Urology center in Longview, a regional referral center in Cowlitz county for male and female urological problems including kidney stones; bladder problems and incontinence; urinary tract infections; infertility; prostate symptoms; prostate cancer treatment; testicle problems & testicular cancer; erectile dysfunction & impotence; penis problems and vasectomy. Longview Urology also provides urological treatment for children with pediatric urology needs. For 60 years the urological surgeons at the specialty practice have treated men, women and children from across Southwestern Washington, Ariel, Castle Rock, Cathlamet, Centralia, Chehalis, Chinoook, Cougar, Grays River, Ilwaco, Long Beach, Kalama, Kelso, Morton, Mossyrock, Napavine, Nasalle, Ocean Park, Olympia, Rainier, Rosburg, Silver Lake, Skamokawa, Toledo, Toutle, Vader, Vancouver, Winlock, Woodland, and the Long Beach Penisula. The urologists have also treated patients from Astoria, Clatskanie, Columbia city, Knappa, Portland, Rainier, Scappoose, St. Helens, Warren, Warrenton, and Westport in Oregon.
 

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625 9th Ave. Suite #120
Longview, WA 98632
360.425.3720
LongviewUrology.com

 

Home >> Incontinence: Causesmedingenuity

Incontinence - Causes

Overview | Causes | Diagnosis | Treatment | FAQ

Stress Incontinence

Stress incontinence is the most common type of leakage encountered and is most associated with bladder leakage. Stress incontinence is the loss of urine that occurs with any maneuver that increases intra-abdominal pressure, such as coughing, sneezing, lifting, laughing, intercourse, or changing position.

This typically occurs in women that experience loss of support in the anterior vaginal wall leading to dropping of the bladder neck and urethra during increases in abdominal pressure. Most investigators feel that the descent of the bladder neck and urethra out of the normal intra-abdominal position into the pelvis prevents closure of these structures during times when pressure is exerted on the bladder body. Some feel that the change in the angle of the bladder neck and urethra are responsible for the leakage. Stress incontinence can occur in men as well, but is most often seen following trans-urethral prostate surgery or surgery for prostate cancer.

Urge Incontinence

Leakage that occurs when there is a sudden uncontrollable need to urinate is urge incontinence. This most often occurs in those people with spinal cord injuries, multiple sclerosis, strokes, or diseases of the spinal cord.

This may occur in male patients with an obstructing prostate or in women with loss of estrogen effects to the vaginal wall, bladder and urethra. The bladder muscle in many of these patients is overactive and usually provides very little warning to the patient that urination is eminent.

Occasionally, in elderly patients, this bladder overactivity is accompanied by decreased bladder contractions, leaving these patients with incompletely emptied bladders. This syndrome is called detrusor hyperactivity with impaired contractility.

Overflow Incontinence

Overflow incontinence occurs when the bladder is inefficiently emptied, leaving large amounts of urine in the bladder. As the volume increases, the resistance provided by the bladder, neck and urethra may be overcome, and urine loss may occur. This pattern is common in diabetics, male patients with enlarged prostates, urethral structures and in some patients with spinal cord injuries. In some cases this may be caused by medications taken for other conditions.

Functional Incontinence

Functional incontinence is common in disabled or demented patients and is the most common type of incontinence in the nursing home setting. Patients with functional incontinence have normal bladder activity but are unable to respond to this signal, due to immobility or impaired mental functioning. As a consequence, they become incontinent unless they are prompted or asked to void on a schedule.


Quick links: About Longview Urology | Male Urology Conditions | Female Urology Conditions | Enlarged Prostate | Erectile Dysfunction | Urinary Problems | Kidney Problems | Prostate Cancer | Testicular Cancer | Incontinence | Frequent Urination - Men | Frequent Urination - Women | Infertility | Vasectomy | Driving Directions to Longview Urology | Patient Information | Request an appointment | Meet Dr. Chad Chesley | Meet Dr. Patrick Lassen | Meet Dr. John Mansfield

About our urology center

Longview Urology, originally founded in 1953 as a veteran owned company, is a regional referral center for male and female urological problems including kidney stones; bladder problems and incontinence; urinary tract infections; infertility; prostate symptoms; prostate cancer treatment; testicle problems & testicular cancer; erectile dysfunction & impotence; penis problems and vasectomy. Longview Urology also provides urological treatment for children with pediatric urology needs. For 60 years the urological surgeons at the specialty practice have treated men, women and children from across Southwestern Washington, including Ariel, Castle Rock, Cathlamet, Centralia, Chehalis, Chinoook, Cougar, Grays River, Ilwaco, Long Beach, Kalama, Kelso, Morton, Mossyrock, Napavine, Nasalle, Ocean Park, Olympia, Rainier, Rosburg, Silver Lake, Skamokawa, Toledo, Toutle, Vader, Vancouver, Winlock, Woodland, and the Long Beach Penisula. The urologists have also treated patients from Astoria, Clatskanie, Columbia city, Knappa, Portland, Rainier, Scappoose, St. Helens, Warren, Warrenton, and Westport in Oregon.

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Learn about frequent urination, enlarged prostate symptoms, prostate cancer screening, infertility and erectile dysfunction.

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Children can have urological problems that include infections, hernias, frequent urination and undescended testicles.

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Learn about what causes kidney stones, yeast infections, incontinence, frequent urination and other common urological problems and how they can be prevented or treated.

 
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