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  • SYMPTOMS
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    • Waking up at night frequently to urinate
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RAVENNA UROLOGY CLINIC
CALL US AT +65 64797822

Urinary Incontinence

Urinary incontinence refers to the accidental leakage of urine.

It affects more women than men.

For urinary control, muscles and nerves must work together to hold urine in the bladder and then release it at the right time.

Nerves carry signals from the brain to the bladder and sphincter. Any disease, condition, or injury that damages nerves can lead to urination problems

There are several different types of urinary incontinence:

Stress Incontinence

Stress incontinence may happen when there is an increase in abdominal pressure -- such as when you exercise, laugh, sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues.
Causes of stress incontinence include pregnancy and childbirth, which cause stretching and weakening of the pelvic floor muscles. Other factors may also increase the risk for stress incontinence, such as being overweight or obese, having had prostate surgery, and taking certain medications.

Urge Incontinence

Urge incontinence is often referred to as overactive bladder: You have an urgent need to go to the bathroom and may not get there in time, leaking urine.

Conditions such as multiple sclerosis, Parkinson's disease, diabetes, and stroke can affect nerves, leading to urge incontinence. Other conditions such as bladder infections, bladder stones, and use of certain medications can also contribute to symptoms.

Some patients have both of these types of urinary incontinence -- stress and urge. This is known as mixed incontinence.

Overflow Incontinence

You may have overflow incontinence if you are not able to empty your bladder appropriately. As a result, you may have leakage once the bladder is already full. This is more common in men with symptoms of frequent dribbling of urine. Causes of overflow incontinence include weak bladder muscles, blockage of the urethra, such as by prostate enlargement, medical conditions, such as tumors, that cause obstruction of urine flow and constipation.

Functional Incontinence

In elderly patients with dementia, poor eye sight or immobility, the patients may be aware of the need for urination, but is unable to do so because of various physical impairment.

  • Severe pain in the side and back, may spread to lower abdomen.
  • Pain on urination
  • Blood in the urine
  • Cloudy or foul-smelling urine
  • Urgency and frequency to urinate
  • Fever and chills

Causes of urinary incontinence

Causes of temporary urinary incontinence

  • Alcohol
  • Overhydration
  • Caffeine
  • Bladder irritation
  • Medications
  • Urinary tract infection
  • Constipation

Causes of persistent urinary incontinence

  • Pregnancy and childbirth
  • Changes with aging
  • Hysterectomy
  • Painful bladder syndrome (interstitial cystitis)
  • Prostatitis
  • Enlarged prostate
  • Prostate cancer
  • Bladder cancer or bladder stones
  • Neurological disorders

Treatment

Treatment for urinary incontinence depends on the type of incontinence, the severity and the underlying cause.

Behavioural techniques

Behavioural techniques and lifestyle changes work well for certain types of urinary incontinence. They may be the only treatment you need. Bladder training helps by learning to delay urination after you get the urge to go. It also involves double voiding - urinating, then waiting a few minutes and trying again.

Timed urination - going to the toilet according to the clock rather than waiting for the need to go also helps.

Fluid and diet management

In some cases, you can simply modify your daily habits to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity are other lifestyle changes that can eliminate the problem.

Physical therapy

Pelvic floor muscle exercises can help to strengthen your urinary sphincter and pelvic floor muscles - the muscles that help control urination.

Medications

Often, medications are used in conjunction with behavioral techniques. They can help to calm an overactive bladder, so they may be helpful for urge incontinence. Applying topical estrogen in the form of a vaginal cream may help tone and rejuvenate tissues in the urethra and vaginal areas.

Interventional therapies

This may include bulking material injections, Botulinum toxin type A (Botox) injection, and nerve stimulators. Botox injections are usually offered after conventional treatments have failed. Injections of onabotulinum toxinA (Botox) into the bladder muscle may benefit people who have an overactive bladder. However, repeat injections are needed every six to nine months. Sacral nerve stimulators resemble a pacemaker and are implanted under the skin in your buttock. Another device, the tibial nerve stimulator uses an electrode placed underneath the skin to deliver electrical pulses to the tibial nerve in the ankle. These pulses then travel along the tibial nerve to the sacral nerve, where they help control overactive bladder symptoms.

