s choice of the specific tests to run. When you go to the bathroom, do you have trouble starting or stopping the flow of urine?ĭo you leak urine during certain activities?ĭo you leak urine before you get to the bathroom?ĭo you experience pain or burning when you urinate?ĭo you get frequent urinary tract infections?ĭo you have a medical condition that could interfere with bladder function? Diagnosis and tests for overflow incontinenceįor diagnosing the type of incontinence you have, your doctor will start by asking you a series of questions. Symptoms of overflow incontinence include the sudden release of urine, the feeling of a full bladder even after you relieved yourself, leakage of urine while asleep, a urine stream that starts and stop throughout urination, and difficulty urinating despite a strong urge to go. In some cases, overflow incontinence can be due to a blockage resulting from prostate enlargement, constipation, or stricture of the urethra. This only increases the risk of leaking, aside from a constant feeling of a full bladder. With persisting problem of incomplete bladder emptying, the muscles weaken over time, so the bladder starts holding more and more urine. Muscle weakness can also be caused by nerve or muscle damage due to an injury, surgery, or neurological disease like Parkinson’s. This can be a result of weak bladder muscles that are unable to squeeze well enough to empty the bladder. Overflow incontinence stems from the bladder’s inability to fully empty.
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