Do I have urinary incontinence?

Written by: Professor Stergios Doumouchtsis
Published:
Edited by: Conor Lynch

In our latest article, esteemed consultant obstetrician, gynaecologist, and urogynaecologist, Professor Stergios Doumouchtsis, provides us with a comprehensive insight into all things urinary incontinence, including symptoms, causes, and an explanation of the two main types. 

What exactly is urinary incontinence?

It is involuntary leakage of urine at an inappropriate time and in an inappropriate place. There are many different kinds of urinary incontinence. Stress urinary incontinence, one of the most common types of urinary incontinence, is the involuntary leakage of urine when laughing, sneezing, coughing, and during any kind of physical exertion.

 

Another common type of urinary incontinence is urge urinary incontinence, which is associated with urgency. This is one of the main symptoms of overactive bladder syndrome.

 

What are the main symptoms?

There are quite a few symptoms associated with urinary incontinence. The main ones include the following:

 

  • involuntary urine leakage
  • urgent need to urinate
  • failing to hold in urine when exercising

 

What causes urinary incontinence?

Common causes of stress urinary incontinence include pregnancy (vaginal childbirth), being overweight, chronic coughing, weightlifting, constipation and straining, ageing, as well as various genetic factors.

 

Urge urinary incontinence, on the other hand, often occurs without any specific cause.

 

How is it diagnosed and treated?

It can often be diagnosed by a medical history, and a description of symptoms and triggers. In some cases, where necessary, some specific tests may be carried out. First of all, a clinical examination will be performed, where straining and coughing may reveal stress urinary incontinence.

 

There are also more invasive, urodynamic investigations, which aims to reproduce the triggers and symptoms.

 

What are the main associated risk factors?

Risk factors for stress urinary incontinence include chronic straining, which may be accompanied by constipation. Being overweight or obese, weightlifting, and chronic coughing are all other risk factors associated with stress urinary incontinence. 

 

Risk factors for urge urinary incontinence include consuming caffeinated beverages, increased fluid intake, consuming fizzy drinks, specific types of sweeteners, or acidic drinks such as citrus fruit juices.

 

Professor Stergios Doumouchtsis is an expert when it comes to diagnosing and treating both stress and urge urinary incontinence. If you would like to get your symptoms checked out, make sure you schedule a consultation with him today via his Top Doctors profile.

By Professor Stergios Doumouchtsis
Obstetrics & gynaecology

Professor Stergios Doumouchtsis is a leading consultant obstetrician, gynaecologist and RCOG-accredited subspecialist urogynaecologist. He currently consults at the Wimbledon-based Parkside Hospital, the New Victoria Hospital in Kingston, the Ashtead Hospital (Ashtead), as well as The Lister Hospital, located at Chelsea Bridge Road. His NHS base is the Epsom & St Helier University Hospitals NHS Trust where he is the clinical lead.  

Specialising in conditions such as pelvic organ prolapse, urinary incontinence, overactive bladder, recurrent cystitis, prevention and management of childbirth trauma and injury and bladder pain amongst many other gynaecological and urogynaecological-related conditions, Professor Doumouchtsis is, today, widely recognised throughout the UK as being amongst the top doctors when it comes to treatment of pelvic organ prolapse, urinary incontinence and other pelvic floor disorders. 

His main clinical interests include female pelvic medicine, female pelvic reconstructive surgery, vaginal prolapseurinary urgency, urinary frequency, urinary incontinence, recurrent cystitispainful bladder syndrome, voiding dysfunction, anal incontinence, as well as defecatory difficulty, to mention a few. 

He is also an expert in vaginal discharge, perineal pain, sexual difficulties as well as vaginal wound healing complications, with his main research interests including quality assessment and standards in clinical practice and research. He is the founder and current lead of CHORUS, an internationally established Collaboration for Harmonising Outcomes, Research and Standards in Urogynaecology and Women's Health. Other research interests of his include pelvic floor anatomy and imaging, pathoanatomy of pelvic floor disorders, and also prolapse and incontinence surgery.

He is the current international representative for European members and fellows on the council of the esteemed Royal College of Obstetricians and Gynaecologists, and has, to-date, authored over 100 peer-reviewed articles as well as over 40 book chapters. He is the editor of the specialist book "Childbirth Trauma" and co-editor of the Oxford Textbooks of Obstetrics and Gynaecology as well as the Oxford Handbook of Emergencies in Obstetrics and Gynaecology. He is recognised by expert scape as a world-leading expert in urinary incontinence and prolapse

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