Frequently asked questions about urinary incontinence

FAQ

A micturition frequency of up to eight times a day (24 hours) is normal unless urination is associated with a strong, imperative urge to urinate. In this case, we are talking about an overactive bladder. You should see your doctor then. The doctor can treat the symptoms of an overactive bladder with something called bladder antispasmodics.

So-called bladder weakness occurs more frequently in old age. It is important to find out when it occurs. If urine loss occurs during physical exertion, such as sneezing, coughing or heavy lifting, this is referred to as stress urinary incontinence. Those affected by urge incontinence, on the other hand, feel a sudden urge to urinate that cannot be suppressed, but often do not make it to the toilet in time. Both types can be present at the same time. Your doctor will conduct a medical check to find out what type of urinary incontinence you have and find a suitable treatment option. For stress urinary incontinence, an operation is possible in addition to strengthening the pelvic floor muscles. Urge urinary incontinence, on the other hand, is mainly treated with medication (bladder antispasmodics). In any case, you should consult your doctor, they can help you.

Medication of urge urinary incontinence is a permanent therapy. When the medication is discontinued, the symptoms reoccur. Only in very rare cases does urinary incontinence not recur after discontinuation. As you tolerate the medication very well, there is no need to stop it. If you still feel unsure, however, you can – in consultation with your doctor – try to discontinue the medication. If the incontinence symptoms reappear, you should resume taking the medication.

Unfortunately, it is often the case that urinary incontinence occurs after a prostate surgery. It is important to strengthen the pelvic floor muscles again after the operation, e.g., through pelvic floor training. If there is also a strong urge to urinate which cannot be suppressed, this can be treated with medication (bladder antispasmodics). Talk to your doctor about urinary incontinence, they will find the right therapy for you.

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