Bladder weakness is a disease that you like to conceal, for reasons of modesty. In Germany alone, but unfortunately more than 5 million people in one of the various species. We present the best known.
What is incontinence?
In the bladder, an expandable hollow body in the pelvis, the urine is stored depending on body size up to 1500 ml of an amount of from 250-550 ml for women and a lot of 350-750 ml in men occurs on the urgency and going to the toilet is essential. This need to urinate two sphincters relax: the internal sphincter at the junction of the urethra and formed from parts of the pelvic floor muscle external sphincter. If the function of bladder emptying, however disturbed, it comes to bladder weakness or incontinence. According to the definition of the Society is already available in a drop incontinence accidentally leaked urine.
Who is affected?
The bladder weakness is not a typical disease of old age, as one might think, because it can affect anyone. According to German Continence Society, one in five hundred women under 65 years affected. In particular, the pelvic floor is young mothers during pregnancy and childbirth very weakened, making them particularly susceptible to bladder weakness. In Germany alone, over 5 million known cases of incontinence, the real figure is probably even higher. Can cause inflammation of the bladder, through hormonal changes, changes in the prostate and be one of the diminishing with age, bladder capacity. A visit to the doctor should be occurring at the evidence first step to identify the causes and take effective countermeasures. Self-help groups can provide important information and help themselves.
Which species can occur?
General is disturbed between the sensory urge incontinence, in which the perception of bladder filling is why the urgency on time and using the different motor urge incontinence, where the nerve impulses are disinhibited, leading to premature emptying of the bladder. The best known manifestations of the disease are:
Stress urinary incontinence (stress incontinence)
Stress incontinence is the most common form of bladder weakness and occurs during physical exertion such as carrying heavy, laugh or sneeze and cough. When coughing, laughing, sneezing, carrying heavy objects or sports, the pressure in the abdominal compartment and leads to the involuntary urination due to increased abdominal pressure, without the bladder muscles to contract adequately. It can occur in all age groups, with an increase in complaints in women, usually after the end of menstruation. This is due to the decreasing amount of estrogen in the blood, this uses the fabric thinner, and the contractility of the urethra is falling. In men, stress incontinence is uncommon, but occurs frequently after prostate surgery. Another reason for this type of urinary incontinence is the decreased ability of the urethra closed. A weakened pelvic floor or damage to the connective tissue can be, especially after a pregnancy be the cause of the Harnaustritt. The type of incontinence occurs in three degrees of severity. First Grade: When coughing or sneezing. Second Degree: In an abrupt body movements such as heavy lifting, and the 3rd Degree: Even at unanstrengenden movements such as lying.
To overflow incontinence occurs when an involuntary Harnaustritt made due to a too large amount of urine in the bladder, which is a urinary obstruction or a malfunction of the bladder muscles due. It is the constant dribbling. Of these, primarily affects older men with enlarged prostate gland, in women the disease is rather unusual. Often it may be caused by an overflow bladder to renal insufficiency (loss of function of the kidney) or even a uremia, which is why medical treatment is necessary in this case.
Urge incontinence is characterized by a sudden involuntary Harnaustritt combined with a strong urge to drain. Often, while the entire contents of the bladder is emptied at once. This symptom often occurs when there is an infection of the urethra or a tumor located in the area or in the bladder sphincter.
Other forms of
In addition to these characteristics, there are other types of incontinence such as bed wetting, and a night, involuntary loss of urine in both children, as can occur in older adults. Incontinence can also occur temporarily due to mental disorders such as depression or psychosis, or as a side effect of drugs. Congenital or caused by accident damage can lead to incontinence. In older people is widespread due to the incontinence of their own inability to use the toilet in time. This may be due to limited physical mobility or mental deficiency of the case. This form can be counteracted with appropriate staff or a restructuring of the housing situation.