Surgery

Some of the commonly used procedures include sling procedures, bladder neck suspension and artificial urinary sphincter insertion. These procedures are offered when interventional therapies have failed.

Clean intermittent self catheterization or CISC. If you're incontinent because your bladder doesn't empty properly, you may have to learn to insert a soft tube (catheter) into your urethra several times a day to drain your bladder. This should give you more control of your leakage, especially if you have overflow incontinence. You'll be instructed on how to clean these catheters for safe reuse.

Send us an enquiry

Contact Information

Ravenna Urology Clinic
6 Napier Road #07-12, Gleneagles Medical Centre,
Singapore 258499

T +65 64797822
F +65 64793989
24-hour Service: +65 65358833

Opening Hours

Mon-Fri    9 am - 5 pm
Sat           9 am - 12:30 pm
Closed on Sun and Public holidays

Website maintained by PAA.
All rights reserved 2014 ~ 2025.

RAVENNA UROLOGY CLINIC
6 Napier Road #07-12, Gleneagles Medical Centre, Singapore 258499
CALL US AT   +65 64797822
 

Urinary Incontinence

 
 

Urinary incontinence refers to the accidental leakage of urine.

It affects more women than men.

For urinary control, muscles and nerves must work together to hold urine in the bladder and then release it at the right time.

Nerves carry signals from the brain to the bladder and sphincter. Any disease, condition, or injury that damages nerves can lead to urination problems

 
 
 
 

There are several different types of urinary incontinence:

 
 

Stress Incontinence

 
 

Stress incontinence may happen when there is an increase in abdominal pressure -- such as when you exercise, laugh, sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues.
Causes of stress incontinence include pregnancy and childbirth, which cause stretching and weakening of the pelvic floor muscles. Other factors may also increase the risk for stress incontinence, such as being overweight or obese, having had prostate surgery, and taking certain medications.

 
 

Urge Incontinence

 
 

Urge incontinence is often referred to as overactive bladder: You have an urgent need to go to the bathroom and may not get there in time, leaking urine.

Conditions such as multiple sclerosis, Parkinson's disease, diabetes, and stroke can affect nerves, leading to urge incontinence. Other conditions such as bladder infections, bladder stones, and use of certain medications can also contribute to symptoms.

Some patients have both of these types of urinary incontinence -- stress and urge. This is known as mixed incontinence.

 
 

Overflow Incontinence

 
 

You may have overflow incontinence if you are not able to empty your bladder appropriately. As a result, you may have leakage once the bladder is already full. This is more common in men with symptoms of frequent dribbling of urine. Causes of overflow incontinence include weak bladder muscles, blockage of the urethra, such as by prostate enlargement, medical conditions, such as tumors, that cause obstruction of urine flow and constipation.

 
 

Functional Incontinence

 
 

In elderly patients with dementia, poor eye sight or immobility, the patients may be aware of the need for urination, but is unable to do so because of various physical impairment.

 
 
  • Severe pain in the side and back, may spread to lower abdomen.
  • Pain on urination
  • Blood in the urine
  • Cloudy or foul-smelling urine
  • Urgency and frequency to urinate
  • Fever and chills
 
 

Causes of urinary incontinence

 
 

Causes of temporary urinary incontinence

 
 
  • Alcohol
  • Overhydration
  • Caffeine
  • Bladder irritation
  • Medications
  • Urinary tract infection
  • Constipation
 
 

Causes of persistent urinary incontinence

 
 
  • Pregnancy and childbirth
  • Changes with aging
  • Hysterectomy
  • Painful bladder syndrome (interstitial cystitis)
  • Prostatitis
  • Enlarged prostate
  • Prostate cancer
  • Bladder cancer or bladder stones
  • Neurological disorders
 
 

Treatment

 
 

Treatment for urinary incontinence depends on the type of incontinence, the severity and the underlying cause.

