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Overactive Bladder Health Channel

Feature Article

Illustrations for this article

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Female urinary tract

Male urinary tract

Urge incontinence

Definition

Urge incontinence involves a strong, sudden need to urinate. Then the bladder contracts, leading to urine leakage.

Alternative Names

Overactive bladder; Detrusor instability; Detrusor hyperreflexia; Irritable bladder; Spasmodic bladder; Unstable bladder; Incontinence - urge

Causes, incidence, and risk factors

A person's ability to hold urine depends on normal function of the lower urinary tract, kidneys, and nervous system. The person must also have a physical and mental ability to recognize and respond to the urge to urinate.

The bladder's ability to fill and store urine requires a working sphincter muscle (which controls the flow of urine out of the body) and a stable bladder wall muscle (detrusor).

The process of urination involves two phases:

  • Filling and storage
  • Emptying

During the filling and storage phase, the bladder stretches so it can hold the increasing amount of urine. The bladder of an average person can hold 350 ml to 550 ml of urine. Generally, a person feels like they need to urinate when approximately 200 ml of urine fills up in the bladder.

The nervous system tells you that you need to urinate. It also allows the bladder to continue to fill.

The emptying phase requires the detrusor muscle to contract, forcing urine out of the bladder. The sphincter muscle must relax at the same time, so that urine can flow out of the body.

The bladder of an infant automatically contracts when a certain volume of urine is collected in the bladder. As the child grows older and learns to control urination, part of the brain (cerebral cortex) helps prevent bladder muscle contraction. This allows urination to be delayed until the person is ready to use the bathroom.

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More Articles

Frequent or urgent urination (2 Images) (Doctor-Reviewed information)
Frequent urination means needing to urinate more often than usual. Urgent urination is a sudden, compelling urge to urinate, along with discomfort in your bladder.A frequent need to urinate at night is called nocturia. Reviewer: Scott M. Gilbert, MD, Department of Urology, Columbia-Presbyterian Medical Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 05/22/2008
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Urination - excessive at night (2 Images) (Doctor-Reviewed information)
Excessive urination at night is a condition in which you wake up several times during the night to urinate. Waking up several times a night to urinate is called nocturia.Normally, urine decreases in amount and become more concentrated at...Reviewer: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.Date: 06/05/2007
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Neurogenic Bladder (Doctor-Reviewed information)
Neurogenic bladder is a dysfunction that results from interference with the normal nerve pathways associated with urination.Normal bladder function is dependent on the nerves that sense the fullness of the bladder(sensory nerves) and on those that...
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Stress incontinence (5 Images) (Doctor-Reviewed information)
Stress incontinence is an involuntary loss of urine that occurs during physical activity, such as coughing, sneezing, laughing, or exercise.The ability to hold urine and control urination depends on the normal function of the lower urinary tract, ...Reviewer: Peter Chen, MD, Department of Obstetrics and Gynceology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed byDavid Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 04/24/2008
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