Urine Leak Treatment

What is a urine leak?

Urine leak is a continence dysfunction where a person loses control of his or her bladder. This is most often referred to as urinary incontinence. Urine leak is a urinary disorder that is more common in women but may also occur in men. It is more prevalent in elderly patients but may also occur at any age.

Frequently Asked Questions

Why is there an involuntary loss of urine control?

Many factors contribute to involuntary loss of urine control including the following:

Urinary Tract Infection (UTI)

Urinary Tract Infection or UTI is one of the leading causes of urine leak or urinary incontinence. This is a bacterial infection within the urinary tract including the kidneys, ureters, bladder, and urethra. UTI happens when bacteria gets into the urethral opening or sphincter, then goes up into the bladder. This, in turn, causes the bladder to swell and get irritated.

When this happens, patients will feel an urgent or frequent need to urinate, or a burning sensation while urinating. In some cases, there may also be some blood in the urine. And patients suffering from UTI are prone to urine leaks.

Constipation

Constipation can affect your pelvic floor muscles which support bowel and bladder control. When you are suffering from constipation, your pelvic muscles are weakened which in turn loses the ability to control your bladder and bowel. Thus, resulting in urine leaks and faecal leaks.

When you are experiencing constipation, your bowels become over-full which, in turn, puts pressure on your bladder reducing the amount of urine it can hold. When this happens, you either get a sudden urge to urinate or unavoidable leakage will happen.

Weakened Pelvic Floor

Most women experience weakening of pelvic structures during pregnancy, childbirth, menopause, or hysterectomy. The pelvic floor muscles give you the capacity to regulate and manage the discharge of urine, faeces and flatus. It also has the ability to delay the emptying of the bladder or bowel until it is convenient to do so.

When the pelvic floor is weakened, it loses control over the bladder and bowel. Thus, resulting in unwarranted urine and faecal leakages respectively.

Obstruction

This happens when there is a blockade along your urinary tract that obstructs the normal flow of urine. Having a tumour anywhere within the urinary tract is considered an obstruction that can lead to overflow incontinence. Urinary stones are also deemed obstructions that can result in urine leaks.

Neurological Disorders

Neurologic urinary incontinence is caused by the interference in the nerve signals involved in bladder control. These neurological disorders include Parkinson’s disease, multiple sclerosis, spinal injury, brain tumour, stroke, and heavy metal poisoning.

When neurotransmitters to the bladder are interrupted, it may cause adverse effects to the urinary system, Thus, leading to uncontrollable, unavoidable and unwarranted urine leaks.

How do you know you are suffering from urine leaks?

To help you determine if you are suffering from urine leaks, it may be best to know the signs and symptoms of the different types of urinary incontinence.

Stress Incontinence

  • Leakage happens when you are coughing, sneezing, or laughing;
  • When you incur pressure within your urinary organs like the bladder;
  • Pressure during some exercise routines like bending, jogging or jumping; and
  • If your activities include heavy lifting.

Urge Incontinence

  • The sudden urge to urinate even after you just had a bathroom trip;
  • In some cases, patients experience the inability to get to a toilet in time; and
  • The unwarranted bedwetting.

Mixed Incontinence

  • Generally, this is a combination of the signs and symptoms of stress and urge incontinence;
  • In some cases, too much laughing, coughing or sneezing can cause a sudden urge to go to the toilet; and
  • When small leaks during an exercise or physical activity lead to the need to get to the toilet.

Overflow Incontinence

  • Frequent urination couple with small leaks; and
  • When you feel like you have not completely emptied your bladder from a bathroom trip.

Functional Incontinence

  • The inability to get to a toilet because of some physical or mental impairment.

Total Incontinence

  • Leaking in large amounts as a result of a congenital disorder;
  • Continuous urine leakage due to an injury or damage to the urinary system; and
  • When patients tend to pee at any time and in large volumes.

Stress incontinence, urge incontinence, overflow incontinence and mixed incontinence is a result of overactive bladder muscle while functional incontinence and total incontinence are mostly stimulated by other bodily dysfunctions. Thus, treatment options for stress incontinence, urge incontinence, overflow incontinence and mixed incontinence may be more straightforward.

What is the best urinary incontinence treatment in Melbourne, Australia?

Just like any other medical treatment, a procedure for urinary incontinence may vary.

It mainly depends on the following factors:

  • Type of urinary incontinence, whether it is urge, functional, mixed, overflow, or stress incontinence;
  • The underlying cause of incontinence, that is, if it is caused naturally like ageing, childbirth, pregnancy, and menopause, or if it is the result of other medical or health conditions;
  • Skin and tissue laxity of the vaginal and urinary area; and
  • The patient’s preference of urinary incontinence treatment.

These factors are assessed during the consultation where your doctor or surgeon will evaluate your overall health condition and provide a diagnosis after a series of tests.

Urinary Incontinence Treatments Available in Melbourne:

Surgery for Urinary Incontinence

Urinary incontinence surgical procedures may include bladder neck suspension, prostate surgery for male incontinence, prolapse surgery for female incontinence coupled with pelvic organ prolapse, and artificial urinary sphincter implantation.

Pelvic Floor Exercises

These are incontinence therapeutic programs that involve strengthening the pelvic floor structures. The most common pelvic floor exercises include electrical stimulation, biofeedback and vaginal cones. In some cases, your doctor may recommend Kegel exercises or bladder training.

Laser Treatments

The use of laser treatment is widely practised in diverse therapeutic and aesthetic procedures. This approach involves the use of non-ablative light energy which generates heat to shrink the anterior bladder and urethra muscles. Thus, improving the continence functions of the urinary system.

Sling Procedures

This is a surgical procedure that involves placing a “sling” in the pelvic area to keep the urethra closed to prevent leakage from happening. Sling procedures are best used to treat stress incontinence.

Botox

This is a non-surgical treatment that works by numbing the muscles enclosing the bladder from excessively contracting. Thus, restoring the normal urination process while alleviating urinary incontinence.

These are just the most prevalent treatments for urine leakage in Melbourne, Australia. To determine the best procedure that will work well with your body and incontinence condition, it may be best to visit your trusted doctor or surgeon for tests and diagnosis. Since continence dysfunctions are more common in women, it may be best to visit your gynecologist for a more comprehensive examination.

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