Stress incontinence is the unintentional or uncontrollable leakage of urine. It is a serious and embarrassing disorder, which can lead to social isolation. Stress incontinence typically occurs when certain kinds of physical movement puts pressure on your bladder. Laughing, sneezing, coughing, jumping, vigorous exercise, and heavy lifting can all cause stress incontinence. Any pressure placed on the abdomen and bladder can lead to the loss of urine. It’s important to remember that the term “stress” is used in a strictly physical sense when describing stress incontinence. Emotional stress is not a factor in this type of urinary disorder. The “stress” refers to excessive pressure on the bladder. Both men and women can have episodes of stress incontinence.
Stress incontinence is unique for every individual. You may not show symptoms every time you participate in an activity. Also, the same activities that cause leakage for you may not affect another person that has stress incontinence. The pneumococcal polysaccharide vaccine (PPV) has been available since 1977 and is used mainly for adults over 65 and those with certain chronic illnesses such as diabetes or pulmonary disease. Only one dose is needed unless it is given prior to age 65. When a second dose is needed, it should be given at least 5 years after the first dose. The PPV is not effective in children less than 2 years old. The pneumococcal conjugate vaccine (PCV) has been available since 2000 and is recommended for all children between ages 2-23 months and for certain children up to age 5. Treatment for stress incontinence varies according to the underlying cause of your problem. Behavioral Therapy Behavioral therapy means changing the way you live to reduce the episodes of stress incontinence. If you are obese, your doctor may advise you to lose weight.
The current makes the muscles contract, mimicking a Kegel exercise. You may be able to contract the muscles yourself after feeling exactly which muscles are contracting. Medication There are several medications that are very effective in treating patients with stress incontinence. The NIH states that imipramine, an antidepressant drug, can be effective as a treatment method. (NIH) Anticholinergic medications calm the bladder contractions that can also cause stress incontinence. Surgery If you have a severe case of stress incontinence, to the point that it interferes with your everyday life, your doctor may recommend surgery. Several types of procedures are available and include vaginal repairs and other procedures to lift the bladder and urethra.