Urge incontinence is the sudden and strong need to urinate. It is also referred to as an unstable or overactive bladder. It is the second most common type of urinary incontinence.
If you are experiencing an overactive bladder and urge incontinence, the bladder may feel fuller than it actually is. This means that the bladder is contracting too early when it is not very full, and not when you want it to. This can make you suddenly need to go to the toilet and perhaps leak some urine before you get there.
Symptoms may get worse at times of stress and may be made worse by caffeine in tea, coffee or cola drinks or by alcohol.
Management options include general lifestyle measures, bladder retraining, pelvic floor exercises and medications.
Specialists at the Australian Centre for Bladder and Bowel Incontinence provide a range of procedural interventions including Botulinum Toxin injections and Sacral Nerve Stimulation. Injection of botulinum toxin into the overactive bladder muscle will relax it and relieve the symptoms of frequency, urgency, nocturia and urinary urge incontinence. The use of sacral nerve stimulation has been widely employed as a treatment for faecal incontinence, however following recent changes in the Medical Benefits Schedule this therapy is now available for patients experiencing urinary incontinence.