Urinary incontinence is a medical condition that happens to both men and women and is commonly attributed to aging.
Urinary incontinence happens at any age and requires proper medical attention. Prof Dr.Al-Samarrai medical center promises the best urinary incontinence treatment in Dubai.
What is urinary incontinence?
Urinary incontinence is a medical condition defining when you leak urine unwillingly, whether a few drops of urine or the full amount your bladder contains.
Here, we’ll know all the causes leading to it, their treatment, and how to get the urinary incontinence treatment in Dubai .
Botox for urinary incontinence
Botox (botulinum toxin A) is used for the treatment of urge incontinence or what’s known as an overactive bladder as it relaxes the bladder muscles.
It’s injected into the overactive muscle carefully. The injection effect lasts for several months and can be repeated.
Prof Dr. Al-Samarrai medical center provides this service among many others for urinary incontinence treatment in Dubai .
Urinary incontinence treatment in Dubai
Urinary incontinence needs an expert mind to treat and a skilled physician.
At Prof Dr. Al-Samarrai medical center you will get the best urinary incontinence treatment in Dubai .
Professor Semir Al-Samaarrai has 30 years of German experience
Male incontinence treatment
The treatment depends on the underlying cause whether with medication or surgery if needed. And an important step with therapy is behavioral changes.
Behavioral changes
These changes help manage the leaks and perform life as normally as possible. they include:
- weight reduction.
- low salt diet.
- reduce caffeine intake.
- drinking proper amounts of water.
- scheduling urination times to train your bladder.
- exercises to strengthen the pelvic floor and bladder muscles.
Medication
Many cases require more than just behavioral and lifestyle changes. This need is determined by the physician. Examples include:
- muscle tone enhancers e.g. duloxetine.
- anticholinergic drugs e.g. oxybutynin used in treating overactive bladders.
- mirabegron for relaxing the overactive bladder.
- certain types of diuretics can be used to control nocturnal incontinence.
Surgical interventions
Surgical intervention is sought when other approaches fail. it includes:
- sling surgery where a sling is put at the lower end of the urethra helping it control urination better.
- artificial urinary sphincter placed on the end of the bladder to control urine flow to the urethra.
- catheterization in treating overflow incontinence and chronic urinary retention.
- treating underlying prostatic diseases like prostate transurethral vaporization, open prostatectomy with laparoscopy, laser prostatectomy, transurethral needle ablation.
For the urinary incontinence treatment in Dubai , we advise you to quickly contact us to schedule an appointment with the professor at the earliest opportunity. You will enjoy a smooth diagnosis process and a personalized treatment journey.
Female incontinence treatment
The treatment for female incontinence doesn’t differ much from male incontinence solutions. As follows:
Behavioral changes
In addition to the mentioned behavioral changes there are:
- usage of absorbent pads.
- Vaginal muscles training using cones also strengthens the pelvic floor muscles.
- pelvic exercises after giving birth.
- vitamins and minerals intake regularly during the postmenopausal period.
Surgical interventions
Those are some of the surgical procedures done particularly for females:
- urethral bulking agents that keep the urethra closed more often.
- sling surgery.
- uterus prolapse repair or hysterectomy.
Urinary incontinence treatment for the elderly
Treating can be done via three approaches: behavioral changes, medications, and surgery as follows:
Behavioral changes
- setting a schedule for urination: this helps in setting fixed times to urinate and controlling the intervals in between.
- increasing the bladder’s ability to hold in urine by progressively increasing the time between each urination.
- exercises to strengthen the pelvic floor muscles like kegel exercise.
- following a balanced diet with little salt, spices, and stimulants like caffeine.
- drinking a sufficient amount of water; between 2- 3 L every day.
- quitting smoking.
- limiting alcohol intake.
- avoid constipation.
Medications
Drugs are used either to treat the underlying medical condition or to improve the contractility of the bladder, urethral, and pelvic floor muscles. they include:
- Anticholinergic drugs.
- alpha-blockers to reduce prostate enlargement.
- vitamin B complex which are important for the health of the nervous system.
- diabetes controlling medications as diabetes causes polyuria which may aggravate the incontinence.
Surgery
surgical intervention is not favored in the elderly due to the possible complications. however, there are modern less invasive surgical approaches like:
- prostate transurethral vaporization.
- open prostatectomy with laparoscopy.
- laser prostatectomy.
- transurethral needle ablation.
Urinary incontinence treatment for child
Urinary incontinence isn’t a medical problem for children under the age of three. it resolves on its own without intervention.
The time needed to control urination varies from one child to another. but when the child is of a proper age to control the voiding and can’t, this requires intervention such as:
Treating the cause
This step is very important in treatment. The underlying causes must be identified to manage the problem properly.
Behavioral changes
- scheduling frequent day voiding times.
- scheduling night voiding times with fixed intervals.
- encouraging the child through night voiding times by waking them up and taking them to the bathroom.
- gradually increasing the period between each voiding.
- fluid restriction some time before bed.
- restricting caffeine, soft drinks, and high sugar intake.
- don’t stress the child about his/ her condition.
Medications
medications are given when behavioral changes fail to manage the condition or when there is a known underlying disease. they include:
- imipramin.
- Hyoscyamine.
- anticholinergic like oxybutynin.
- desmopressin acetate.
They are taken under medical supervision only.
What are the 4 types of urinary incontinence?
According to The Agency for Health Care Policy and Research, urinary incontinence is presented in 4 types:
Stress incontinence
Urine leakage while jumping, lifting, sneezing, coughing, pregnancy, giving birth, or laughing is called stress incontinence.
