Urinary Concerns

Urinary Issues

There are a handful of urinary issues you may encounter in your lifetime. Urinary issues can really take a toll on your quality of life as well as be disruptive and embarrassing. Women are twice as likely to suffer from urinary incontinence as men. Women are also more likely to suffer from urinary tract infections (UTIs) due to the location and short length of the urethra. The good news is you do not have to suffer through these uncomfortable symptoms.


Urinary Incontinence

Urinary Incontinence occurs when a patient experiences unwanted urine leakage. The problem can range from a few drops leaking while coughing, sneezing, or laughing, to fully emptying the bladder uncontrollably. There are three categories of urinary incontinence:

SUI occurs when weakened muscles in the area cause a patient to leak urine when they cough, laugh, or sneeze, or when they perform exercises like walking or running.

Urgency Urinary Incontinence causes a patient to have a sudden strong urge to urinate, which is difficult to hold back. As a result, they may leak urine on the way to the bathroom or the bladder may empty completely before they reach the toilet.

Mixed Incontinence involves both SUI and urgency urinary incontinence.

Urinary Incontinence FAQs

In some cases, urinary incontinence is temporary due to a urinary tract infection, pregnancy, or certain medications. However, one of the most common causes of long-lasting urinary incontinence is a weakening of the muscles and tissues of the pelvic floor, usually because of aging or childbirth. In other cases, the symptom may be caused by anatomical obstructions, long-term constipation, menopausal hormonal changes, or hysterectomies in women. Neurological disorders can also cause urinary incontinence by disrupting the nerve signals to the muscles which control the bladder.

Kegel exercises, which strengthen the muscles of the pelvic floor, can be helpful for some women with urinary incontinence. Overweight women will find that losing weight may reduce pressure on the pelvic area. Women may also benefit from limiting their intake of certain diuretic foods and beverages, like alcohol, coffee, and anything with caffeine. In the meantime, there are over-the-counter products available to contain leaked urine, which can relieve the social stress of urinary incontinence.

Urinary Tract Infections

UTIs are highly common infections which occur when bacteria enters and grows inside part of the urinary tract, which includes the urethra, bladder, ureters, and kidneys.Most UTIs begin in the lower urinary tract (the bladder and urethra), but if the infection isn’t treated promptly, it can spread to the upper urinary tract as well (the ureters and kidneys), which can lead to more serious complications.

Women often develop UTIs from sexual activity, but the infection can also arise when the bladder does not empty completely due to a blockage or narrowing in the urinary tract. Symptoms often include a sharp pain or burning during urination, a frequent and urgent need to urinate, and soreness in the lower abdomen, back, or side, as well as urine with a strong odor, cloudy color, or small amounts of blood.

Urinary Tract Infection FAQs

UTIs may not be 100% preventable, but there are some steps you can take to minimize your risk:

  • Always wipe from front to back (not back to front) after using the restroom.
  • Keep the skin clean around the genital and anal area.
  • Avoid using douches, powders, and deodorant sprays in the genital area.
  • Drink plenty of water.
  • Avoid holding in urine and fighting the urge to urinate.
  • Try to empty your bladder before and after sex.
  • Wear underwear with a cotton crotch.
  • Avoid using spermicides or diaphragms and use other birth control methods instead

While UTIs are a rather minor health concern and can typically be cured quickly and easily, it’s important not to delay seeing your doctor at Gynecology Associates of Gwinnett. If left untreated, a UTI can spread to the upper urinary tract and cause a kidney infection, which could lead to long-term kidney damage and can even be life-threatening. It’s best to request an appointment as soon as you notice UTI symptoms but seek urgent medical care if you experience back pain, chills, fever, nausea, or vomiting, as these can be symptoms of a kidney infection.

For many patients,

the first recommendation will be one or more lifestyle changes. For those who are overweight, the excess weight can put additional pressure on the bladder and surrounding muscles, so weight loss can relieve enough of the pressure to make a significant difference. Adjusting your diet to avoid certain diuretics and limiting fluid intake at specific times may also be an option, and patients whose urinary incontinence is caused by weakened pelvic floor muscles may benefit from a specific type of exercise called Kegel exercises. However, if additional treatment is needed, options may include medication, devices like pessaries or urethral inserts, injections, or surgical procedures, depending on the hormonal or structural causes of the symptoms.

To start working toward freedom from your urinary incontinence, request an appointment at Gynecology Associates of Gwinnett.

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