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What Causes Urinary Incontinence?

Incontinence may be sudden and temporary, or ongoing and long-term. Causes of sudden or temporary incontinence include:

  • Urinary tract infection or inflammation
  • Prostate infection or inflammation
  • Stool impaction from severe constipation, causing pressure on the bladder
  • Side effects of medications (such as diuretics, tranquilizers, some cough and cold remedies, certain antihistamines for allergies, and antidepressants)
  • Increased urine amounts, like with poorly controlled diabetes
  • Pregnancy
  • Weight gain
  • Short-term bed rest -- for example, when recovering from surgery
  • Mental confusion

Causes that may be more long-term:

  • Spinal injuries
  • Urinary tract anatomical abnormalities
  • Neurological conditions like multiple sclerosis or stroke
  • Weakness of the sphincter, the circular muscles of the bladder responsible for opening and closing it; this can happen following prostate surgery in men, or vaginal surgery in women
  • Pelvic prolapse in women -- falling or sliding of the bladder, urethra, or rectum into the vaginal space, often related to having had multiple pregnancies and deliveries
  • Large prostate in men
  • Depression or Alzheimer's disease
  • Nerve or muscle damage after pelvic radiation
  • Bladder cancer
  • Bladder spasms
 

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