Tag Archives: urinary incontinence

Urinary Incontinence And Perineal Rupture

Urinary Incontinence And Perineal Rupture

Urinary incontinence

Urinary incontinence is a fairly common condition among women, but they rarely talk about it on their own initiative, considering it embarrassing, shameful.
Urinary incontinence affects women 5 times more often than men. About 10-25% of women between 25-65 years old suffer from a form of urinary incontinence, the percentage increasing to 40% in women over 65 years old.

Urinary incontinence is defined as the involuntary loss of urine through normal anatomical pathways, due to the bladder and/or sphincter disorders. Loss of urine may occur with exertion (coughing, sneezing) or may be accompanied by other symptoms, such as pollakiuria (frequent urination), nocturia (urination during the night), urinary urgency (urgent need to urinate).

Loss of urine is a symptom that occurs in many diseases: congenital genitourinary malformations, neurological diseases or most commonly (80% of cases), due to insufficient musculoskeletal support – suspension and uterovesis.

The diagnosis of the type of incontinence is made by the urologist in Noida, after the clinical examination and after performing specific urodynamic tests.

Rupture of the perineum

Perineal rupture is a generic, medical term that defines the relaxation of the musculoskeletal system of the perineum and is not mandatory to occur only in women who have given birth vaginally. It can also occur in women who have not given birth or at a long interval from birth to menopause.

Rupture of the perineum may not affect the patient in any way, as well as may cause sexual discomfort, sometimes to the point of frigidity or indifference of the partner; urinary incontinence at lower and lower efforts (sometimes just walking) or lowering of the pelvic organs (uterus, bladder, rectum) through the vulvar cleft, outside, is called prolapse.

The treatment of this condition can only be surgical, the operation being performed most frequently through the vagina, rarely requiring an abdominal approach. Perineal surgery can also be aesthetic: just as many women want more beautiful noses, lips or breasts, some want a more toned perineum, a tighter vaginal lumen, greater sexual satisfaction, sexual comfort as at 20 years old.


Both perineal rupture and urinary incontinence are accentuated with age, the symptoms becoming noisier, more annoying. Therefore, it is necessary that the two diseases be diagnosed in time and thus be able to be treated properly, the therapeutic sanction being depending on the indication of the best urologist in Noida: medicinal, surgical or associated.

urinary incontinence

What Are the Types of Urinary Incontinence And Their Symptoms?

Types of urinary incontinence

There are mainly two types of urinary incontinence. Stress and urge urinary incontinence. Some women, especially older women, have both.

Stress urinary incontinence occurs when you sneeze, cough, laugh, jog, or do activities that put pressure on your bladder. It is the most common type of urinary incontinence of bladder control problems in women.

The female urinary incontinence emergency occurs when you have a great urge to urinate but cannot reach the bathroom in time. This can happen even when the bladder has only a small amount of urine. Some women may not have any warning before accidental leakage of urine occurs. Other women may leak urine when they drink water or when they hear or touch running water. An overactive bladder is a type of urinary incontinence, but not everyone with an overactive bladder loses urine.

What are the symptoms of different types of urinary incontinence?

Symptoms of stress urinary incontinence:

  • Involuntary release of urine, especially when coughing, sneezing or laughing
  • Leakage of small to moderate amount of urine

Symptoms of urge urinary incontinence:

  • Frequent and sudden uncontrollable need to urinate
  • You may have a moderate to a large amount of urine, although a small amount is possible

It is common for a person to have symptoms of both types of incontinence. This is called mixed incontinence.

What causes the different types of urinary incontinence?

Stress incontinence can be caused by childbirth, weight gain, or other conditions that stretch the muscles of the pelvic floor. When these muscles cannot hold the bladder properly, the bladder falls off and pushes against the vagina. You cannot tighten the muscles that close over the urethra. Therefore, urine can leak due to the extra pressure on the bladder when you cough, sneeze, laugh, exercise, or do other activities.

Urgent incontinence is caused by an overactive bladder muscle that pushes urine out of the bladder. It can be caused by bladder irritation, emotional stress, or brain conditions such as Parkinson’s disease or a stroke. Urologist in Noida often doesn’t know what causes it.

How are the types of urinary incontinence diagnosed?

To diagnose the cause of urinary incontinence, urologist in Ghaziabad asks people about their medical history and perform a physical exam. It may be easier for you to answer questions if you keep avoiding the dairy for 3-4 days before seeing your urologist in Greater Noida.

To check for stress incontinence, your urologist in Vaishali may ask you to cough while standing.

Sometimes urologist in Delhi request these tests:

  • Bladder stress test and Bonney test.
  • Pad test, which can help show how much urine is leaking. They give you an absorbent pad that has been heavy. You use the pad until urine leaks, and then return the pad to weigh yourself again. The increased weight of the pad provides an estimate of the amount of urine that leaked.
  • Urinalysis and urine culture.
  • Urodynamic tests. The urodynamic test is expensive. It is usually only done if you are considering surgery or if treatment has not worked for you and you need to know more about the cause. It provides a more advanced way to check the bladder function.
  • Cystometry, a series of tests to measure bladder pressure at different levels of fullness.
  • Post-emptying residual measures, which measure the amount of urine that remains in the bladder after urinating.
  • X-ray or ultrasound. These are used to examine changes in the position of the bladder and urethra during urination, cough, or straining.

If the cause of the incontinence is not identified by the above tests, more thorough examinations may be required.