Incontinence associated with chronic retention
Incontinence associated with chronic retention is when the bladder is unable to empty properly and frequent leakage of small amounts of urine occurs as a result.
Signs that your bladder is not completely emptying include:
- feeling that you need to strain to pass urine
- a weak or slow urine stream
- feeling as if your bladder is not empty just after going to the toilet
- little or no warning when you need to pass urine
- passing urine while asleep
- frequent urinary tract infections or cystitis, and
- 'dribbling' more urine after visiting the toilet.
What causes incontinence associated with chronic retention?
There are several possible causes for this type of incontinence. These include:
- a urethra blockage caused by a full bladder (the full bladder can put pressure on the urethra, making it difficult to pass urine)
- an enlarged prostate
- a prolapse of pelvic organs which can block the urethra
- damage to the nerves that control the bladder, urethral sphincter or pelvic floor muscles
- diabetes, multiple sclerosis, stroke or Parkinson's disease (these conditions can interfere with the sensation of a full bladder and with bladder emptying), and
- some medications (which can interfere with bladder function) including over the counter medications and herbal products.