Urge urinary incontinence, is caused by uninhibited contractions of the detrusor muscle, a condition known as overactive bladder syndrome. (wikipedia.org)
In men, the condition is commonly associated with benign prostatic hyperplasia (an enlarged prostate), which causes bladder outlet obstruction, a dysfunction of the detrusor muscle (muscle of the bladder), eventually causing overactive bladder syndrome, and the associated incontinence. (wikipedia.org)
When the bladder becomes full, the stretch receptors of the detrusor muscle send a signal to the pons, which in turn notifies the brain. (medscape.com)
The primary activity of this area is to send tonically inhibitory signals to the detrusor muscle to prevent the bladder from emptying (contracting) until a socially acceptable time and place to urinate is available. (medscape.com)
Neurologic dysfunction1
1] Neurogenic bladder is a term applied to urinary bladder malfunction due to neurologic dysfunction emanating from internal or external trauma, disease, or injury. (medscape.com)
Dysfunction2
Urologic causes can be classified as either bladder dysfunction or urethral sphincter incompetence and may include detrusor overactivity, poor bladder compliance, urethral hypermobility, or intrinsic sphincter deficiency. (wikipedia.org)
Bladder dysfunction is a common complication after chronic spinal cord injury (SCI). (mdpi.com)
Sphincters3
The pons is responsible for coordinating the activities of the urinary sphincters and the bladder. (medscape.com)
The pons is responsible for coordinating the activities of the urinary sphincters and the bladder so that they work in synergy. (medscape.com)
When urination is appropriate, the brain sends excitatory signals to the pons, allowing the urinary sphincters to open and the detrusor to empty. (medscape.com)
Urethra4
There are four main types of incontinence: Urge incontinence due to an overactive bladder Stress incontinence due to "a poorly functioning urethral sphincter muscle (intrinsic sphincter deficiency) or to hypermobility of the bladder neck or urethra" Overflow incontinence due to either poor bladder contraction or blockage of the urethra Mixed incontinence involving features of different other types Treatments include pelvic floor muscle training, bladder training, surgery, and electrical stimulation. (wikipedia.org)
Stress urinary incontinence in women is most commonly caused by loss of support of the urethra, which is usually a consequence of damage to pelvic support structures as a result of pregnancy, childbirth, obesity, age, among others. (wikipedia.org)
Normal voiding is essentially a spinal reflex modulated by the central nervous system (brain and spinal cord), which coordinates function of the bladder and urethra. (medscape.com)
The bladder and urethra are innervated by 3 sets of peripheral nerves arising from the autonomic nervous system (ANS) and somatic nervous system. (medscape.com)
Pons5
Within the brainstem is the pons, a specialized area that serves as a major relay center between the brain and the bladder (see the image below). (medscape.com)
The pons relays afferent information from the bladder to higher brain centers, which in turn communicate with the periaqueductal gray matter, a relay station that collects higher brain center intput and processes this in order to signal the PMC to trigger or suppress the voiding reflex. (medscape.com)
The pons is a major relay center between the brain and the bladder. (medscape.com)
The conscious sensations associated with bladder activity are transmitted to the pons from the cerebral cortex. (medscape.com)
Under normal situations, the brain sends an inhibitory signal to the pons via the periaqueductal gray matter to inhibit the bladder from contracting until a bathroom is found. (medscape.com)
Overactivity2
Symptoms of neurogenic bladder range from detrusor underactivity to overactivity, depending on the site of neurologic insult. (medscape.com)
The urinary sphincter also may be affected, resulting in sphincter underactivity or overactivity and loss of sphincter coordination with bladder function. (medscape.com)
Pelvic1
PURPOSE: To assess the feasibility and clinical outcomes of telehealth-delivered pelvic floor muscle training (PFMT) for urinary incontinence (UI) and/or faecal incontinence (FI) after gynaecological cancer surgery. (bvsalud.org)
Urge4
Behavioral therapy generally works better than medication for stress and urge incontinence. (wikipedia.org)
