By knowing the Care Plan for Urinary Incontinence, one would be able to detect the exact cause as well as knowing the appropriate treatment. Urinary incontinence (UI) is an involuntary urine excretion. It is a common and painful problem that can have a profound impact on the quality of life. Urinary incontinence is almost always the result of a treatable medical condition, but is not usually focused by physicians. There is also a related case for defecation known as fecal incontinence.

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Causes

• Polyuria or the excessive excretion of urine has numerous causes like diabetes mellitus, uncontrolled primary polydipsia (drinking excessive liquids), diabetes insipidus and nephrogenic diabetes insipidus. Polyuria can trigger urinary frequency and urgency but not always to incontinence.

• Caffeine or sodas also stimulate the bladder.

• Prostate enlargement is the most common cause of incontinence in men after 40 years of age; sometimes prostate cancer can also be linked to urinary incontinence. Furthermore, radiation therapies and certain drugs can also trigger incontinence.

• Brain diseases such as multiple sclerosis, Parkinson’s disease, stroke and spinal cord injuries can interfere with the nerve function of the bladder.

Types

• Stress or effort incontinence is essentially due to inadequate strength of the pelvic floor muscles.

• Urge incontinence is referred to as the involuntary loss of urine that occurs for no apparent reasons while suddenly feeling the need or urge to urinate.

• Overflow incontinence: Sometimes people have observed that they cannot prevent their bladder from continuously dribbling for some time after urinating. Being compared to an overflowing pan, it is generally known as overflow incontinence.

• Mixed incontinence is common in women of advanced age and can sometimes lead to urinary retention, which makes the treatment process a challenge since it requires multimodal treatment approaches.

• Structural Incontinence: In rare cases, structural problems can trigger incontinence which is typically diagnosed in childhood such as an ectopic ureter. Fistulas caused by trauma or obstetric and gynecologic injuries can also lead to incontinence. Vesico-vaginal fistula is the most common type of vaginal fistulae. Uterovaginal fistula is also one of the types of fistula but seldom occurs. These cases can be arduous to diagnose.

• Functional incontinence happens when the individual is mindful about the need to urinate, but can not physically reach the toilet in time due to limited mobility. Loss of urine can be high. The causes of functional incontinence include confusion, dementia, vision problems, poor mobility and dexterity, unwillingness to go to the toilet due to depression, anger, anxiety, drunkenness or being in a situation where it is impossible to reach a toilet. People experiencing functional incontinence may have problems on thinking, moving or communicating that prevent them from reaching a toilet. A person with Alzheimer’s disease for instance cannot think of enough plans for a trip back to the toilet. A person in a wheelchair can be hindered to get to the toilet in time. These conditions are often associated with age and account for some of the incontinence in older women and men in nursing homes. Functional incontinence is not typically caused by a medical disease. For example, someone may be on a journey between the stations and rest stops.

• Bedwetting is an episodic type of urinary incontinence during sleep. This is a normal occurrence in young children.

• Transient incontinence is a fleeting type of incontinence. It may be caused by drugs, adrenal insufficiencies, mental retardation, motor difficulties, and fecal impaction which can be caused by severe constipation which can push against the urinary tract and can obstruct the urine output.