Urologist Questions Incontinence

Does urine incontinence indicate a weak bladder?

Every time I cough, I end up leaking urine. I am a 37-year-old woman, and I'm pretty embarrassed. After reading up a little bit on it, I realized I may be suffering from urine incontinence. Does it also mean that my bladder is weak? What should be my next steps?

8 Answers

No, the opposite the bladder is too strong and pushes the urine out. A weak bladder you can not void.
Your symptoms indicate genuine stress urinary incontinence, the most likely result of relaxation of the pelvic floor muscles, increased mobility of the urethra during coughing, and subsequent leakage of urine. There are new in exciting therapy is available, which are non-invasive. One is the Emsella chair, the other is a ThermiVa radio frequency energy. Emsella uses focused magnetic resonance energy to achieve forceful contraction of the pelvic floor muscles, and restore continence, simply by sitting fully clothed on the device. I ThermiVa uses a gentle radio frequency energy To induce collagenesis and restore vaginal integrity and thickness. It also may have a calming effect on the bladder.
NO. It is due to weakness of the pelvic floor.
It sounds like you have stress urinary incontinence. You can start by doing kegel exercises. If not improved, it would be best to see a urologist to review your options.

Thank you,

Lauren Eisenberg, DO
It's not your bladder that's weak, it's usually the sphincter that's weak or there is some dropping of the urethra leading to the incontinence. I would start by doing Kegel exercises regularly. I usually recommend 20 contractions (5 seconds each), three times a day. If not improved in 3 months, see a urologist.

What you have is classic stress urinary incontinence. It is usually due to childbirth. It is not due to a weak bladder, but a weak incompetent urethra. You can trial pelvic floor rehab or proceed with a urethral sling. I would suggest you make an appointment with a Urogynocolgist or a female urologist.

Dr. Niko Lailas, Chief of Surgery and Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
It means that you may have a weak pelvic floor, rather than a weak bladder. The most common cause is child birth. Pelvic floor exercises may be helpful to you and certainly wouldn't do any harm.
Seems you have stress urinary incontinence. It can usually happen after pregnancy or deliveries. Need urodynamic evaluation, stress test & vaginal exam. Urology evaluation. Thanks.