An involuntary loss of urine that occurs at the same time that internal abdominal pressure is increased, such as with coughing, sneezing, laughing, or physical activity.
Stress
incontinence is a storage problem in which the strength of the urethra sphincter is diminished, and the sphincter is not able to prevent urine flow against increased pressure from the abdomen.
Storage problems may occur as a result of
weakened pelvic muscles that support the bladder, or because of malfunction of the urethra sphincter. Prior trauma to the urethra area, neurological injury, and some medications may weaken the urethra closure.
Sphincter weakness may occur in women after pelvic surgery.
Stress incontinence may be seen in women who have had multiple pregnancies, or who have pelvic prolapse (protrusion of the bladder, urethra, or rectal wall into the vaginal
space), with cystocele, cystourethrocele, or rectocele. Additionally, women with low estrogen levels may have stress incontinence due to decreased vaginal muscle tone.
Studies have documented that about 50% of all women have occasional
incontinence, and as many as 10% have regular incontinence. Nearly 20% of women over age 75 experience daily incontinence. The risk increases with advancing age, obesity, chronic bronchitis, asthma, and childbearing.
Stress incontinence
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Definitions
Bladder
Incontinence
Stress Incontinence
Urge Incontinence
Mixed Incontinence
Overflow Incontinence
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