Overflow incontinence

This is when the bladder does not empty normally. It can remain partly full or completely due to an obstruction in the pipework below the bladder. More common in men than some as the culprit is usually the prostate gland. Patients will often report a need to wee, but inability to find relief. Patients can urinate, but the flow is difficult and there is often a drip/leak

Reasons for incontinence occurring

• Vulvo Vaginal atrophy (VVA)
• Menopause changes
• Injury (from a catheter, surgery or an accident)
• Childbirth (Vaginal and Caesarean)
• Connective tissue disorders
• Urethral (urine tube) changes
• Medications (Diuretics)
• Urine infections
• Caffeine/alcohol
• Constipation
• Excess weight

Treatments available:

• Vaginal Laser treatment & ongoing assessment
• Pelvic floor exercise (including during pregnancy)
• Referral and treatment with specialist women’s physiotherapy
• Use of electro-stimulation devices and weights. (Kegel 8, Neen pericalm, Aquaflex weights)
• Medication/medication changes
• Bladder Training
• Reduction in caffeine/alcohol intake
• Relaxation therapies and cognitive behaviour training
• Pelvic floor assessment and education

Surgical procedures:

• Trans Vaginal Tape (TVT)
• Mesh repair
• Anterior/posterior repair of vagina
• Vaginoplasty
• Urethraplasty