top of page
info781672

Understanding Urinary Incontinence in the Elderly


urinary incontinence treatment for elderly

Urinary incontinence, the involuntary loss of bladder control, is a common but often under-discussed issue among the elderly population. In Dublin, this condition affects a significant portion of the senior community, leading to discomfort, embarrassment, and a decrease in quality of life. At Donnybrook Cosmetic & Wellness Clinic, under the expert guidance of Dr. Sami Hameid, we are dedicated to providing effective, compassionate care for elderly patients dealing with urinary incontinence. This comprehensive guide explores the causes, types, and treatment options available in Dublin, with a particular focus on how Pelvic Floor Rehabilitation Therapy can help restore confidence and improve daily life.


What Is Urinary Incontinence?

Urinary incontinence is the loss of bladder control, leading to accidental leakage of urine. It ranges from occasional dribbling when coughing or sneezing to sudden, strong urges that can lead to a complete loss of bladder control. This condition is more prevalent among the elderly due to factors such as weakened pelvic muscles, chronic health conditions, and certain medications.


Types of Urinary Incontinence in the Elderly

There are several types of urinary incontinence that commonly affect the elderly:

  1. Stress Incontinence: This occurs when physical movement or activity, such as coughing, sneezing, or lifting, puts pressure on the bladder, causing urine to leak. Stress incontinence is often due to weakened pelvic floor muscles, which can happen as a result of aging, childbirth, or surgery.

  2. Urge Incontinence: Also known as overactive bladder, this type is characterized by a sudden, intense urge to urinate, followed by an involuntary loss of urine. It can be caused by various factors, including urinary tract infections, neurological disorders, or diabetes.

  3. Overflow Incontinence: This type occurs when the bladder doesn't empty completely, leading to frequent dribbling of urine. It is often associated with blockages in the urinary tract, weakened bladder muscles, or nerve damage from conditions such as diabetes.

  4. Functional Incontinence: Functional incontinence is due to physical or mental impairments that prevent the elderly from reaching the bathroom in time. Conditions such as arthritis, Parkinson’s disease, or dementia can contribute to this form of incontinence.

  5. Mixed Incontinence: This is a combination of two or more types of incontinence, often stress and urge incontinence, and is common among the elderly.

Causes of Urinary Incontinence in the Elderly

Urinary incontinence in the elderly can be attributed to a variety of factors, including:

  • Aging: As we age, the muscles in the bladder and urethra lose strength, making it harder to hold urine and increasing the likelihood of incontinence.

  • Chronic Conditions: Health conditions such as diabetes, stroke, and Parkinson’s disease can damage the nerves that control the bladder, leading to incontinence.

  • Medications: Certain medications, including diuretics, sedatives, and some antidepressants, can affect bladder function.

  • Menopause: For women, menopause leads to a decrease in estrogen levels, which can weaken the muscles that control the bladder.

  • Prostate Problems: In men, an enlarged prostate can block the urethra, leading to overflow incontinence.

  • Mobility Issues: Conditions that affect mobility, such as arthritis, can make it difficult for the elderly to reach the bathroom in time, leading to functional incontinence.

The Impact of Urinary Incontinence on the Elderly

Urinary incontinence can have a profound impact on the lives of the elderly, affecting their physical, emotional, and social well-being. The constant worry about leakage can lead to feelings of embarrassment, anxiety, and depression. Many elderly individuals may withdraw from social activities, leading to isolation and a decrease in their overall quality of life. Additionally, urinary incontinence can contribute to skin problems, such as rashes or infections, due to prolonged exposure to urine.

Diagnosis and Assessment

At Donnybrook Cosmetic & Wellness Clinic, our approach to urinary incontinence treatment begins with a thorough diagnosis and assessment. Dr. Sami Hameid and our team conduct a comprehensive evaluation, including a detailed medical history, physical examination, and specific tests to determine the type and severity of incontinence.

  • Medical History: Understanding the patient’s overall health, including any chronic conditions, medications, and past surgeries, is crucial in diagnosing the cause of incontinence.

  • Physical Examination: A physical exam helps to identify any abnormalities in the pelvic area, such as muscle weakness or prolapse.

  • Urinalysis: A urine sample may be tested for signs of infection, blood, or other abnormalities that could be contributing to incontinence.

  • Bladder Diary: Patients may be asked to keep a diary of their urinary habits, including frequency, volume, and any instances of leakage, to help in diagnosing the type of incontinence.

  • Postvoid Residual Measurement: This test measures the amount of urine left in the bladder after urination, helping to diagnose overflow incontinence.

  • Urodynamic Testing: This series of tests evaluates bladder function, including how well the bladder stores and releases urine.

