Bladder Control & Leakage

Urgency, leakage, frequency, and overactive bladder symptoms are common, personal, and treatable.

Bladder Control Care for Leakage, Urgency, and Frequency

Mountain West Health evaluates male and female incontinence, overactive bladder, urgency, frequency, and bladder control concerns.

Bladder control symptoms can affect sleep, confidence, work, exercise, and daily routines. Leakage may happen with coughing or activity, sudden urgency, incomplete emptying, childbirth, menopause, prostate conditions, or other health changes.

Treatment depends on the type and cause of symptoms. Options may include lifestyle changes, bladder training, pelvic floor therapy, medication, bladder Botox, neuromodulation, or surgical care when appropriate.

1 in 6 1,2**

adults have bladder control problems

1 in 12 2-4†

adults have bowel control problems

When your body is functioning properly, nerves signal your brain when your bladder or rectum are full and need to empty. When you experience troublesome symptoms, it may be due to a disruption in the communication between your brain and your bladder or bowel.⁵⁻⁸ Targeting this communication may help restore* function.⁹⁻¹¹

Therapies

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* Restoration of function is defined as a 50 percent or greater reduction in your troublesome bladder or bowel symptoms from baseline.

** Estimate based on U.S. adults that meet the criteria for overactive bladder.

† Estimate based on U.S. adults that meet the criteria for fecal incontinence.

References

  1. Stewart WF, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003 May;20(6):327-336.
  2. US Census Bureau 2020. US adult and under-age-18 populations: 2020 census. https://www.census.gov/library/visualizations/interactive/adult-and-under-the-age-of-18-populations-2020-census.html. Accessed June 20, 2022.
  3. Ditah I, Devaki P, Luma HN, et al. Prevalence, trends, and risk factors for fecal incontinence in United States adults, 2005-2010. Clin Gastroenterol Hepatol. 2014;12:636-643.
  4. Whitehead WE, Borrud L, Goode PS, et al. Fecal Incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137(2):512-517.
  5. Chancellor MB, Chartier-Kastler EJ. Principles of sacral nerve stimulation (SNS) for the treatment of bladder and urethral sphincter dysfunctions. Neuromod. 2000;3(1):15-26.
  6. Leng WW, Chancellor MB. How sacral nerve stimulation neuromodulation works. Urol Clin North Am. 2005;32:11-18.
  7. Lundby L, Moeller A, Buntzen S, et al. Relief of fecal incontinence by sacral nerve stimulation linked to focal brain activation. Dis Colon Rectum. 2011;54(3):318-323.
  8. Janssen PTJ, Komen N, Melenhorst J, et al. Sacral neuromodulation for fecal incontinence: a review of the central mechanisms of action. J Clin Gastroenterol. 2017;51(8):669-676.
  9. Siegel S, Noblett K, Mangel J, et al. Five-year follow-up results of a prospective, multicenter study of patients with overactive bladder treated with sacral neuromodulation. J Urol. 2018;199(1):229-236.
  10. Medtronic InterStim Clinical Summary 2018.
  11. Hull T, Giese C, Wexner SD, et al. Long-term durability of sacral nerve stimulation therapy for chronic fecal incontinence. Dis Colon Rectum. 2013;56(2):234-245.