Out in the Open: Urinary Incontinence No Longer a Silent Affliction
Silence may be golden, but not if it keeps you from getting help for urinary incontinence. For of all the urologic conditions, those concerning leaking urine are often the most neglected, especially by women—who make up 85 percent of incontinence sufferers. In either gender, the condition appears in various forms, involving various parts of the anatomy (the bladder, urethra and sphincter) as well as the central nervous system, and triggered by various causes. Stress incontinence is common to women; post-surgical incontinence is most frequent in men who have undergone prostatic surgery.
Civilization's earliest physicians first postulated that sphincter breakdown or bladder weakness caused leaking. But it wasn't until the 1970s, when urodynamic equipment became sophisticated, that urologists began to understand the mechanisms that control voiding.