Other Common Urinary Problems
In addition to urinary incontinence, fecal incontinence and urinary tract infection (UTI) are common urinary problems in women at midlife and beyond.
Fecal incontinence.
Also called anal or bowel incontinence, this involves involuntary leaking of solid or liquid feces severe enough to affect quality of life. It’s been observed in up to one-quarter of women who have urinary incontinence. Fecal incontinence arises from a malfunction of the pelvic floor’s nerves and muscles.
Special physical therapy programs, biofeedback, and electrical stimulation therapies have been helpful. Surgery is another option.
UTI.
Diminished estrogen levels may play a role in increasing the risk of UTI. Without estrogen, the urethra shortens, minimizing its defense against bacteria, and the healthy acidity of the vagina changes to an environment more susceptible to infection. UTI risk can also be increased with urinary incontinence, perhaps due to prolonged use of soiled absorbent pads, which can provide an environment for bacterial growth.
A UTI can also bring on urinary incontinence as well as painful urination. These infections are typically treated with prescription antibiotics. Theoretically, estrogen therapy may help reduce the risk of UTI by restoring the acidic environment of the vagina; however, only vaginal estrogen therapy has been proven effective in reducing the risk of recurrent UTI.
Nondrug strategies for preventing UTIs :
- Void within 1 hour of the urge to urinate.
- Urinate prior to or after intercourse (and drink a glass of water as well).
Wipe from front to back, especially after a bowel movement, to prevent spreading bacteria.- Change underwear daily.
- Wear underwear with a cotton crotch to minimize moisture retention.
- Avoid tight jeans and other pants (including pantyhose) that hold in heat and moisture.
- Limit use of hot tubs and highly chlorinated pools.
- Avoid perfumed toilet paper, powders, and bubble baths.
- Do not use feminine hygiene products that irritate the urethra.
- Do not consume foods and beverages that are bladder irritants, such as coffee, tea, and alcohol.
- Drink cranberry