Incontinence

Information about urinary incontinence and treatments available in the UK

Incontinence - or urinary incontinence - is defined as the involuntary passing of urine. Incontinence is thought to affect up to 6 million people in the UK, with varying degrees affecting both men and women. Although common and rarely life threatening it can be disruptive causing people to avoid certain activities that put extra strain on their bladder. There are incontinence treatments available to help alleviate the embarrassment of the condition but as they are a prescription medication very few people will visit their doctor to get the incontinence treatment they need.

Although many people can be affected by urinary continence but can continue with their routine as normal, symptoms can be embarrassing, be discomforting and disruptive. Treatment is therefore advised to ensure that this condition does not adversely affect your daily life. At euroClinix, you can get incontinence treatment without having to visit your doctor. As with all prescription medications you will have to fill in a short online consultation form to ensure the treatment is right for you. All orders are completely discreet and we have a quick reordering service for repeat prescriptions.

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Detrusitol

4.6 / 5 (5 Reviews)
    • Effective treatment for overactive bladder syndrome
    • Increases the bladder's capability to hold urine
    • Uses the active ingredient tolterodine tartrate
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Vesicare

4.8 / 5 (6 Reviews)
    • Treats urinary incontinence
    • Increases the bladder's capability to hold urine
    • Tablets contain the active ingredient solifenacin succinate
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What is incontinence?

Incontinence is the inability to control the bladder so that urine leaks before being able to make it to the toilet. In those that have incontinence the loss of control can occur during laughter, stretching, yawning and exercise. It can be caused by a range of problems including weak pelvic muscles after childbirth, excess straining, surgery or age. The bladder may only empty partly when you go to the toilet allowing extra urine to leak when you take part in day to day activities. There are two different types of incontinence:

  • Stress incontinence – day to day pressure such as coughing and laughing causing you to leak urine.
  • Urge incontinence – feeling the urge to urinate within seconds of needing to go making it difficult/impossible to get to the toilet on time.

Some people have a mixture of both.

What causes incontinence?

The kidneys send urine through the urethra which are tubes that transport it to the bladder where it remains until you get the urge to use the toilet. For the bladder to hold urine properly it need to have the support of pelvic floor muscles. Part of the muscles job is to ensure the tube releasing urine from the bladder remains closed until you get the toilet. When you feel the need to use the toilet the brain has sent a signal to tell you the bladder needs to be emptied. When you reach the bathroom and use the toilet your body relaxes the muscles. If it is unable to do so through the muscles being too weak to hold until you are ready or the message does not reach your brain to give you enough time to get there on a regular basis this is known as incontinence.

The causes of incontinence can vary from person to person but the reason for developing stress incontinence after being fine beforehand is usually due to the pelvic floor muscles or urethral sphincter becoming weak. Urge incontinence is usually due to the bladder muscles being overactive. There are certain factors that can make you more likely to develop incontinence. There are several types of this condition, with the two most common types being stress incontinence and urge incontinence. The causes behind these two types differ.

  • Pregnancy and natural childbirth
  • Being overweight
  • Family history
  • Getting older
  • Bladder surgery or surgery around the area
  • Medication
  • Neurological health problems

Stress incontinence is perhaps the more common of the two. It develops when your bladder gives way to the pressure that is placed on it from the urine. As a result, your urethra is unable to stay closed. Factors that may contribute to the urethra's inability to stay closed include weakened or damaged pelvic muscles and damage to the muscle responsible for keeping the urethra closed (urethra sphincter).

Urge incontinence is when the urge to pass urine proves too great, resulting in the passing of urine before a toilet is reached. It is caused by the bladder's instability, which causes the detrusor muscles to contract too early. Factors that can increase your chance of urge incontinence include, obesity, age, a history of the condition in the family and pregnancy.

What are the symptoms of incontinence?

The type of urinary incontinence you have will play a part on the type of symptoms you may develop.

Stress urinary incontinence: The main symptom of SUI is urinal leakage, which develops when your bladder is put under pressure, for example when you cough, sneeze, laugh or do physical exercise.

Urge urinary incontinence: The main symptom for this condition is a sudden urge to pass urine. Triggers include changing your position suddenly or hearing the sound of running water. Other symptoms that may suggest that you have the condition include a need to urinate several times during the night and passing urine during sexual intercourse.

How can I prevent it?

Although it is not always possible to prevent this condition, implementing a healthy lifestyle may help to reduce your risk of developing the condition. As obesity is a known risk factor for the condition, eating a healthy a balanced diet may help reduce your chances of getting incontinence. For both men and women, certain exercises will help strengthen pelvic floor muscles, as weak pelvic floor muscles are a main cause of urinary incontinence. Reducing how much alcohol or caffeine you consume will reduce the amount of fluid produced by your kidneys and may help to prevent irritation to your bladder.

Treatment for incontinence

Treatment for incontinence is available to prevent the condition affecting your self-esteem and everyday lifestyle. There are products available that can help to soak urine should you have an accident, but to stop the leakage altogether prescription incontinence treatment is available without the need to visit your doctor at euroClinix. Detrusitol and Vesicare are both medications that can help to make the bladder stronger to alleviate day to day activities causing leakage. They also help urge incontinence by helping you to feel the need to urinate before the last minute.

In conjunction with medication exercises can also be used to physically strengthen the bladder and pelvic floor muscles. Lifestyle changes such as losing weight and changing medication if this is the cause can also help.

For severe cases of this condition, surgical options may need to be considered, which for stress incontinence include sling procedures, urethral bulking agents, Colposuspension, tape procedures for women and artificial urinary sphincters for men. However, before you consider surgery, it is advised that you speak to a doctor and get a physical examination to see if other treatments can help the condition.

Preventing incontinence

If you have a member of your family that suffers incontinence or are already in an at risk group of developing it you can take preventative measures. If your bladder is not as strong as it once was you could use methods to prevent incontinence to stop it from worsening. These include:

  • Reducing or stopping alcohol – as a diuretic alcohol makes you want to urinate more often. Cutting down or stopping can reduce the chance of you developing incontinence symptoms. Limiting other diuretics such as tea, coffee and caffeine containing beverages is advisable if you are at risk of developing incontinence. Alcohol and caffeine are both known for more urine production. This could worsen existing incontinence or cause a weaker bladder to develop it.
  • Losing weight – if you are overweight this will put more pressure on your bladder making it more likely for you to suffer from incontinence. This is why it is so common amongst women during late pregnancy too.
  • Exercise – keeping fit in general can keep weight down which prevents pressure on the bladder. Paying attention to pelvic floor exercises especially after surgery on or around the bladder can help prevent incontinence or cure incontinence after giving birth naturally.

How to buy treatment for incontinence online

Many people with incontinence do not seek treatment because they are embarrassed to discuss it with their GP. It is a condition that affects both men and women of all ages that can be treated effectively with prescription treatment online. At euroClinix to obtain prescription treatment for incontinence online you must first complete an online consultation form. It takes only a few minutes to complete and is then sent to a doctor for approval. This is to ensure the medication does not interact with any other existing medical conditions or medication. Once approved the medication is discreetly packaged and sent out for delivery to your home address.

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