Reader Question: I drink a lot of water and occasionally I have some terrible urgency in running to the bathroom. I just turned 60 and this has become more of a problem lately. My mother has so little control that she needs to wear pads all the time. I have heard that the exercise Kegels can help incontinence. Will they really help, and if so, how much and how often to see improvement? Answer: Ah, urgency! Probably the most common symptom people come to see me for. One doesn't have to be incontinent to have urinary urgency , but many do. Urgency is the feeling of having to urinate with a strong sensation and the inability to prolong or put off voiding. There are many, many reasons for urinary urgency, and often we have no real explanation for the symptoms. It is important to be evaluated by a urologist in order to find out why you are having the symptoms and what are your options for treatment. The most worrisome cause, but...
Pass urine less frequently and reduce the sudden urge to pass
urine by retraining your bladder.
Follow these steps:
Keep a record for a week of how often you pass urine.
If you pass urine every hour and a half, keep to this
schedule, even if you dont have to go.
When you find youre not leaking on this schedule, add
another 15 minutes between visits.
Continue to increase the time between bathroom visits by 15
minute intervals until you are passing urine every three to four
hours without leaking.
For more information about treatment urinary incontinence, visit
Definition Urge incontinence is the strong, sudden need to urinate due to bladder spasms or contractions. Alternative Names Overactive bladder; Detrusor instability; Detrusor hyperreflexia; Irritable bladder; Spasmodic bladder; Unstable bladder; Incontinence - urge; Bladder spasms Causes, incidence, and risk factors A person's ability to hold urine depends on normal function of the lower urinary tract, kidneys, and nervous system. The person must also have the physical and mental ability to recognize and respond to the urge to urinate. The bladder's ability to fill and store urine requires a working sphincter muscle (which controls the flow of urine out of the body) and a stable bladder wall muscle (detrusor). The process of urination involves two phases: Filling and storage Emptying During the filling and storage phase, the bladder stretches so it can hold the increasing amount of urine. The bladder of an average person can hold 350 ml to 550 ml of urine. Generally, a person feels like they ne...
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