Millions of people in the United States live with urinary incontinence and bladder control symptoms. It may prevent men, women and children from living the life they want. The fear of being far from a bathroom can limit choices about daily life.
The Urology Care Foundation’s goal is to get people to talk openly about their incontinence issues with their health care team. Many people either do not talk about their symptoms or assume there are no good treatments. Many people wait years before seeking treatment, when they could have been feeling better sooner.
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The information in this guide can give you answers to some of your questions about incontinence. We suggest you talk openly with your health care provider about your symptoms. There are many ways to manage and treat symptoms to find relief.
How Does the Urinary Tract Work?
The kidneys, ureters, bladder and urethra are part of the urinary tract — the organs in our bodies that make, store and pass urine. You have two kidneys that make urine. The urine from the kidneys drains down to the bladder via the ureters. The urine is stored in the bladder. The urine leaves the bladder via the urethra. In men, the urethra travels through the prostate. The muscles in the lower part of your pelvis hold your bladder in place.
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When it is not full of urine, the bladder is relaxed. Nerve signals in your brain let you know when your bladder is getting full. When full, you feel the need to pass urine. Once you are ready, the brain sends a signal to the urethral sphincter muscle (located towards the top of the urethra) and the bladder. The urethral sphincter muscle relaxes and opens the urethra, and the bladder muscle squeezes (or contracts), forcing urine out through the urethra to empty the bladder. After you pass urine, the sphincter muscle closes again (or contracts) to keep urine in the bladder. It only opens again when your brain says you are ready to pass urine again.
With urinary incontinence, some parts of this system do not work the way they should.
What is urinary incontinence?
Urinary incontinence is a problem with bladder and sphincter control. It is the uncontrolled leaking of urine. If the fear of leaking urine stops you from doing things you enjoy, then it is time to think about treatment. Do not be embarrassed to talk to your health care team about this medical condition. There are treatment options waiting for you!
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