 
 

Behavioural techniques

 
 

Behavioural techniques and lifestyle changes work well for certain types of urinary incontinence. They may be the only treatment you need. Bladder training helps by learning to delay urination after you get the urge to go. It also involves double voiding - urinating, then waiting a few minutes and trying again.

Timed urination - going to the toilet according to the clock rather than waiting for the need to go also helps.

 
 
 
 

Fluid and diet management

 
 

In some cases, you can simply modify your daily habits to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity are other lifestyle changes that can eliminate the problem.

 
 

Physical therapy

 
 

Pelvic floor muscle exercises can help to strengthen your urinary sphincter and pelvic floor muscles - the muscles that help control urination.

 
 

Medications

 
 

Often, medications are used in conjunction with behavioral techniques. They can help to calm an overactive bladder, so they may be helpful for urge incontinence. Applying topical estrogen in the form of a vaginal cream may help tone and rejuvenate tissues in the urethra and vaginal areas.

 
 

Interventional therapies

 
 

This may include bulking material injections, Botulinum toxin type A (Botox) injection, and nerve stimulators. Botox injections are usually offered after conventional treatments have failed. Injections of onabotulinum toxinA (Botox) into the bladder muscle may benefit people who have an overactive bladder. However, repeat injections are needed every six to nine months. Sacral nerve stimulators resemble a pacemaker and are implanted under the skin in your buttock. Another device, the tibial nerve stimulator uses an electrode placed underneath the skin to deliver electrical pulses to the tibial nerve in the ankle. These pulses then travel along the tibial nerve to the sacral nerve, where they help control overactive bladder symptoms.

 
 

Surgery

 
 

Some of the commonly used procedures include sling procedures, bladder neck suspension and artificial urinary sphincter insertion. These procedures are offered when interventional therapies have failed.

Clean intermittent self catheterization or CISC. If you're incontinent because your bladder doesn't empty properly, you may have to learn to insert a soft tube (catheter) into your urethra several times a day to drain your bladder. This should give you more control of your leakage, especially if you have overflow incontinence. You'll be instructed on how to clean these catheters for safe reuse.

 
 

Send us an enquiry

 
 
 

Contact Information

Opening Hours

 

Ravenna Urology Clinic
6 Napier Road #07-12, Gleneagles Medical Centre,
Singapore 258499

T +65 64797822
F +65 64793989
24-hour Service: +65 65358833

Mon-Fri    9 am - 5 pm
Sat           9 am - 12:30 pm
Closed on Sun and Public holidays

 

Website maintained by PAA.
All rights reserved 2014 ~ 2025.

RAVENNA UROLOGY CLINIC
Tel
+65 6479 7822

24Hr
+65 6535 8833
 
 
address
6 Napier Road #07-12,
Gleneagles Medical Centre,
Singapore 258499
opening hours
Mon-Fri   9 am - 5 pm
Sat   9 am - 12:30 pm
Sun, Public holidays   Closed
RAVENNA UROLOGY CLINIC
Tel
+65 6479 7822

24Hr
+65 6535 8833
 
 
address
6 Napier Road #07-12,
Gleneagles Medical Centre,
Singapore 258499
opening hours
Mon-Fri   9 am - 5 pm
Sat   9 am - 12:30 pm
Sun, Public holidays   Closed

Urinary Incontinence

Urinary incontinence refers to the accidental leakage of urine.

It affects more women than men.

For urinary control, muscles and nerves must work together to hold urine in the bladder and then release it at the right time.

Nerves carry signals from the brain to the bladder and sphincter. Any disease, condition, or injury that damages nerves can lead to urination problems

There are several different types of urinary incontinence:

Stress Incontinence

Stress incontinence may happen when there is an increase in abdominal pressure -- such as when you exercise, laugh, sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues.
Causes of stress incontinence include pregnancy and childbirth, which cause stretching and weakening of the pelvic floor muscles. Other factors may also increase the risk for stress incontinence, such as being overweight or obese, having had prostate surgery, and taking certain medications.

Urge Incontinence

Urge incontinence is often referred to as overactive bladder: You have an urgent need to go to the bathroom and may not get there in time, leaking urine.

