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Urinary Urge Incontinence: Treating Involuntary Dribbling of Urine

Updated on September 23, 2014

What is Urge Urinary Incontinence? Urinary Incontinence in Women

Urge urinary incontinence is basically involuntary urination; it is a medical condition, which develops when the muscles and nerves that hold and release urine get impaired. There occurs a strong, sudden desire to pass urine due to bladder contractions / spasms.

The kidney purifies the blood by excreting nitrogenous waste products in the form of liquid, which trickles down from the kidney into the bladder through the ureters. The bladder which is primarily made of muscles, stores the urine and expands like a rubber ballon. The outlet of the bladder or the urethra remains closed, due to muscular contractions and prevents the urine from trickling out involuntarily. Impairment of these muscles leads to urinary incontinence.

Prompt treatment for urge incontinence is extremely important to retain bladder control.

Causes of Urinary Incontinence: Involuntary Dribbling of Urine

The chief etiological factor for urge incontinence is involuntary and improper contractions of the detrusor muscle. In order to hold urine within the bladder, the nervous system along with the urinary tract must function correctly. You must be able to sense as well as react to the desire to micturate.

For the urinary bladder to fill up and store urine, the sphincter muscles (controlling the flow of urine out of the body) and the detrusor muscle (the muscle of the bladder wall) should work suitably.

When the bladder is being filled and stored with urine, it stretches to hold more urine. A person's bladder can store 350 to 550 milliliters of urine. When it is time to void urine, the nervous system will send a signal to you that you need to empty the bladder.

While voiding, the detrusor muscle contracts, and pushes the urine out of the bladder. Simultaneously, the sphincter muscles relax, so that urine can be voided.

An inappropriate functioning of these muscles or their correlation with the nervous system triggers incontinence.

Pregnancy, childbirth, menopause, and the female urinary tract structure are factors that influence the condition to a very great extent. Neurological trauma, congenital abnormalities, multiple sclerosis, stroke, and aging are other significant factors.

Urge Incontinence Symptoms: Involuntary Urine Dribbling Symptoms

Usually involuntary urination occurs when coughing, sneezing, and laughing. Some experience a desire to pass urine, before urinating. There may also be dribbling during sexual intercourse.

In addition, recurrent involuntary urinary passage may increase the risk of developing urinary tract infections and vaginal infection in women. Symptoms associated with UTI include burning during micturation and pain.

Urge Incontinence Treatment: Treating Urinary Incontinence

Here are some simple excercises and dietary recommendations that can help in managing urinary urge incontinence:

  • Kegel’s exercises: These are extremely useful for urinary incontinence. Kegel’s exercises reinforce and strengthen the muscles of the pelvic floor and manage urge incontinence effectively. For the exercise, you need to contract and relax the pelvic floor muscles whilst keeping the muscles of the abdomen relaxed.
  • Bladder training: This is a must; it helps deal with urge incontinence powerfully. It will help you increase the period for which you can wait before you must urinate. When you feel a desire to pass urine, try to hold up for about 5 minutes, gradually increase to 10 minutes. Then increase the period to 15 minutes. This will diminish the frequency and urgency to urinate.
  • Eliminate foods from your diet that tend to irritate the bladder: Avoid foods like limes, oranges, vinegar, chocolate, spices, caffeine and alcohol, which are known to irritate the bladder.
  • Fluid management: is an important aspect of the treatment plan. Do not drink large amounts of fluids at one time and avoid water and other fluids after 8 p.m.
  • Drugs: Your doctor may also prescribe some medicines to manage the problem better. Experts recommend homeopathic drugs, given that they help in the effective management of urinary tract infections as well as incontinence.
  • Surgery: Generally isn’t recommended. But, it may be carried out to in extreme cases.


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