  • Cystoscopy: In some cases, a cystoscopy may be performed to examine the bladder and urethra for any abnormalities.

Treatment Options for Urinary Incontinence in the Elderly

The treatment of urinary incontinence in the elderly varies depending on the type and severity of the condition, as well as the patient’s overall health. At Donnybrook Cosmetic & Wellness Clinic, we offer a range of treatments tailored to meet the individual needs of our elderly patients.

1. Lifestyle and Behavioral Changes

For many elderly patients, simple lifestyle and behavioral changes can significantly reduce the symptoms of urinary incontinence.

  • Bladder Training: Bladder training involves teaching the patient to delay urination after feeling the urge to go. Over time, this can help to increase the amount of urine the bladder can hold and reduce the frequency of incontinence episodes.

  • Scheduled Toilet Trips: Encouraging elderly patients to go to the bathroom at regular intervals, even if they don’t feel the urge, can help to prevent accidents.

  • Dietary Changes: Certain foods and drinks, such as caffeine, alcohol, and spicy foods, can irritate the bladder and increase the risk of incontinence. Modifying the diet to avoid these triggers can help manage symptoms.

  • Weight Loss: For elderly patients who are overweight, losing weight can reduce the pressure on the bladder and pelvic floor muscles, alleviating symptoms of stress incontinence.

  • Fluid Management: Managing fluid intake, particularly in the evening, can help reduce nighttime incontinence.

2. Pelvic Floor Rehabilitation Therapy

Pelvic Floor Rehabilitation Therapy is one of the most effective treatments for urinary incontinence in the elderly, particularly for those experiencing stress or urge incontinence. This therapy focuses on strengthening the muscles of the pelvic floor, which support the bladder and urethra.

  • Kegel Exercises: Kegel exercises involve repeatedly contracting and relaxing the pelvic floor muscles. Over time, this can strengthen these muscles, improving bladder control and reducing incontinence.

  • Biofeedback: Biofeedback uses sensors to monitor the activity of the pelvic floor muscles, helping patients to learn how to control these muscles more effectively.

  • Electrical Stimulation: In some cases, mild electrical stimulation may be used to strengthen the pelvic floor muscles and improve bladder control.

  • Physical Therapy: A physical therapist specializing in pelvic floor rehabilitation can guide elderly patients through specific exercises and techniques to strengthen the pelvic floor and alleviate incontinence.

At Donnybrook Cosmetic & Wellness Clinic, our team is highly skilled in providing Pelvic Floor Rehabilitation Therapy, offering personalized treatment plans to meet the unique needs of our elderly patients.

3. Medications

In some cases, medications may be prescribed to help manage urinary incontinence in the elderly. These medications work by either relaxing the bladder muscles, increasing the amount of urine the bladder can hold, or tightening the muscles of the urethra.

  • Anticholinergics: These medications help to relax the bladder muscles, reducing the symptoms of urge incontinence.

  • Alpha-Blockers: For men with overflow incontinence due to an enlarged prostate, alpha-blockers can help to relax the muscles around the prostate and bladder neck, making it easier to urinate.

  • Topical Estrogen: For postmenopausal women, topical estrogen in the form of creams, rings, or patches can help to strengthen the tissues around the urethra and reduce symptoms of stress incontinence.

  • Mirabegron: This medication helps to relax the bladder muscle and increase the amount of urine the bladder can hold, reducing the symptoms of urge incontinence.

It’s important for elderly patients to discuss the potential side effects and interactions of these medications with their doctor, particularly if they are taking other medications for chronic conditions.

4. Medical Devices

Several medical devices can be used to treat urinary incontinence in the elderly. These devices are particularly useful for those who may not be candidates for surgery or who prefer non-invasive treatment options.

  • Urethral Inserts: A urethral insert is a small, disposable device that is inserted into the urethra to prevent leakage during activities that increase abdominal pressure, such as coughing or exercising. The insert is removed before urination.

  • Pessary: A pessary is a device inserted into the vagina to support the bladder and reduce symptoms of stress incontinence. Pessaries are often used in elderly women who have pelvic organ prolapse.

  • Catheters: For elderly patients with severe incontinence or those who are bedridden, a catheter may be used to drain urine from the bladder. There are different types of catheters available, including intermittent catheters, which are used periodically throughout the day, and indwelling catheters, which remain in place for a longer period.

5. Surgical Options

For elderly patients who do not respond to conservative treatments, surgery may be an option to treat urinary incontinence. At Donnybrook Cosmetic & Wellness Clinic, we offer several surgical procedures that can effectively address the underlying causes of incontinence.

