Sometimes there is no detectable cause. It s caused by weakness in the urinary sphincter, the muscle that is released to start voiding. It may occur if a drug the patient takes weakens the bladder s signals to the brain. It can even accompany constipation. For example, many older women suffer from both urge and stress incontinence.
Urinary incontinence can be extremely embarrassing as well as unhygienic.
All too frequently, people who suffer from it are afraid to admit they have a problem, even to their own doctor. They may become anxious or afraid to go out socially, and can even develop depression. Treatment measures required depend on the cause and type of incontinence. If drug treatment is required, the type of agent given will depend on the cause of the incontinence, and such factors as whether extra relaxation or contraction of the bladder is needed. If the incontinence is caused by a blockage in the urinary tract, surgery may be required.