Here, the word stress indicates the increased pressure on the bladder which weakens the pelvic floor muscles supporting the bladder.
This type of incontinence happens when the pelvic floor or/and the urethral sphincter muscles are weakened, which makes the bladder unable to hold in urine under pressure.
Urge incontinence
Also known as ‘overactive bladder’. it defines the sudden and frequent desire to urinate even when the bladder isn’t full and failing to control this desire.
Here, the bladder muscles are abnormally overactive. They signal the brain more frequently to induce urination or vice versa. This could happen because of infection, diabetes, or different neurological diseases.
Overflow incontinence
This type occurs when the bladder gets filled with urine but can’t evacuate it so it drips.
It happens either when the muscles controlling the urine outlet can’t relax as in cases of chronic urinary retention, or cases of obstructed urine outlet as in cases of enlarged prostate.
Mixed incontinence
In this type, the patient has both symptoms of stress and urge incontinence. It can happen in both females and males especially with aging.
How does urination normally happen?
Normally, the kidneys make urine constantly and store it in the bladder till it’s full and signals the need to urinate. you can hold the urine in your bladder till you can urinate. thus the urination process depends on:
- the bladder that relaxes to hold the urine in and contracts to evacuate it when full.
the pelvic floor muscles that support the bladder’s position in its place.
the sphincter muscles at the bladder’s end and the urethra’s end that contract to hold the urine in and relax to let it out.
the brain that receives signals that the bladder is full and gives back signals for it to evacuate itself.
the nerves through which these impulses are conducted.
Diseases or risk factors affecting any of these structures cause urinary incontinence.
What causes urinary incontinence?
Causes of stress incontinence
Diseases or conditions that increase the pressure on the bladder, weaken the pelvic floor and the bladder muscles leading to stress incontinence. some of them are:
- pregnancy.
vaginal birth.
obesity, especially abdominal obesity.
neurological diseases like parkinsonism.
surgery-induced damage to the pelvic floor muscles as in hysterectomy or prostate removal.
pelvic fracture.
asities.
aging.
Causes of urge incontinence
In urge incontinence the bladder is overactive; it contracts more often than normal giving the urge to urinate immediately. diseases and conditions leading to this include:
- Urinary tract infections irritate the bladder muscles leading to their overactivity.
dehydration concentrates urine that irritates the bladder muscles.
drinking stimulants like caffeine.
neurological diseases like multiple sclerosis.
Causes of overflow incontinence
In overflow incontinence, there’s an obstruction preventing the bladder from evacuating the accumulating urine, so it drips. some of the diseases and conditions causing this include:
- bladder stones.
- tumors in the urinary tract.
- prostate enlargement.
- uterus prolapse; falling out of its right position.
- bladder prolapse.
It can also happen due to weakened bladder muscles that can’t contract properly to evacuate the urine. As in:
- damaged nerve supply to the bladder muscles.
- diabetes.
- aging.
Medications causing urinary incontinence
There are some medications that either affect the muscles’ work, the brain signals, or the urine amount. they include:
- diuretics.
- hypnotics.
- some antidepressants.
NSAIDs (nonsteroidal anti-inflammatory drugs).
other general risk factors
Many risk factors increase the possibility of developing urinary incontinence such as:
- smoking.
- drinking.
- anxiety.
- lacking physical exercise.
- an unbalanced diet rich in spices and salt.
What causes incontinence in men?
Beside the previously mentioned causes, incontinence happens to men mostly due to diseases or conditions affecting the prostate. such as:
- inflammation of the prostate.
- Prostatic removal leads to stress incontinence.
- prostatic hyperplasia leads to overflow incontinence.
- prostatic tumors lead to overflow incontinence.
What causes incontinence in women?
Beside the previously mentioned causes, here are some causes particular to women:
Vaginal delivery
Vaginal birth stretches the pelvic floor muscles and thus weakens them and their action of supporting the bladder.
The incidence of urinary inconsistency with vaginal birth depends on the baby’s weight, the age of the mother, the period of gestation, and a number of carried babies.
Uterus prolapse
Uterus prolapse is when the uterus falls from its right position. Thus affecting the urethral outlet and the urine outflow.
Postmenopausal period
In the postmenopausal period, hormonal changes affect the body’s general health. And cause weak pelvic floor and bladder muscles.
What causes incontinence in children?
Many reasons lead to a child’s injury to nocturnal urinary incontinence or vesicoureteral reflux disease, Like:
1- Organic causes:
- Such as:
overactive bladder. - congenital malformations in the nervous system.
- diseases of the urinary and reproductive system.
2- Lack of self-confidence:
Nocturnal urinary incontinence has other causes, such as a lack of self-confidence in these children because they feel inferior to other children because they do not control their bladder like others.
3- Infections
For vesicoureteral reflux disease, it is caused by bacterial urinary infections due to congenital anomalies.
4- Small bladder or lack of antidiuretic hormone
The main causes of involuntary urination during sleep affects those over the age of five, meaning bed-wetting during sleep at night.
5- Defect in the mechanism of closing the ureteral port
Lead to Vesicoureteral reflux in children, it is most prevalent by 60% due to bacterial urinary infections due to a congenital defect in which the child is born, which is a defect in the mechanism of closing the ureteral port in the bladder and the inability of this part in the ureter to be closed during the bladder fullness leading to the incidence of repeated progressive bacterial infections in the bladder.
Professor Al-Samarrai was interested in the treatment of urinary incontinence in Dubai for adults, both men and women, but he also cared, and published many researches, on the treatment of urinary incontinence in Dubai for children.
