Micturition

Neurogenic incontinence

Caused by brain/spinal cord damage

Leaking urine, urine dribbles, frequency, urgency, not being able to tell when you need to go

MS, Parkinson’s disease, spina bifida

Stress incontinence

• Physical stress to external urinary sphincter m. + pelvic floor m. 

  • Jumping, sneezing, laughing, running

• common after childbirth, menopause, + prostate surgery

• Damage to muscle/nerves, altered length/tension of muscle/fascia, altered position of organs, tissue changes due to decreased estrogen

Urge incontinence

A neurological/reflex issue

Bladder has been “trained” by frequent unnecessary voiding = bladder thinks that it is smaller than it really is

pee BEFORE the bladder is full

Urge incontinence

Sudden, intense urge to urinate followed by an involuntary loss of urine

Mixed incontinence is a combo of:

• stress/urge 

• symptoms:

  • Urine leakage when you sneeze, cough, laugh, etc 

  • Urine leakage after a sudden urge to urinate 

  • Urge to pee while you sleep

Overflow incontinence

Frequent or constant dribbling of urine due to having a bladder that is TOO FULL

• Symptoms: constant dribbles or leaking 

  • Frequent urination w/ only a small amount coming out

Overflow incontinece sympt

• Blockage of bladder outflow

• Weak detrusor m. 

• Nerve damage

These = contribute to bladder emptying INCOMPLETELY

Functional incontinence

Loss of control of the bladder due to inability to reach a bathroom

• demenetia, muscle weakness, meds

Symptoms: regularly leaking or dribbling urine

-empty your bladder completely involuntarily

-pee your pants