![]() ![]() Generally, the larger the baby, the longer the labor, the older the mother, and the greater the number of births, the more likely that incontinence will result.Īge is likewise a factor in stress incontinence. Many experts believe that women who have delivered vaginally are most likely to develop stress incontinence because giving birth has stretched and possibly damaged the pelvic floor muscles and nerves. In intrinsic sphincter deficiency, problems in the urinary sphincter interfere with full closure or allow the sphincter to pop open under pressure. In urethral hypermobility, the bladder and urethra shift downward when abdominal pressure rises, and there is no hammock-like support for the urethra to be compressed against to keep it closed. ![]() Stress incontinence is divided into two subtypes. Stress incontinence occurs when the urethral sphincter, the pelvic floor muscles, or both these structures have been weakened or damaged and cannot dependably hold in urine. The leakage occurs even though the bladder muscles are not contracting and you don't feel the urge to urinate. In more severe cases, the pressure of a full bladder overcomes the body's ability to hold in urine. Often only a small amount of urine leaks out. Although it can be emotionally distressing, the condition has nothing to do with emotion. The word "stress" actually refers to the physical strain associated with leakage. Any physical exertion that increases abdominal pressure also puts pressure on the bladder. If urine leaks out when you jump, cough, or laugh, you may have stress incontinence. Incontinence is categorized by the type of problem and, to a lesser extent, by differences in symptoms. ![]() Many things can go wrong with the complex system that allows us to control urination. ![]()
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