Your doctor's diagnosis of which kind is causing your problem will help to determine what kind of treatment will be used and whether you need to be referred to a specialist. Coughing or sneezing, lifting, straining, even laughing, can increase intra-abdominal pressure and cause an unintentional leaking of urine. Older women or women who have had multiple births are perhaps more likely to experience stress incontinence because of the weakening of pelvic support. Sphincter weakness or damage can also be a cause of this kind of incontinence. More severe conditions may require surgical correction or repair.
Diagnosis is made by history and pelvic examination.
Urodynamic evaluation may be required in some cases. There are drug and behavioral treatments for urgency incontinence that are quite successful, and because of the possibility of urologic carcinoma, it is very likely that a patient with this kind of incontinence will be referred to a specialist for evaluation. Overflow Incontinence, also called paradoxical incontinence, is a condition that occurs due to vesical neck contracture or urethral stricture, neurologic conditions and severe pelvic prolapse. In women, this is sometimes caused by severe pelvic prolapse. As the bladder fills to capacity pressure increases, and is followed by a dribbling or overflow of urine, although the patient may be unable to initiate or maintain normal urination.