  • Bladder Sling Surgery: Bladder sling surgery involves placing a sling around the urethra to support it and prevent urine leakage. This procedure is often used to treat stress incontinence in women.

  • Prostate Surgery: For men with overflow incontinence due to an enlarged prostate, surgery to remove part of the prostate (prostatectomy) can relieve pressure on the urethra and improve bladder function.

  • Artificial Urinary Sphincter: An artificial urinary sphincter is a device implanted around the urethra that can be activated to close off the urethra and prevent leakage. This device is often used in men with severe incontinence due to prostate surgery or radiation therapy.

  • Bladder Augmentation: Bladder augmentation is a surgical procedure that increases the size of the bladder, allowing it to hold more urine and reducing the frequency of incontinence episodes. This procedure is typically reserved for patients with severe urge incontinence who have not responded to other treatments.

6. Complementary Therapies

In addition to conventional treatments, complementary therapies such as acupuncture, chiropractic care, and dietary supplements may offer additional relief for elderly patients with urinary incontinence. These therapies are often used in conjunction with other treatments to enhance their effectiveness.

  • Acupuncture: Acupuncture involves the insertion of thin needles into specific points on the body to stimulate nerve function and improve bladder control. Some studies suggest that acupuncture may be effective in reducing the symptoms of urge incontinence.

  • Chiropractic Care: Chiropractic care focuses on the alignment of the spine and may help to improve nerve function, reducing the symptoms of incontinence in some patients.

  • Herbal Supplements: Certain herbal supplements, such as saw palmetto, pumpkin seed extract, and cranberry extract, may help to improve bladder function and reduce incontinence. However, it’s important for elderly patients to consult with their doctor before taking any supplements, as they may interact with other medications.

The Role of Donnybrook Cosmetic & Wellness Clinic in Treating Urinary Incontinence in the Elderly

At Donnybrook Cosmetic & Wellness Clinic, we are committed to providing comprehensive, compassionate care for elderly patients dealing with urinary incontinence. Under the leadership of Dr. Sami Hameid, our clinic offers a wide range of treatment options, from lifestyle and behavioral changes to advanced surgical procedures, all tailored to meet the unique needs of our patients.

Dr. Sami Hameid is a Multi-Award Winning Cosmetic Doctor with a Master in Aesthetic Medicine. His passion for advanced cosmetic treatments and dermatology extends to his work in treating urinary incontinence, where he combines his expertise with a deep understanding of the physical and emotional challenges faced by elderly patients.

Our clinic takes a holistic approach to treatment, considering not only the physical aspects of incontinence but also the impact it has on the patient’s quality of life. We work closely with each patient to develop a personalized treatment plan that addresses their specific needs and goals, ensuring that they receive the highest standard of care.

Why Choose Donnybrook Cosmetic & Wellness Clinic?

There are several reasons why elderly patients and their families in Dublin choose Donnybrook Cosmetic & Wellness Clinic for the treatment of urinary incontinence:

  • Expertise: Dr. Sami Hameid and our team of specialists are highly trained in the latest treatments for urinary incontinence, ensuring that our patients receive the most effective and up-to-date care.

  • Compassionate Care: We understand the sensitive nature of urinary incontinence and provide a supportive, non-judgmental environment where patients feel comfortable discussing their concerns.

  • Personalized Treatment Plans: Every patient is unique, and we take the time to develop personalized treatment plans that address the specific needs and goals of each individual.

  • State-of-the-Art Facilities: Our clinic is equipped with the latest technology and equipment, allowing us to offer a wide range of treatments, from conservative therapies to advanced surgical options.

  • Comprehensive Care: In addition to treating urinary incontinence, we offer a range of services designed to improve our patients’ overall health and well-being, including Pelvic Floor Rehabilitation Therapy, cosmetic treatments, and wellness services.


Urinary incontinence is a common and often distressing condition among the elderly, but it is not something that has to be endured in silence. At Donnybrook Cosmetic & Wellness Clinic, we are dedicated to providing effective, compassionate care for elderly patients dealing with urinary incontinence. Whether through lifestyle changes, Pelvic Floor Rehabilitation Therapy, medication, or surgery, we offer a range of treatment options to help our patients regain control and improve their quality of life.


If you or a loved one is struggling with urinary incontinence, we encourage you to reach out to us at Donnybrook Cosmetic & Wellness Clinic. Our team, led by the highly experienced Dr. Sami Hameid, is here to help you explore your treatment options and develop a plan that works for you. Contact us today at 086 770 3753 to schedule a consultation and take the first step toward a more confident, comfortable life.

1 view0 comments

Recent Posts

See All

Comments


bottom of page