Urinary incontinence is the inability to control the flow of urine and is a common and distressing problem affecting quality of life. It is more common and severe in the elderly of both the sexes.
Incontinence is never normal. Age related changes may predispose but may be reversed with consequent resolution. Most incontinence problems can be cured or alleviated without surgery.
It is important to determine the cause of incontinence to find a key to its management. The two most common causes are loss of bladder control (urge incontinence) and lack of urethral support (stress incontinence).
Simple lifestyle modifications like regulation of fluid intake, avoiding caffeine, spicy food, citrus fruits and chocolates can help reduce bladder spasms. The pelvic floor muscle training exercises also make the pelvic muscles strong to prevent bladder spasms and support the urethra.
Two methods that have become very popular are