1. Problems with Bladder Control Presented by (insert name of presenter here)

2. Bladder Control Problems Problems of: Bladder Emptying Bladder Storage Bladder Storage

3. Bladder Emptying Problems Image source: Virginia Urology Center Obstructive conditions (e.g. Benign Prostatic Hyperplasia [BPH]) Bladder Seminal Vesicle Prostate BPH constricting the urethra Urethra

4. Bladder Storage Problems Overactive Bladder Stress Incontinence Mixed Incontinence Overflow Incontinence

5. Overactive Bladder Frequency OVERACTIVE BLADDER Urgency Urge incontinence

6. Urinary Incontinence Definition: Urinary incontinence Urinary incontinence is uncontrolled leakage of urine causing hygienic and social problems.

7. Stress Incontinence Stress incontinence coughssneezes laughsjumpslifts something heavy Stress incontinence occurs when a small amount of urine escapes while the person coughs, sneezes, laughs, jumps or lifts something heavy.

8. Stress Incontinence (a) Continent woman (b) Woman with stress incontinence External urethral sphincter Sudden increase in intra-abdominal pressure

9. Overflow Incontinence Overflow incontinence overfilled bladder Overflow incontinence happens when urine leaks from an overfilled bladder.

10. Overflow Incontinence

11. Mixed Incontinence Mixed incontinence urge incontinencestress incontinence Mixed incontinence occurs when a person has both the symptoms of urge incontinence and stress incontinence.

12. Mixed Incontinence Sudden increase in intra-abdominal pressure Uninhibited detrusor contractions

13. Factors Associated with Bladder Control Problems Age Childbirth Gender Menopausal Status Surgery Prostate enlargement Lifestyle Medications Concomitant illnesses

14. Direct Cost of Urinary Incontinence in the USA US $ billion 20 16 12 8 4 0 198419871993

15. Urinary Incontinence is Common Among Older Adults Men Women 18 16 14 12 10 8 6 4 2 0 Percentage of respondents in each age group 5-1415-2425-3435-4445-5455-6465-7475-84 >85 Age (years)

16. 10 Warning Signs of Bladder Control Problems #1 leakage Any leakage of urine

17. #2 coughingsneezing laughingorstanding Leakage of urine, regardless of amount, on coughing, sneezing, laughing or standing 10 Warning Signs of Bladder Control Problems

18. #3 wayto thetoilet Leaking urine on the way to the toilet 10 Warning Signs of Bladder Control Problems

19. #4 over six years Bed wetting at any age over six years 10 Warning Signs of Bladder Control Problems

20. #5 unable to hold on An urgent need to pass urine, being unable to hold on 10 Warning Signs of Bladder Control Problems

21. #6 Passing urine more frequently than 8 times a day small amounts and only passing small amounts 10 Warning Signs of Bladder Control Problems

22. #7 Blood Blood in the urine 10 Warning Signs of Bladder Control Problems

23. #8 Inability Inability to urinate (retention of urine) 10 Warning Signs of Bladder Control Problems

24. #9 Pain Pain when passing urine 10 Warning Signs of Bladder Control Problems

25. #10 weakness stops and starts Progressive weakness of the urinary stream or a stream that stops and starts instead of flowing out smoothly Image source: Malaysian Urological Association 10 Warning Signs of Bladder Control Problems

26. See Your Doctor Soon!