About overflow incontinence

Overflow incontinence tends to occur when the bladder, like an overfull hot water bottle, has pressure put on it and the urine is forced out. This can be caused by neurological problems, which affect the bladder's ability to contract fully, or where urine is not able to come out easily due to a blockage, causing pressure to build up. In most cases, overflow incontinence is caused by an enlarged prostate. Men with enlarged prostates often complain of a urine stream that is very weak, difficulties or hesitation in starting to pass urine then difficulties stopping the urine leak. This is known as terminal dribble (or after dribble). These men often leave a large volume of urine in their bladder even after using the toilet, this may cause feelings of the bladder not being fully emptied. Consequently, they need to visit the toilet very frequently. Overflow incontinence presents as a continuous incontinence and without proper treatment, the person will be damp all the time. This causes them to experience social awkwardness, low self-esteem and can lead to loneliness or restricted social behaviour.

Overflow incontinence may affect your night-time rest, by waking you up numerous times overnight with the need to use the toilet. This is known as nocturia. A difficult-to-empty bladder may also cause bladder or kidney infections, because urine that stays in the bladder for long periods of time offers some bacteria a good environment to grow in.

However, with your doctor’s help and guidance from Depend, you can manage the condition. The following section on overflow incontinence discusses the causes and how to manage it.

What causes overflow incontinence?

Overflow incontinence is caused when your bladder is filled beyond its normal capability. This generally results in leakage from the bladder, which may occur anytime during the day or night.

This over-filling can be caused by two factors:

• An outlet blockage usually seen with an enlarged prostate. 
• A weak or absent bladder contraction, caused by damage to the neurological system. Nerve damage may be caused by a variety of ailments including Spinal Cord Injury, Parkinson's, Multiple Sclerosis or Diabetes.

Overflow incontinence treatment

The most important aspect of this type of incontinence is a correct diagnosis. A common test done by doctors and continence nurses is an ultrasound of your bladder. Your urine may also be analysed to check for bladder infections or kidney stones. Often, treatment depends on the diagnosis of the underlying cause. For example, if it’s a medication that’s causing your incontinence, treatment may be as simple as changing your current medication to another type of medication that does not affect the bladder contractions. When the root cause is not known or you simply want to lessen the severity of the syndrome, the following treatments are recommended:

• Products: Depend Protect+ Absorbent Pants and Depend Protect Tape will keep you feeling clean and dry. These incontinence products are designed to minimise the embarrassment and stress that incontinence can cause.
• Bladder scheduling: This entails going to the bathroom at certain times during the day so that your bladder never overfills.
• Double voiding (urination): A few minutes after you first empty your bladder, try again to empty the remaining volume. Some people find getting up to wash their hands after the first urination and then returning to the toilet a good practice technique.
• Pelvic Floor Exercises: Bladder contraction weakness is a common cause of overflow incontinence. Pelvic floor exercises can strengthen the surrounding muscles and improve your ability to hold on till you get to the toilet.
• Incontinence surgery: Surgery is one of many options your doctors may offer you when your overflow is caused by an enlarged prostate that blocks your urine flow. Incontinence following this type of surgery is common but for most men, it often resolves in about 12 months. The most important thing to do during this recovery period is to do Pelvic floor exercises.
• Incontinence medication: Some medications have been found to be effective in reducing the symptoms of overflow incontinence. These medications work by relaxing the portion of your urinary tract allowing your urine to flow out more easily. Your doctor is the best person to consult about the appropriateness of starting this type of medication.
• Intermittent self-catheterisation: Another commonly used management technique, especially for those people with a bladder that does not contract well because of neurological problems. Your Urologist or Continence Nurse Advisor are the best people to consult about this option. They will be able to teach you how to self-catheterise and what products you should buy.

Many people refuse to acknowledge that they suffer from overflow incontinence and so forgo any treatment. However, seeing your doctor does not need to be a worrying experience. Incontinence is a common problem and treatments are available. Book a visit with your general practioner or Urologist, who can make a diagnosis and recommend a treatment plan. You may feel isolated whilst suffering from these unpleasant symptoms but friends and family can be supportive and considerate while you are going through this difficult time. With help from your doctor, your support network and Depend, you will be back to normal life in no time.

Don’t let incontinence restrict your life! Depend highly absorbent tape or pants product protects against loss of bladder control and are expertly designed for the ultimate discreet and comfort.

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