Urge incontinence

This is defined as the second most reported type of incontinence. Patients will often describe a ‘trigger’ as part of the cause, and it is also sometime associated with stress incontinence or a full bladder. Classified by an inability to control a sudden urge to pee.

Triggers can include, running water, ‘latch key incontinence’, (when the person puts their key in the door, and feel they won’t make it to the loo in time), a memory of a previous ‘accident’, traffic jams or fear of them, realisation that a favoured toilet isn’t available.

Reasons for incontinence occurring

• Vulvo Vaginal atrophy (VVA)
• Menopause changes
• Injury (from a catheter, surgery or an accident)
• Childbirth (Vaginal and Caesarean)
• Connective tissue disorders
• Urethral (urine tube) changes
• Medications (Diuretics)
• Urine infections
• Caffeine/alcohol
• Constipation
• Excess weight

Treatments available:

• Vaginal Laser treatment & ongoing assessment
• Pelvic floor exercise (including during pregnancy)
• Referral and treatment with specialist women’s physiotherapy
• Use of electro-stimulation devices and weights. (Kegel 8, Neen pericalm, Aquaflex weights)
• Medication/medication changes
• Bladder Training
• Reduction in caffeine/alcohol intake
• Relaxation therapies and cognitive behaviour training
• Pelvic floor assessment and education

Surgical procedures:

• Trans Vaginal Tape (TVT)
• Mesh repair
• Anterior/posterior repair of vagina
• Vaginoplasty