Stress Urinary Incontinence

Stress urinary Incontinence Jordin Lang West Coast University Urinary Incontinence is defined as leak word of water supply that is involuntary. Stress Urinary Incontinence is involuntary body of water leakage that is due to weakened pelvic blast muscles. It is most unremarkably found to be a great problem in women. Estimates regularize that upwards of 35% of women 65 and older experience some take a shit of urinary head trip. Stress incontinence is an involuntary loss of urine that happens because of somatogenic activity, like coughing, sneezing, laughing, or exercise.The strength of the pelvic home muscles is inadequate to can the urinary packet under pressure. The anatomy of the urinary system baffling in continence in women includes the vesica, urethra, pelvic floor muscles and sphincter. Urine is stored in the vesica which fills like a balloon to accommodate up to cardinal cups of urine. When a woman urinates the muscles surrounding the bladder contract to squeez e the urine out. Pelvic floor muscles support the uterus, bladder and rectum. There are too many nerves some of which send the signal to the brain that unrivaled needs to urinate.What occurs with line urinary incontinence is that the sphincter and pelvic floor muscles when weakened cannot support the closure of the urethra when increased pressure from the abdomen occurs. such(prenominal)(prenominal) as coughing, sneezing, laughing or exercising. (Medlineplus filter incontinence, 2011) Many women under the age of 65 develop issues with stress urinary incontinence following maternalism and childbirth. Vaginal deliveries and episiotomies often result in stress urinary incontinence that is temporary and frequently clears up o its own within half-dozen weeks following delivery.In addition to pregnancy and childbirth some women whitethorn experience stress urinary incontinence during menopause. Estrogen keeps the lining of the bladder and pelvic floor plump and healthy, when estroge n decreases during menopause, some women may develop mild urinary incontinence a result. Risk factors for developing stress urinary incontinence include, being female, childbirth, increasing age, chronic coughing such as occurs with chronic bronchitis and asthma, multiple childbirths, obesity and smoking. (Merkmanual Polyuria, 2011)Diagnosis of stress urinary incontinence is made after assessment of symptoms and in some women a pelvic exam will reveal the bladder or urethra change form into the vaginal space. Tests may possibly include cystoscopy (inspection of the interior of the bladder), a puff running play, pelvic or abdominal ultrasound and tests to measure post-void rest period (amount of urine left after urination). Urinalysis is usually performed as good in order to conclusively rule out urinary tract infection. Health care providers may also perform a q-tip test to measure the angling of the urinary tract when resting and under pressure.An angle of greater than 30 degr ees suggests significant pelvic floor weakening. There are trio major modes of treatment for stress urinary incontinence. The first is pelvic floor muscle training and behavioral changes such as smoking cessation, losing incubus and abstaining from alcohol and excess caffeine. Medications such as anticholinergic drugs, antimuscarinic drugs that block bladder contractions, alpha adrenergic agonist drugs also have been known to facilitate in the tautness of the urinary sphincter muscles. Surgery is often lone(prenominal) indicated after all other treatments have failed.Anterior vaginal hangout and retropubic repair are most common surgeries to treat severe stress urinary incontinence. (Medlineplus stress incontinence, 2011) Stress Urinary incontinence is surely a troublesome and perhaps embarrassing ailment. An ailment that can most definitely can interfere with a patients quality of life. With priggish medical treatment, prognosis is generally good. References Medlineplus stre ss incontinence. (2011). Retrieved from http//www. nlm. nih. gov/medlineplus/ency/article/000891. htm Merkmanual Polyuria. (2011). Retrieved from