{"id":228,"date":"2014-01-17T18:55:00","date_gmt":"2014-01-17T23:55:00","guid":{"rendered":"https:\/\/med.sites.unc.edu\/urology\/patientinfo\/adult-non-cancer\/incontinence\/"},"modified":"2026-03-12T10:54:14","modified_gmt":"2026-03-12T14:54:14","slug":"incontinence","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/urology\/patientcare\/adult-non-cancer\/incontinence\/","title":{"rendered":"Incontinence"},"content":{"rendered":"<p>Fifty percent of females experience stress urinary incontinence. A total of $26 billion dollars is spent annually in the United States to treat urinary incontinence. That is more money than is spent on all of the cancer care for women combined. Diabetes and obesity, both increasingly prevalent in the U.S. population, are strongly associated with urinary incontinence. Fifty to sixty percent of diabetics experience incontinence. Fifty to seventy percent of people who are classified as obese battle incontinence. And before you think this is a problem that occurs only in women, think again. Close to 20% of men older than 60 years of age struggle with incontinence as well.<\/p>\n<div role=\"tablist\" class=\"panel-group  oscitas-bootstrap-container\" id=\"unc-accordion-0\">\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-0\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-0\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-0\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-0\">\n                Symptoms            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-0\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\nUrinary incontinence can be classified into different categories based on the etiology, or cause:<\/p>\n<ul>\n<li><strong>Stress Incontinence<\/strong>: is leakage that typically occurs when a person strains, such as by laughing, sneezing, coughing, or picking something up. The sphincter muscle\u2019s ability to squeeze and obstruct, or block, the urethra has been compromised.<\/li>\n<li><strong>Urge Incontinence<\/strong>: is classically associated with the bladder muscle squeezing when it should not. It is often accompanied by a sense of urgency to urinate, but not always. It can occur with changes in hormones, bowel irregularity, nerve damage and with irritation of the bladder. Bladder irritation can be caused by something as simple as a person\u2019s diet, like particular foods or drinks, to something as severe as bladder cancer.<\/li>\n<li><strong>Overflow Incontinence<\/strong>: typically occurs when the bladder is not emptying well and the name describes exactly what occurs. The bladder is like a full cup that is too full and the urine just continuously dribbles out.<\/li>\n<\/ul>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-1\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-1\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-1\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-1\">\n                Treatment            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-1\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\nTreatment of all urinary incontinence should start with understanding when\/why the incontinence occurs. This can often be realized by use of a bladder diary and can help determine what type of incontinence you are experiencing.<\/p>\n<ul>\n<li><strong>Stress Incontinence<\/strong>: can sometimes be improved with Kegel exercises and timed voiding. There are surgical options to treat stress incontinence when the above conservative measures are not effective. Surgery can be in the form of injecting material into the urethra to help the sphincter close off the urethra, or by placement of a sling or lifting the urethra, in order to assist in kinking-off the urethra when you strain. Both of these treatment options are possible in men and women.<\/li>\n<li><strong>Urge Incontinence<\/strong>: can be treated in a variety of ways, all looking to address what may be causing it. As alluded to above, there are a lot of reasons as to why urge incontinence occurs. Treatment can vary from diet modification to medicine that can be taken daily, to stimulating the nerves that go to and from the bladder.<\/li>\n<\/ul>\n<p>To make matters even more complicated, a large portion of the time, the above incontinence types occur together, which is given the generic name of <strong>mixed incontinence<\/strong>. This is why a full evaluation of the individual is necessary, including a look in the bladder with a scope (cystoscopy), a genitourinary examination, and oftentimes a procedure called urodynamics.<\/p>\n<p>These examinations and procedures, along with a collection of information from the patient, help the health care provider to determine how best to address the incontinence. It also is necessary in order to rule out other causes of incontinence, such as cancers, neurologic disease, etc.<\/p>\n<p>Finally, there is <strong>overflow incontinence<\/strong>:<\/p>\n<ul>\n<li>This is typically due to either an obstruction, such as a large prostate, or an inability of the bladder to squeeze appropriately. Treatment can vary from resection of the obstructing item, for example, the prostate, or further evaluation as to the cause of why the bladder won\u2019t squeeze. This latter scenario has been given the name of an \u201cunderactive bladder\u201d and urologists across the country have been working to bring attention to this very prevalent problem.<\/li>\n<\/ul>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-2\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-2\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-2\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-2\">\n                Prevention            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-2\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\nWhen it comes to incontinence, a lot of the time, particularly in women, it comes down to the genes inherited from Mom, Grandma, etc. Certainly pregnancy and delivery have their role in causing stress incontinence, as well as aging with resulting changes in hormones, support of the bladder in the pelvis.<\/p>\n<p>Simple things that can be done to help reduce incontinence risk include taking the time to drink plenty of fluids, going to the bathroom regularly, rather than putting it off and damaging the bladder over time. In addition, learn to be aware of your pelvic floor muscles and practice squeezing them and relaxing them. You can help yourself to identify them by stopping and starting your urinary stream when you are going to the bathroom.<br \/>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-3\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-3\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-3\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-3\">\n                Conclusion            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-3\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\nUrinary incontinence is a common problem and it does increase with age, but that does not mean it should be ignored and just \u201cput up with.\u201d There are simple and easy things that can be done to address the leakage and, perhaps most importantly, it could be a sign or symptom of something more ominous, such as cancer or a neurologic disease.<br \/>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-4\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-4\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-4\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-4\">\n                Other Resources            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-4\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<a class=\"external-link\" title=\"Urology Care Foundation Information on Incontinence\" href=\"https:\/\/www.urologyhealth.org\/urologic-conditions\/urinary-incontinence\">Urinary Incontinence<\/a><\/p>\n<p><a class=\"external-link\" title=\"Web MD Bladder Diet Recommendations\" href=\"http:\/\/www.webmd.com\/urinary-incontinence-oab\/food-drink\">Bladder Diet Recommendations<\/a><\/p>\n<p><a class=\"external-link\" title=\"Urology Care Foundation Information on Overactive Bladder\" href=\"https:\/\/www.urologyhealth.org\/urologic-conditions\/overactive-bladder-(oab)\">Overactive Bladder<\/a><br \/>\n<\/div>\n\n    <\/div>\n        \n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Fifty percent of females experience stress urinary incontinence. A total of $26 billion dollars is spent annually in the United States to treat urinary incontinence. That is more money than is spent on all of the cancer care for women combined. Diabetes and obesity, both increasingly prevalent in the U.S. population, are strongly associated with &hellip; <a href=\"https:\/\/www.med.unc.edu\/urology\/patientcare\/adult-non-cancer\/incontinence\/\" aria-label=\"Read more about Incontinence\">Read more<\/a><\/p>\n","protected":false},"author":30162,"featured_media":0,"parent":225,"menu_order":67,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-228","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Incontinence | Department of Urology<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/urology\/patientcare\/adult-non-cancer\/incontinence\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Incontinence | Department of Urology\" \/>\n<meta property=\"og:description\" content=\"Fifty percent of females experience stress urinary incontinence. 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