citation needed] Urge incontinence is the most common type of incontinence in men. (wikipedia.org)
People perceive this signal (bladder fullness) as a sudden desire to urinate, or urinary urge. (medscape.com)
Urination3
Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine. (wikipedia.org)
Similar to women, urine leakage happens following a very intense feeling of urination, not allowing enough time to reach the bathroom, a condition called overactive bladder syndrome. (wikipedia.org)
When urination is appropriate, the brain removes its suppression of the PMC via the periaqueductal gray matter, allowing the urinary sphincter to open and the detrusor to contract and empty the bladder. (medscape.com)
As a result of dependence upon higher brain centers, certain lesions or diseases of the brain (eg, stroke, cancer, dementia) can result in a loss of voluntary control of the normal micturition reflex as well as symptoms such as urinary urgency. (medscape.com)
Urine3
Stress incontinence is characterized by leaking of small amounts of urine with activities that increase abdominal pressure such as coughing, sneezing, laughing and lifting. (wikipedia.org)
An incompetent urethral sphincter cannot prevent the urine from leaking out of the urinary bladder during activities that increase the intraabdominal pressure, such as coughing, sneezing, or laughing. (wikipedia.org)
The normal function of the urinary bladder is to store and expel urine in a coordinated, controlled fashion. (medscape.com)
Severe2
Patients may experience renal function loss, urinary tract infection (UTI), urolithiasis, bladder cancer, and even life-threatening events such as severe sepsis or renal failure. (mdpi.com)
13) One study found 8% rate of severe incontinence after RP at 18months with worse results for older patients. (uroresident.com)
Experience3
About 33% of all women experience urinary incontinence after giving birth, and women who deliver vaginally are about twice as likely to have urinary incontinence as women who give birth via a Caesarean section. (wikipedia.org)
Emotions, experienced in higher brain centers, may exert downstream effects on the PMC, which is why some people can experience incontinence with excitment or fear. (medscape.com)
The PMC is affected by emotions, which is why some people may experience incontinence when they are excited or scared. (medscape.com)
Spinal1
The signal transmitted by the brain is routed through 2 intermediate segments (the brainstem and the sacral spinal cord) prior to reaching the bladder. (medscape.com)
Patients1
METHODS: In this pre-post cohort clinical trial, patients with incontinence after gynaecological cancer surgery underwent a 12-week physiotherapist-supervised telehealth-delivered PFMT program. (bvsalud.org)
Risk2
8) Advanced age (10), larger prostate size (11), shorter membranous urethral length (on MRI) (12) have been shown to have increased risk of incontinence. (uroresident.com)
The risk of incontinence was lower in nerve sparing cases (RR 0.75, 95% CI 0.65-0.85 and RR 0.61, 95% CI 0.44-0.84) at 3 and 12 months, respectively. (uroresident.com)
People2
People perceive this signal (bladder fullness) as a sudden desire to go to the bathroom. (medscape.com)
This study aimed to examine construct and criterion validity, as well as internal consistency, of the Chilean Version of the International Consultation on Incontinence Questionnaire Bowel Module (ICIQ-B) among people with colorectal cancer. (bvsalud.org)
Activities1
Additionally, frequent exercise in high-impact activities can cause athletic incontinence to develop. (wikipedia.org)
Cancer1
CONCLUSION: Telehealth-delivered PFMT may be feasible to treat incontinence after gynaecological cancer surgery. (bvsalud.org)
Older1
Urinary incontinence is more common in older women. (wikipedia.org)
Range1
Incontinent rates from surgeon reports range from 4-31% at 12 months in a systematic analysis in 2012 of RALP (26). (uroresident.com)
Term1
The term enuresis is often used to refer to urinary incontinence primarily in children, such as nocturnal enuresis (bed wetting). (wikipedia.org)
Common2
The causes leading to urinary incontinence are usually specific to each sex, however, some causes are common to both men and women. (wikipedia.org)
Stress urinary incontinence is the other common type of incontinence in men, and it most commonly happens after prostate surgery. (wikipedia.org)
Higher1
When compared to patient reported incontinence rates, they are at the higher end of the systematic analysis results. (uroresident.com)