Problems with Bladder Control Presented by insert name

Problems with Bladder Control Presented by (insert name of presenter here)

Bladder Control Problems of: • Bladder Emptying • Bladder Storage

Bladder Emptying Problems Bladder Prostate BPH constricting the urethra Seminal Vesicle Urethra Obstructive conditions (e. g. Benign Prostatic Hyperplasia [BPH]) Image source: Virginia Urology Center

Bladder Storage Problems • Overactive Bladder • Stress Incontinence • Mixed Incontinence • Overflow Incontinence

Overactive Bladder Frequency Urge incontinence OVERACTIVE BLADDER

Urinary Incontinence Definition: Urinary incontinence is uncontrolled leakage of urine causing hygienic and social problems.

Stress Incontinence Stress incontinence occurs when a small amount of urine escapes while the person coughs, coughs sneezes, sneezes laughs, laughs jumps or lifts something heavy

Stress Incontinence (a) Continent woman (b) Woman with stress incontinence External urethral sphincter Sudden increase in intra-abdominal pressure

Overflow Incontinence Overflow incontinence happens when urine leaks from an overfilled bladder

Overflow Incontinence

Mixed Incontinence Mixed incontinence occurs when a person has both the symptoms of urge incontinence and stress incontinence

Mixed Incontinence Sudden increase in intra-abdominal pressure Uninhibited detrusor contractions

Factors Associated with Bladder Control Problems • Age • Childbirth • Gender • Menopausal Status • Surgery • Prostate enlargement • Lifestyle • Medications • Concomitant illnesses

Direct Cost of Urinary Incontinence in the USA US $ billion 20 16 12 8 4 0 198 4 1987 1993

Percentage of respondents in each age group Urinary Incontinence is Common Among Older Adults 18 16 14 12 10 8 6 4 2 0 Men Women 5 -14 15 -24 25 -34 35 -44 45 -54 55 -64 65 -74 75 -84 >85 Age (years)

10 Warning Signs of Bladder Control Problems #1 Any leakage of urine

10 Warning Signs of Bladder Control Problems #2 Leakage of urine, regardless of amount, on coughing, coughing sneezing, sneezing laughing or standing

10 Warning Signs of Bladder Control Problems #3 Leaking urine on the way to the toilet

10 Warning Signs of Bladder Control Problems #4 Bed wetting at any age over six years

10 Warning Signs of Bladder Control Problems #5 An urgent need to pass urine, being unable to hold on

10 Warning Signs of Bladder Control Problems #6 Passing urine more frequently than 8 times a day and only passing small amounts

10 Warning Signs of Bladder Control Problems #7 Blood in the urine

10 Warning Signs of Bladder Control Problems #8 Inability to urinate (retention of urine)

10 Warning Signs of Bladder Control Problems #9 Pain when passing urine

10 Warning Signs of Bladder Control Problems #10 Progressive weakness of the urinary stream or a stream that stops and starts instead of flowing out smoothly Image source: Malaysian Urological Association

See Your Doctor Soon!