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Many potential causes of urinary incontinence

Urinary incontinence can be an embarrassing condition that often involves some inconvenient lifestyle changes.

But according to the Mayo Clinic, it’s sometimes a result of easily treatable medical conditions. Those conditions include:

Urinary tract infection: Infections can irritate your bladder, causing you to have strong urges to urinate. These urges may result in episodes of incontinence, which may be your only warning sign of a urinary tract infection. Other possible signs and symptoms include a burning sensation when you urinate and foul-smelling urine.

Constipation: The rectum is located near the bladder and shares many of the same nerves. Hard, compacted stool in your rectum causes these nerves to be overactive and increase urinary frequency. In addition, compacted stool can sometimes interfere with the emptying of the bladder, which may cause overflow incontinence.

Treatment for urinary incontinence due to other factors is frequently treatable as well. Treatment options for the condition include surgery, medication and physical therapy. But some treatments, such as transvaginal mesh implants, bring difficulties of their own.

The implants, marketed for treatment of urinary incontinence and pelvic organ prolapse, have prompted thousands of lawsuits due to their tendency to fail and cause health problems. The most common reported problem is the vaginal mesh eroding and sticking through the walls of the bladder and vagina, causing severe pain.

The Mayo Clinic says urinary incontinence can be a persistent condition caused by underlying physical problems or changes, including:

Pregnancy and childbirth — Pregnant women may experience stress incontinence because of hormonal changes and the increased weight of an enlarging uterus. In addition, the stress of a vaginal delivery can weaken muscles needed for bladder control. The changes that occur during childbirth can also damage bladder nerves and supportive tissue, leading to a dropped (prolapsed) pelvic floor. With prolapse, your bladder, uterus, rectum or small bowel can get pushed down from the usual position and protrude into your vagina. Such protrusions can be associated with incontinence.

Changes with aging — Aging of the bladder muscle leads to a decrease in the bladder’s capacity to store urine and an increase in overactive bladder symptoms. Risk of overactive bladder increases if you have blood vessel disease, so maintaining good overall health — including stopping smoking, treating high blood pressure and keeping your weight within a healthy range — can help curb symptoms of overactive bladder.
After menopause women produce less estrogen, a hormone that helps keep the lining of the bladder and urethra healthy. With less estrogen, these tissues may deteriorate, which can aggravate incontinence.

Hysterectomy — In women, the bladder and uterus lie close to one another and are supported by many of the same muscles and ligaments. Any surgery that involves a woman’s reproductive system — for example, removal of the uterus (hysterectomy) — may damage the supporting pelvic floor muscles, which can lead to incontinence.

Painful bladder syndrome (interstitial cystitis) — This chronic condition causes painful and frequent urination, and rarely, urinary incontinence.

Prostatitis — Loss of bladder control isn’t a typical sign of prostatitis, which is inflammation of the prostate gland — a walnut-sized organ located just below the male bladder. Even so, urinary incontinence sometimes occurs with this common condition.

Enlarged prostate — In older men, incontinence often stems from enlargement of the prostate gland, a condition also known as benign prostatic hyperplasia (BPH).

Prostate cancer — In men, stress incontinence or urge incontinence can be associated with untreated prostate cancer. However, more often, incontinence is a side effect of treatments — surgery or radiation — for prostate cancer.

Bladder cancer or bladder stones — Incontinence, urinary urgency and burning with urination can be signs and symptoms of bladder cancer or bladder stones. Other signs and symptoms include blood in the urine and pelvic pain.

Neurological disorders — Multiple sclerosis, Parkinson’s disease, stroke, a brain tumor or a spinal injury can interfere with nerve signals involved in bladder control, causing urinary incontinence.

Obstruction — A tumor anywhere along your urinary tract can block the normal flow of urine and cause incontinence, usually overflow incontinence. Urinary stones — hard, stone-like masses that can form in the bladder — may be to blame for urine leakage. Stones can be present in your kidneys, bladder or ureters.

If you have a vaginal mesh implant, you should consult with a doctor if you have any ongoing symptoms or health concerns. If you have significant injuries, you should also consult with a mesh lawyer to discuss your legal rights.

Get more information on urinary incontinence here:

http://www.mayoclinic.com/health/urinary-incontinence/DS00404