Conditions such as multiple sclerosis, Parkinson's disease, diabetes, and stroke can affect nerves, leading to urge incontinence. Other conditions such as bladder infections, bladder stones, and use of certain medications can also contribute to symptoms.

Some patients have both of these types of urinary incontinence -- stress and urge. This is known as mixed incontinence.

Overflow Incontinence

You may have overflow incontinence if you are not able to empty your bladder appropriately. As a result, you may have leakage once the bladder is already full. This is more common in men with symptoms of frequent dribbling of urine. Causes of overflow incontinence include weak bladder muscles, blockage of the urethra, such as by prostate enlargement, medical conditions, such as tumors, that cause obstruction of urine flow and constipation.

Functional Incontinence

In elderly patients with dementia, poor eye sight or immobility, the patients may be aware of the need for urination, but is unable to do so because of various physical impairment.

  • Severe pain in the side and back, may spread to lower abdomen.
  • Pain on urination
  • Blood in the urine
  • Cloudy or foul-smelling urine
  • Urgency and frequency to urinate
  • Fever and chills

Causes of urinary incontinence

Causes of temporary urinary incontinence

  • Alcohol
  • Overhydration
  • Caffeine
  • Bladder irritation
  • Medications
  • Urinary tract infection
  • Constipation

Causes of persistent urinary incontinence

  • Pregnancy and childbirth
  • Changes with aging
  • Hysterectomy
  • Painful bladder syndrome (interstitial cystitis)
  • Prostatitis
  • Enlarged prostate
  • Prostate cancer
  • Bladder cancer or bladder stones
  • Neurological disorders

Treatment

Treatment for urinary incontinence depends on the type of incontinence, the severity and the underlying cause.

Behavioural techniques

Behavioural techniques and lifestyle changes work well for certain types of urinary incontinence. They may be the only treatment you need. Bladder training helps by learning to delay urination after you get the urge to go. It also involves double voiding - urinating, then waiting a few minutes and trying again.

Timed urination - going to the toilet according to the clock rather than waiting for the need to go also helps.

Fluid and diet management

In some cases, you can simply modify your daily habits to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity are other lifestyle changes that can eliminate the problem.

Physical therapy

Pelvic floor muscle exercises can help to strengthen your urinary sphincter and pelvic floor muscles - the muscles that help control urination.

Medications

Often, medications are used in conjunction with behavioral techniques. They can help to calm an overactive bladder, so they may be helpful for urge incontinence. Applying topical estrogen in the form of a vaginal cream may help tone and rejuvenate tissues in the urethra and vaginal areas.

Interventional therapies

This may include bulking material injections, Botulinum toxin type A (Botox) injection, and nerve stimulators. Botox injections are usually offered after conventional treatments have failed. Injections of onabotulinum toxinA (Botox) into the bladder muscle may benefit people who have an overactive bladder. However, repeat injections are needed every six to nine months. Sacral nerve stimulators resemble a pacemaker and are implanted under the skin in your buttock. Another device, the tibial nerve stimulator uses an electrode placed underneath the skin to deliver electrical pulses to the tibial nerve in the ankle. These pulses then travel along the tibial nerve to the sacral nerve, where they help control overactive bladder symptoms.

Surgery

Some of the commonly used procedures include sling procedures, bladder neck suspension and artificial urinary sphincter insertion. These procedures are offered when interventional therapies have failed.

Clean intermittent self catheterization or CISC. If you're incontinent because your bladder doesn't empty properly, you may have to learn to insert a soft tube (catheter) into your urethra several times a day to drain your bladder. This should give you more control of your leakage, especially if you have overflow incontinence. You'll be instructed on how to clean these catheters for safe reuse.


Send us an enquiry

Contact Information

Ravenna Urology Clinic
6 Napier Road #07-12, Gleneagles Medical Centre,
Singapore 258499

T +65 64797822
F +65 64793989
24-hour Service: +65 65358833

Opening Hours

Mon-Fri    9 am - 5 pm
Sat           9 am - 12:30 pm
Closed on Sun and Public holidays

Map Location

 

Website maintained by PAA.
All rights reserved 2014 ~ 2025.