Sorcha O’Meara
Urology Specialist Registrar, Blackrock Health/RCSI
James Forde
Consultant Urologist, Blackrock Health/Beaumont Hospital
Urinary incontinence is the unintentional leak of urine and is a common problem affecting people of all ages. People should not suffer in silence, as healthcare professionals are there to help.
There are three types of urinary incontinence. The first is called stress incontinence; this is the leakage of urine with exertion such as coughing, sneezing or exercise. This is more common in women and can especially be an issue after pregnancy or post-menopause. Urge incontinence is the second type; you might leak on your way to the bathroom or have the need to pass urine. This can be associated with an overactive bladder. Finally, there is mixed incontinence, which is a mixture of both types.
Management of incontinence usually starts with small lifestyle changes.
Who can I talk to about urinary incontinence?
A lot of people suffer in silence and can feel embarrassed or upset about their symptoms. However, it is important to know there are treatments that can help, and healthcare professionals are used to talking about this problem. If you are suffering from incontinence, discuss it with your general practitioner, see a urologist or urogynaecologist or see a chartered physiotherapist who specialises in pelvic health and continence. The Continence Foundation of Ireland website contains helpful information and links to other websites and resources.
Incontinence management options
Management of incontinence usually starts with small lifestyle changes, such as reducing caffeine intake, fizzy drinks and alcohol, as these can irritate the bladder. It is important to see a healthcare professional, so any conditions that may worsen incontinence can be ruled out or managed, such as infections. Physiotherapy can also be helpful to re-train the bladder, strengthen the pelvic floor and reduce urinary symptoms.
If these management options are not improving symptoms enough, some people may need medication or surgery to help. There are well-established guidelines with safe and effective treatments available to help with symptoms. Anyone who thinks they may have incontinence or urinary problems should not be embarrassed about asking for advice or treatment.
