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Urinary incontinence is the involuntary loss of urine. It can be caused by a range of factors, including weakening of the pelvic floor muscles after childbirth, after menopause, or after prostatic surgery in men. It can be associated with paraplegia, spina bifida or dementia. Living with the difficulties of incontinence is not an inevitable part of aging: it can be managed and is often treatable.
Yes there are five types of urinary incontinence. These are:
This is the involuntary loss of urine that occurs through exertion, for example when sneezing, coughing, laughing, jumping or lifting a heavy weight. It occurs mainly in women, especially those who have had vaginal childbirth, and most commonly in men after prostate surgery. (Cuidiu, the Irish Childbirth Trust has information on postchildbirth incontinence, see the contacts at the bottom of this page).
This term describes the kind of incontinence characterised by the strong desire to pass urine, even when the bladder is not full. It may be triggered by such things as the sound of running water, having a drink, even arriving home and putting the key in the door!
Overflow incontinence occurs when there is a restriction to the bladder that means the bladder is not fully emptied. In males, this is commonly due to an enlarged prostate gland causing an obstruction that blocks the flow of urine. This can lead to trickling of urine even after going to the toilet.
Reflex incontinence is the involuntary emptying of the bladder which is the result of damage to the nerves which control bladder function. This is often associated with, spinal injury, aging or neurological disease.
This occurs when a person's ability to reach or use a toilet is impeded by physical or environmental circumstances such as poor mobility, poor dexterity, loss of memory, or even poor building design.
In a class of 30 Australian children:
A helpful book to read for both parents and children is How you can be boss of the bladder by Dr Janet Hall: details listed at the end of the page.
Faecal incontinence is the involuntary loss of faeces, also known as bowel leakage. It can be caused by a range of factors such as damage ot the anal sphincter after giving birth, through rectal prolapse, through irritable bowel syndrome or infection, due to spinal injury, multiple sclerosis or stroke.
Living with urinary or faecal incontinence is difficult: it leads to embarrassment, constant worry, and be socially restrictive. Ecoware's Eenee Designs incontinence products offer both comfort and peace of mind. We sell:
The Glenallen School in Victoria, Australia, caters for students with physical disabilities and/or severe health impairments such as cerebral palsy, muscular dystophy and spina bifida. The school's Principal, Lee Barnaby says:
"many students in Glenallen are incontinent and, in the past, this has created problems. . . A student who soils regularly may be unable to participate in regular swimming programs. . . This problem was addressed by using Eenee Swimmers for a trial priod. We were so impressed with the results that we have since made them a compulsory item for incontinent swimmers. They are inexpensive, comfortable, smart and most importantly imperative to the smooth delivery of our swimming program" (2004).
There are many health professionals who are able to assist with incontinence problems. The first place to start may be your family doctor, who can refer you to a specialist. Alternatively, you may wish to seek help or obtain information directly from the following sources:
Website: www.continence-foundation.org.uk
Helpline email: continence-help@dial.pipex.com
or write to: The Helpline Nurse
The Continence Foundation
307 Hatton Square
16 Baldwin Gardens
London EC1N 7RJ, UK
PO Box 6235, Dublin 17
- Reference Books
Hall, Janet, 1997, How you can be Boss of the Bladder, Roda Graphics Australia, Eltham, Victoia, Australia, ISBN No. (0-7316-7673-4)