Types of Urinary Incontinence

There are four main types of urinary incontinence: stress incontinence, urge incontinence, overflow incontinence, and functional incontinence. Combinations of the different types of urinary incontinence are sometimes referred to as "mixed incontinence."

 

An Overview of Urinary Incontinence Types

Urinary incontinence is a loss of bladder control. It can happen to anyone, but is very common in older people. There are four main types. These urinary incontinence types include:
 
  • Stress incontinence
  • Urge incontinence (overactive bladder)
  • Overflow incontinence
  • Functional incontinence.
     
Stress Incontinence
If coughing, laughing, sneezing, or other movements that put pressure on the bladder cause you to leak urine, you may have stress incontinence. Physical changes resulting from pregnancy, childbirth, and menopause often cause stress incontinence. It is the most common type of uninary incontinence in women, and is treatable.
 
Pelvic floor muscles support your bladder. If these muscles weaken, your bladder can move downward, pushing slightly out of the bottom of the pelvis, toward the vagina. This prevents muscles that ordinarily force the urethra shut, from squeezing as tightly as they should. As a result, urine can leak into the urethra during moments of physical stress. Stress incontinence can also occur if the muscles that do the squeezing weaken.
 
Stress incontinence can worsen during the week before your menstrual period. At that time, lowered estrogen levels might lead to lower muscular pressure around the urethra, increasing chances of leakage. The incidence of stress incontinence increases following menopause.
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Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD