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Stress incontinence. This is the most common type of incontinence. More
common in younger women. Caused by stress or pressure on the bladder due
to weak pelvic floor muscles. Everyday actions that use the pelvic floor
muscles, such as coughing, sneezing, or laughing, can cause you to leak
Urge incontinence. With urge incontinence, urine leakage usually happens
after a strong and sudden urge to urinate and before you can get to a
bathroom. Urge incontinence is sometimes called “overactive bladder.” Urge
incontinence is more common in older women and can occur unexpectedly,
such as during sleep, after drinking water, or when you hear or touch
Many women with urinary incontinence have both stress and urge incontinence. This is called “mixed” incontinence. Certain health events unique to women, such as pregnancy, childbirth and menopause, can cause problems with these muscles and nerves.
Other causes of urinary incontinence include:
These steps can make urinary incontinence go away entirely, or help leak lessurine. These steps may include:
Other conservative medical options:
Hormones. After menopause, applying vaginal creams, rings, orpatches with estrogen (called topical estrogen) can help strengthen the muscles and tissues in the urethra and vaginal areas. A stronger urethra will help with bladder control.
Vaginal pessary. A small plastic or silicone device (shaped like a ring or small donut) that you put into your vagina can be fitted. The pessary pushes up against the wall of the vagina and the urethra to support the pelvic floor muscles and help reduce stress incontinence.
Bulking agents. A bulking agent, such as collagen,injected into tissues around the bladder and urethra can cause them to thicken. This helps keep the bladder opening closed and reduces the amount of urine that can leak out.
Surgery. Surgery for urinary incontinence is not recommended if you plan to get pregnant in the future. Pregnancy and childbirth can cause leakage to happen again.
The two most common types of surgery for urinary incontinence are: