{"id":2272,"date":"2023-03-03T13:35:28","date_gmt":"2023-03-03T12:35:28","guid":{"rendered":"https:\/\/www.kontinenzzentrum.ch\/competence\/inkontinenz\/"},"modified":"2025-07-17T10:58:50","modified_gmt":"2025-07-17T08:58:50","slug":"incontinence","status":"publish","type":"page","link":"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html","title":{"rendered":"Incontinence"},"content":{"rendered":"<div id=\"pl-2272\"  class=\"panel-layout\" ><div id=\"pg-2272-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2272-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2272-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h1>Incontinence (Involuntary Loss of Urine)<\/h1>\n<h2>Causes, Symptoms, Diagnosis and Treatment of Urinary Incontinence<\/h2>\n<p><strong>Incontinence<\/strong> refers to an involuntary and therefore involuntary loss of urine. Those affected can no longer fully control the emptying of their bladder. Involuntary loss of urine can occur equally in women and men. Women are affected slightly more often than men: around one in four women will experience uncontrolled urine leakage in the course of their lives. As the topic of incontinence is still associated with shame, valuable time usually passes between the first symptoms and treatment. Those affected usually develop a high level of suffering before they seek help. Even in more complicated cases and at an older age, continence (control over bladder emptying) can usually be restored or at least bladder function can be significantly improved. <\/p>\n<p>Knowledge about the causes and treatment options for involuntary loss of urine has developed enormously in recent years, meaning that effective incontinence therapy greatly improves quality of life. A detailed diagnosis by a specialist is essential for effective treatment and the restoration of continence. <\/p>\n<p>We will be happy to advise you on diagnosis and treatment options for urinary incontinence at our Hirslanden Continence Center in Zurich!           <\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2272-0-0-1\" class=\"so-panel widget widget_fn-info-box-widget\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-fn-info-box-widget so-widget-fn-info-box-widget-base\"\n\t\t\t\n\t\t><div class=\"uk-child-width-1-2@m uk-child-width-1-1 uk-grid-small\" uk-height-match=\"target: > div > .fn-info-box-content\" uk-grid><div>\n        <div class=\"fn-info-box-title\">\n          <div class=\"uk-grid-small\" uk-grid>            <div class=\"uk-width-auto\"><img decoding=\"async\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/ICON_achtung.svg\" class=\"attachment-small size-small\" alt=\"\" \/>            <\/div>            <div class=\"uk-width-expand\">\n              <h4 class=\"uk-h3\">Our Goal: Helping People with Incontinence<\/h4>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"fn-info-box-content\">\n              <p>We want to improve the quality of life for people affected by incontinence. Through detailed, targeted examinations, our specialists identify the cause of involuntary urine loss and determine the necessary treatment steps. In most cases, we can successfully treat bladder problems and restore continence.<\/p>\n        <\/div>\n      <\/div><div>\n        <div class=\"fn-info-box-title\">\n          <div class=\"uk-grid-small\" uk-grid>            <div class=\"uk-width-auto\"><img decoding=\"async\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/ICON_kontakt.svg\" class=\"attachment-small size-small\" alt=\"\" \/>            <\/div>            <div class=\"uk-width-expand\">\n              <h4 class=\"uk-h3\">Find Out More about Incontinence Now<\/h4>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"fn-info-box-content\">\n              <p>Contact us for a consultation if you are experiencing symptoms of incontinence or noticing changes in your bladder function. We will be happy to inform you about your individual examination and treatment options.<\/p>\n<p><div class=\"uk-flex uk-child-width-auto uk-grid-small\" uk-grid><div><a class=\"uk-button uk-button-primary\" href=\"tel:+41443872910\"><i class=\"fas fa-phone-alt uk-margin-small-right\"><\/i>+41 44 387 29 10<\/a><\/div><div><a class=\"uk-button uk-button-primary\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/about-us\/appointment.html\"><i class=\"fas fa-comments uk-margin-small-right\"><\/i>Book an Appointment Online<\/a><\/div><\/div><\/p>\n        <\/div>\n      <\/div><\/div><\/div><\/div><div id=\"panel-2272-0-0-2\" class=\"so-panel widget widget_sow-editor\" data-index=\"2\" ><div class=\"fn-lines panel-widget-style panel-widget-style-for-2272-0-0-2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3>We Cover the Following Topics on This Page:<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#forms\">Forms and Symptoms of Incontinence<\/a>\n<ul>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#stress-incontinence\">Stress Incontinence<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#urge-incontinence\">Urge Incontinence<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#mixed-incontinence\">Mixed Incontinence<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#rarer-forms\">Rarer Forms<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#causes\">Causes of Urinary Incontinence<\/a>\n<ul>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#women\">Incontinence in Women<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#men\">Incontinence in Men<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#children\">Incontinence in Children<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#post-surgery\">Urinary Incontinence after Surgery<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#neurogenic\">Incontinence Due to Neurogenic Disorders and Conditions<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#extraurethral\">Causes of Rare Forms of Incontinence<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#fecal\">Causes of Fecal Incontinence<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#checkup\">Health Program CheckUp: Treatment of Incontinence and Report from a Person Affected<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#diagnosis\">Diagnosis of Incontinence and Bladder Dysfunction<\/a>\n<ul>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#medical-history\">Medical history <\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#micturition-diary\">Micturition Diary<\/a><\/li>\n<\/ul>\n<ul>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#physical-examination\">Physical Examination<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#treatment\">Incontinence Treatment<\/a>\n<ul>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#treatment-options\">Therapy Options<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/incontinence.html#what-can-i-do\">What Those Affected Can Do Themselves<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-2272-0-0-3\" class=\"so-panel widget widget_sow-editor\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2><a name=\"forms\"><\/a>What Are the Forms and Symptoms of Urinary Incontinence?<\/h2>\n<p>There are different types of incontinence that manifest themselves through different symptoms in addition to the involuntary loss of urine. Below you will find the most common <strong>forms of incontinence<\/strong> and their typical symptoms. The so-called \u201c<a href=\"https:\/\/www.kontinenzzentrum.ch\/de\/erkrankungen\/blasenfunktionsstoerung\/blasenschwaeche.html\">bladder weakness<\/a>\u201d is not a separate form of urinary incontinence. Rather, the term is commonly used as a synonym for various disorders of bladder function, which are often wrongly dismissed as trivial. This downplays both the aspect of a medical condition and its treatability. In most cases, neither an investigation into the cause nor an appropriate therapy is carried out. Many sufferers unnecessarily resign themselves to their situation.<\/p>\n<h3><a name=\"stress-incontinence\"><\/a>Stress Incontinence<\/h3>\n<p>Stress urinary incontinence results in the involuntary loss of urine as soon as the pressure in the abdominal cavity - and therefore on the bladder and pelvic floor - increases. This happens, for example, during physical exertion, coughing or sneezing. The now outdated but still widely used term \"stress incontinence\" also seems to define (psychological) stress as the cause of this form of incontinence - this is not the case. Usually, those affected do not feel the urge to urinate before the loss of urine. Under stress, urine leakage occurs suddenly, sometimes in dribbles or even in a stream. Stress incontinence often occurs in women and is caused by a weakening of the pelvic floor muscles. A weakening of the bladder sphincter is also a conceivable cause of stress incontinence. The condition can usually be improved with conservative treatment methods (e.g. regular exercises under professional guidance, medication).<\/p>\n<p>\u2192 <a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/incontinence\/stress-incontincence.html\">Find out more about stress incontinence<\/a><\/p>\n<h3><a name=\"urge-incontinence\"><\/a>Urge Incontinence<\/h3>\n<p>A sudden, strong and unstoppable urge to urinate, which seems to come out of nowhere, is the characteristic symptom of urge incontinence. However, a glass of water, a cup of coffee or splashing noises can also trigger a sudden urge to urinate followed by involuntary urination. This form of incontinence is often referred to as irritable bladder, hypersensitive bladder, overactive bladder or sudden urinary incontinence. Depending on the cause, treatment is conservative, medicinal or surgical.<\/p>\n<p>\u2192 <a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/incontinence\/urge-incontinence.html\">Learn more about urge incontinence<\/a><\/p>\n<h3><a name=\"mixed-incontinence\"><\/a>Mixed Incontinence<\/h3>\n<p>If symptoms of stress and urge incontinence occur at the same time, this is known as mixed urinary incontinence. Those affected are often tense in public and fear unpredictable pressure (e.g. sneezing, coughing) and sudden, uncontrollable urge to urinate. They usually scan their surroundings constantly for a toilet nearby. The frequency of this form is unevenly distributed between the sexes: Women in particular are affected by mixed incontinence. Treatment depends on the underlying cause of mixed incontinence.<\/p>\n<p>\u2192 <a title=\"Mixed incontinence\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/incontinence\/mixed-incontinence.html\">Find out more about mixed incontinence<\/a><\/p>\n<h3>Rarer Forms<\/h3>\n<p>There are often mixed forms of urinary incontinence as well as much rarer forms of incontinence due to anatomical or disease-related causes. The rarer forms of incontinence include, for example<\/p>\n<ul>\n<li><strong>Supraspinal and spinal reflex incontinence:<\/strong> Incontinence caused by nerve damage, for example in <a title=\"Incontinence with Parkinson's disease\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/neurogenic-bladder-disorders\/parkinson-s-disease.html\">Parkinson's disease<\/a>, <a title=\"Incontinence with dementia\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/neurogenic-bladder-disorders\/dementia.html\">dementia<\/a>, <a title=\"Incontinence in multiple sclerosis\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/neurogenic-bladder-disorders\/multiple-sclerosis.html\">multiple sclerosis<\/a> or <a title=\"Incontinence after a stroke\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/neurogenic-bladder-disorders\/stroke.html\">stroke<\/a>. Those affected do not feel when their bladder is full and <a title=\"Information on bladder voiding dysfunction\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/bladder-dysfunction\/voiding-dysfunction.html\">cannot voluntarily control bladder emptying.<\/a><\/li>\n<li><strong>Incontinence due to difficult and incomplete bladder emptying, formerly also known as overflow incontinence:<\/strong> Usually triggered by a benignly enlarged prostate, which is why men are often affected. However, nerve damage as part of a neurourological disease or a narrowed urethra are also possible causes. In the case of overflow incontinence, those affected constantly have the feeling that they have to go to the toilet.<\/li>\n<li><strong>Extraurethral incontinence:<\/strong> Urine is not only passed through the urethra, but also through malformed ducts, e.g. via the vagina or bowel.<\/li>\n<li><strong>Enuresis:<\/strong> Nocturnal enuresis, especially in <a title=\"Pediatric urology\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/paediatric-urology.html\">children<\/a>, but also in adults. This form of incontinence is caused by physical, psychological or neurological factors. The term enuresis is used when involuntary urine loss occurs at least two nights a month in children aged five years or older.<\/li>\n<\/ul>\n<h2><a name=\"causes\"><\/a>Causes of Urinary Incontinence<\/h2>\n<p>Urinary incontinence can have various causes. Apart from risk factors that can promote the development of bladder dysfunction and incontinence, gender and age also play a role. In general, the following factors can increase the risk of incontinence:<\/p>\n<ul>\n<li>Certain medications (antidepressants, dehydrating medications)<\/li>\n<li>Overweight<\/li>\n<li>Weak connective tissue and a weakened pelvic floor<\/li>\n<li>Heavy physical work or regular heavy physical strain<\/li>\n<li>Births - especially multiple and\/or difficult natural births<\/li>\n<li>Chronic cough or constipation increase the pressure on the abdomen, bladder and sphincter muscles<\/li>\n<li>Operations on the urogenital tract or in the area of the spine<\/li>\n<li>Neurogenic diseases such as Parkinson's, multiple sclerosis, dementia, stroke, etc.<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><div id=\"panel-2272-0-0-4\" class=\"so-panel widget widget_sow-editor\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><img decoding=\"async\" class=\"alignright\" title=\"Incontinence in women doesn't have to be a burden - it can be treated well\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/blasensenkung-ursachen-symptome.jpeg\" alt=\"Incontinence in women doesn't have to be a burden - it can be treated well\" width=\"379\" height=\"253\" \/><\/p>\n<h3><a name=\"women\"><\/a>Incontinence in Women<\/h3>\n<p>One in two women notice bladder incontinence after the age of fifty during physical exertion, for example when sneezing, coughing, laughing or doing sport. With increasing age, pregnancy and childbirth as well as hormonal changes, women are affected twice as often as men. However, typical symptoms of an <a title=\"Irritable bladder\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/bladder-dysfunction\/irritable-bladder.html\">irritable bladder<\/a> such as frequent and increased urge to urinate, a shorter warning time and even urinary leakage with urge (<strong>urge incontinence<\/strong>) are also increasingly common in women over the age of 50. Organ prolapse in the pelvis, such as a <a title=\"Uterine prolapse\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/pelvic-prolapse\/uterine-prolapse.html\">uterine prolapse<\/a>, can also cause incontinence. Our <a title=\"Urogynecology\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/female-urology.html\">urogynaecology<\/a> specialists will be happy to advise you on risk factors and treatment options.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2272-0-0-5\" class=\"so-panel widget widget_sow-editor\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><img decoding=\"async\" class=\"alignright\" title=\"Incontinence in men - forget your worries on the beach thanks to good treatment options\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/mann_frau_sitzend.jpeg\" alt=\"Incontinence in men - forget your worries on the beach thanks to good treatment options\" width=\"379\" height=\"253\" \/><\/p>\n<h3><a name=\"men\"><\/a>Incontinence in Men<\/h3>\n<p>Men over 50 are often plagued by an enlarged prostate with a frequent urge to urinate and annoying urination at night. The slowly <a title=\"Prostate enlargement\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/bladder-dysfunction\/benign-prostate-enlargement.html\">enlarging prostate<\/a> increasingly restricts the flow of urine and thus irritates the bladder. This results in frequent urination at night, a generally frequent and increased urge to urinate with a short warning time and urge incontinence. Overflow incontinence also frequently affects men. In this case, an enlarged prostate often narrows the urethra and prevents the bladder from emptying completely when going to the toilet. Due to the permanently overfilled bladder, which reaches the limits of its elasticity, the sphincter muscle eventually becomes tired and urine is lost in dribbles. Feel free to contact our <a title=\"Men's health\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/men-s-health.html\">men's health<\/a> specialists for a detailed consultation on the subject of incontinence in men.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2272-0-0-6\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><img decoding=\"async\" class=\"alignright\" title=\"No worries about incontinence - child and father build a sandcastle on the beach\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/vater_sohn_strand-1.jpeg\" alt=\"No worries about incontinence - child and father build a sandcastle on the beach\" width=\"381\" height=\"254\" \/><\/p>\n<h3><a name=\"children\"><\/a>Incontinence in Children<\/h3>\n<p>In early childhood, there is initially uncontrolled bladder emptying. As bladder control matures, the child acquires the ability to control the bladder voluntarily, initially during the day and later also at night. If the child does not learn this or loses this ability again, the causes of the urinary incontinence must be clarified. Childhood bladder dysfunctions are complex, and organic, neurological and psychological aspects must be taken into account. The specialists in <a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/paediatric-urology.html\">pediatric urology<\/a> at the Hirslanden Continence Center will advise you in detail on individual treatment options.<\/p>\n<h3><a name=\"post-surgery\"><\/a>Urinary Incontinence after Surgery<\/h3>\n<p>Urinary incontinence is often the biggest problem after prostate surgery. Find out more about <a title=\"Incontinence after prostate surgery\" href=\"https:\/\/www.kontinenzzentrum.ch\/de\/erkrankungen\/neurogene-blasenstoerungen\/inkontinenz-nach-prostataoperation.html\">incontinence after prostate surgery<\/a> (only available in German currently).<\/p>\n<p>Prolapse operations, spinal surgery, pelvic surgery or uterine cancer, etc. can also lead to bladder impairment and involuntary loss of urine. Incontinence can also occur as a result of <a title=\"Bladder prolapse\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diseases\/pelvic-prolapse\/bladder-prolapse.html\">bladder prolapse<\/a> or prolapse of other pelvic organs.<\/p>\n<p><img decoding=\"async\" class=\"alignright\" title=\"Neurogenic incontinence due to stroke, paraplegia or other diseases of the nervous system\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/inkontinenz-nach-schlaganfall.jpeg\" alt=\"Neurogenic incontinence due to stroke, paraplegia or other diseases of the nervous system\" width=\"211\" height=\"229\" \/><\/p>\n<h3><a name=\"neurogenic\"><\/a>Neurogenic Incontinence<\/h3>\n<p>Injuries such as paraplegia or diseases of the nervous system - such as multiple sclerosis, stroke or Parkinson's disease - can trigger a bladder dysfunction or incontinence. In this case, the disorder lies in the signal transmission of the nerves involved in the finely tuned system of bladder muscles, sphincter and pelvic floor muscles. There may also be disturbances between the brain and the organs involved, and areas in the brain itself may be damaged. Our <a title=\"Neuro-Urology\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/competence\/neurourology.html\">neuro-urology<\/a> department can provide you with further information on neurogenic incontinence.<\/p>\n<h3><a name=\"extraurethral\"><\/a>Rare Form: Extraurethral Incontinence<\/h3>\n<p>One of the rarer forms of urinary incontinence, for example, is extraurethral incontinence, in which there is an unnatural connecting channel between the urinary system (such as the bladder or urethra) and the skin, bowel or female genital tract. As a result, with this form of incontinence, urine can leak in droplets through the skin opening, anus or vagina without those affected being able to prevent this by voluntarily tensing the pelvic floor. Extraurethral incontinence can be caused by congenital or acquired abnormalities in the body, such as inflammation, pelvic surgery or radiation of the pelvic organs.<\/p>\n<h3><a name=\"fecal\"><\/a>Fecal Incontinence and Its Causes<\/h3>\n<p>Fecal incontinence is rarely congenital. Fecal incontinence is often acquired and is caused by a disorder or damage to the rectum or sphincter muscle. This can lead to uncontrolled leakage of air, smearing of stool or complete loss of control over bowel movements. Possible causes for this type of incontinence can be<\/p>\n<ul>\n<li>Injuries to the sphincter muscle or anal skin due to childbirth, operations, accidents<\/li>\n<li>Chronic inflammatory diseases<\/li>\n<li>Neurological diseases<\/li>\n<li>Pelvic floor insufficiency<\/li>\n<li>Medication<\/li>\n<\/ul>\n<p>You can find more information about fecal incontinence <a href=\"https:\/\/www.kontinenz-gesellschaft.de\/fileadmin\/user_content\/startseite\/patienten\/krankheiten_therapien\/stuhlinkontinenz\/DKG_Stuhlink_05-14.pdf\" target=\"_blank\" rel=\"noopener\">here<\/a> (only available in German currently).<\/p>\n<p><a name=\"checkup\"><\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-2272-1\"  class=\"panel-grid panel-has-style\" ><div class=\"fn-lines panel-row-style panel-row-style-for-2272-1\" ><div id=\"pgc-2272-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2272-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Health Program CheckUp<\/h2>\n<\/div>\n<\/div><\/div><div id=\"panel-2272-1-0-1\" class=\"so-panel widget widget_fn-lightbox panel-last-child\" data-index=\"8\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-fn-lightbox so-widget-fn-lightbox-base\"\n\t\t\t\n\t\t>  <div class=\"uk-grid-small\" uk-grid><div class=\"uk-width-1-5@m fn-lightbox default\"><div class=\"fn-video\" uk-lightbox><a href=\"https:\/\/www.youtube.com\/embed\/TIOm_T7HXWQ\" data-attrs=\"width: 1280; height: 720;\"><img decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/icon_videocheckup.jpeg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/icon_videocheckup.jpeg 400w, https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/icon_videocheckup-300x300.jpeg 300w, https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/icon_videocheckup-150x150.jpeg 150w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/a><\/div><\/div>    <div class=\"uk-width-4-5@m uk-width-1-1\">\n      <h3>Report from a Person Affected on the Subject of Incontinence<\/h3>\n<p>Urinary incontinence has an enormous impact on self-esteem and quality of life, and sufferers find any involuntary loss of urine very unpleasant and embarrassing. Although much more common than generally assumed, <strong>incontinence<\/strong> is a largely taboo problem. It is estimated that 400,000 men and women in Switzerland are affected. CheckUp - the health magazine shows treatment options and breaks the silence with a sufferer.<\/p>\n      <a class=\"uk-button uk-button-text\" href=\"https:\/\/www.youtube.com\/embed\/TIOm_T7HXWQ\" target=\"_blank\" rel=\"noopener noreferrer\">Video ansehen<\/a>\n    <\/div><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-2272-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2272-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2272-2-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"9\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2><a name=\"diagnosis\"><\/a>Diagnosis of Incontinence and Bladder Dysfunction<\/h2>\n<p>Careful diagnosis as early as possible is important in order to be able to treat urinary incontinence effectively. This includes a personal consultation between doctor and patient on the one hand and a physical examination on the other.<\/p>\n<h3><a name=\"medical-history\"><\/a>Medical History<\/h3>\n<p>In a <strong>detailed medical history interview<\/strong>, the doctor will ask about the patient's exact physical complaints and other background information. The doctor will discreetly inquire about details and toilet habits, for example:<br \/>\n<img decoding=\"async\" class=\"alignright\" title=\"Woman in the bathroom in front of the toilet - how often do you have to urinate?\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/adobestock_190607004.jpeg\" alt=\"Woman in the bathroom in front of the toilet - how often do you have to urinate?\" width=\"456\" height=\"304\" \/><\/p>\n<ul>\n<li>How often do you have to go to the toilet?<\/li>\n<li>Are the amounts of urine you pass very small or very large?<\/li>\n<li>What are your eating and drinking habits?<\/li>\n<li>Have you given birth?<\/li>\n<li>Have you had an operation?<\/li>\n<li>Can you feel whether your bladder is empty or full?<\/li>\n<li>In which situations - for example when sneezing, coughing, laughing, standing up, walking or sitting down - does involuntary loss of urine occur?<\/li>\n<li>Are you in pain?<\/li>\n<\/ul>\n<p>Illnesses and medication are also asked about. Based on the patient's honest answers, the doctor can already draw conclusions about a specific form of incontinence or possible triggers.<\/p>\n<h3><a name=\"bladder-diary\"><\/a>Bladder Diary<\/h3>\n<p>It can also be useful for the patient to keep a log of their drinking and urination behavior for a few days, a so-called micturition diary or bladder diary. The micturition diary can already provide the treating doctor with information about the causes and type of urinary incontinence and also provide the patient with clarity about their drinking and toilet behavior.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2272-2-0-1\" class=\"so-panel widget widget_fn-info-box-widget\" data-index=\"10\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-fn-info-box-widget so-widget-fn-info-box-widget-base\"\n\t\t\t\n\t\t><div class=\"uk-child-width-1-1 uk-grid-match\" uk-grid><div>\n        <div class=\"fn-info-box-title\">\n          <div class=\"uk-grid-small\" uk-grid>            <div class=\"uk-width-auto\"><img decoding=\"async\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/ICON_kontakt.svg\" class=\"attachment-small size-small\" alt=\"\" \/>            <\/div>            <div class=\"uk-width-expand\">\n              <h4 class=\"uk-h3\">Make an Appointment \u2013 Our Specialists Will Provide You With Personalised Advice<\/h4>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"fn-info-box-content\">\n              <p><span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">You can reach us by telephone at <\/span><b style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"><a class=\"\" href=\"tel:+41443872910\">+41 44 387 29 10<\/a><\/b>,<br \/>\n<span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">by e-mail at <\/span><b style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"><a class=\"\" href=\"mailto:kontin&#101;n&#122;z&#101;&#110;&#116;r&#117;m&#46;&#104;&#105;&#114;&#115;la&#110;d&#101;n&#64;&#104;&#105;&#114;sla&#110;de&#110;.&#99;h\">k&#111;nti&#110;e&#110;z&#122;&#101;ntrum&#46;hirs&#108;an&#100;&#101;&#110;&#64;&#104;i&#114;&#115;&#108;anden.&#99;h<\/a><br \/>\n<\/b><span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">or via our <\/span><strong style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"><a title=\"Simply use our contact form!\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/about-us\/appointment.html\">contact form<\/a><\/strong><span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\">.<\/span><\/p>\n        <\/div>\n      <\/div><\/div><\/div><\/div><div id=\"panel-2272-2-0-2\" class=\"so-panel widget widget_sow-editor\" data-index=\"11\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3><a name=\"physical-examination\"><\/a>Physical Examination<\/h3>\n<p><img decoding=\"async\" class=\"alignright\" title=\"Painless ultrasound examination for incontinence\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/untersuchung-ultraschall-213140-txt.jpeg\" alt=\"Painless ultrasound examination for incontinence\" width=\"467\" height=\"363\" \/>Following the medical history, the doctor can arrange for specific physical examinations of the suspect organs. These may include<\/p>\n<ul>\n<li><a title=\"Urinalysis\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diagnosis-und-treatment\/evaluation\/urinalysis.html\">Urinalysis<\/a><\/li>\n<li>Palpation examination (urological, gynecological)<\/li>\n<li>Ultrasound examination<\/li>\n<li>Urodynamic measurement<\/li>\n<li>Residual urine determination<\/li>\n<li>Insole weighing test (pad test)<\/li>\n<li>Endoscopy of the urethra and bladder<\/li>\n<li>Neurological examination<\/li>\n<li>X-ray examination<\/li>\n<\/ul>\n<h2><a name=\"treatment\"><\/a>Incontinence Treatment: A Wide Range of Treatment Options with Good Prospects of Success<\/h2>\n<p>There are different treatment options depending on the type of incontinence, causes and severity of the condition. How exactly can <strong>incontinence<\/strong> be <strong>treated<\/strong>?<\/p>\n<p>In many cases, <b>conservative forms of therapy<\/b> such as pelvic floor training or biofeedback training can already achieve very good results and give affected people a significantly improved quality of life.<\/p>\n<p>Nowadays, modern <b>surgical procedures<\/b> also often lead to the desired success. Successful treatment promises lasting help with incontinence and significantly improves the patient's attitude to life: patients can usually take an active part in social life again, play sport and move more easily in all situations.<\/p>\n<h3><a name=\"treatment-options\"><\/a>The Following Treatment Options Can Be Considered for Incontinence<\/h3>\n<\/div>\n<\/div><\/div><div id=\"panel-2272-2-0-3\" class=\"so-panel widget widget_fn-info-box-widget\" data-index=\"12\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-fn-info-box-widget so-widget-fn-info-box-widget-base\"\n\t\t\t\n\t\t><div class=\"uk-child-width-1-3@m uk-child-width-1-1 uk-grid-small\" uk-height-match=\"target: > div > .fn-info-box-content\" uk-grid><div>\n        <div class=\"fn-info-box-title\">\n          <div class=\"uk-grid-small\" uk-grid>            <div class=\"uk-width-auto\"><img decoding=\"async\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/ICON_info.svg\" class=\"attachment-small size-small\" alt=\"\" \/>            <\/div>            <div class=\"uk-width-expand\">\n              <h4 class=\"uk-h3\">Conservative Treatment Methods<\/h4>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"fn-info-box-content\">\n              <ul>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diagnosis-und-treatment\/non-invasive-therapy\/drug-therapy.html\">Medication<\/a><\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diagnosis-und-treatment\/non-invasive-therapy\/pelvic-floor-training.html\">Functional pelvic floor therapy<\/a><\/li>\n<li>Functional stimulation of the bladder<\/li>\n<li>Instillation of medication<\/li>\n<li>Electromotor-assisted instillation therapy<\/li>\n<li>TENS therapy of the tibial nerve<\/li>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diagnosis-und-treatment\/non-invasive-therapy\/supportive-therapy.html\">Counselling &amp; provision of aids<\/a><\/li>\n<li>Self-catheterisation<\/li>\n<\/ul>\n        <\/div>\n      <\/div><div>\n        <div class=\"fn-info-box-title\">\n          <div class=\"uk-grid-small\" uk-grid>            <div class=\"uk-width-auto\"><img decoding=\"async\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/ICON_info.svg\" class=\"attachment-small size-small\" alt=\"\" \/>            <\/div>            <div class=\"uk-width-expand\">\n              <h4 class=\"uk-h3\">Operations for Urinary Incontinence<\/h4>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"fn-info-box-content\">\n              <div class=\"col-xl-4 col-lg-4 col-md-6\">\n<div class=\"info-box\">\n<div class=\"content\">\n<ul>\n<li>Urethral injection<\/li>\n<li>Injection of the bladder wall<\/li>\n<li>Urethral ligaments in women<\/li>\n<li>Urethral ligaments in men<\/li>\n<li>Urinary bladder augmentation<\/li>\n<li>Urinary diversion with a urostomy<\/li>\n<li>ProAct sphincter prosthesis<\/li>\n<li>ATOMS sphincter prosthesis<\/li>\n<li>AMS 800 sphincter prosthesis<\/li>\n<li>Victo &amp; Victo plus sphincter prosthesis<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-xl-4 col-lg-4 col-md-6\">\n<div class=\"info-box\"><\/div>\n<\/div>\n        <\/div>\n      <\/div><div>\n        <div class=\"fn-info-box-title\">\n          <div class=\"uk-grid-small\" uk-grid>            <div class=\"uk-width-auto\"><img decoding=\"async\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/ICON_info.svg\" class=\"attachment-small size-small\" alt=\"\" \/>            <\/div>            <div class=\"uk-width-expand\">\n              <h4 class=\"uk-h3\">Sacral Neuromodulation \/ Bladder Pacemaker<\/h4>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"fn-info-box-content\">\n              <div class=\"row info-box-around\">\n<div class=\"col-xl-4 col-lg-4 col-md-6\">\n<div class=\"info-box\">\n<div class=\"content\">\n<ul>\n<li><a href=\"https:\/\/www.kontinenzzentrum.ch\/en\/diagnosis-und-treatment\/neurostimulation.html\">Sacral neuromodulation<\/a><\/li>\n<li>Test stimulation<\/li>\n<li>Implantation<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n        <\/div>\n      <\/div><\/div><\/div><\/div><div id=\"panel-2272-2-0-4\" class=\"so-panel widget widget_sow-editor\" data-index=\"13\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<h3><a name=\"what-i-can-do\"><\/a>What Those Affected Can Do Themselves<\/h3>\n<p>Urinary incontinence is not an inevitable fate. Rather, there are some measures that patients can take themselves to prevent incontinence or its worsening and to alleviate its symptoms.<br \/>\n<img decoding=\"async\" class=\"alignright\" title=\"Elderly couple go for a walk outside - live a more carefree life and prevent incontinence themselves\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/blasenschwaeche_ms.jpeg\" alt=\"Elderly couple go for a walk outside - live a more carefree life and prevent incontinence themselves\" width=\"478\" height=\"319\"\/><\/p>\n<ul>\n<li>Make sure you drink enough fluids - about two liters a day. Acidic fruit juices and cranberry products acidify the urine and support bladder function. <\/li>\n<li>Avoid caffeine and alcohol, as these further irritate the bladder.<\/li>\n<li>Watch your weight. Being overweight is a risk factor for incontinence as it increases the pressure in the abdominal cavity. <\/li>\n<li>Go to the toilet regularly, also as a preventative measure.<\/li>\n<li>Avoid draughts and cold.<\/li>\n<li>Ensure that your bowel function is balanced and that you have regular bowel movements.<\/li>\n<li>Regular training of the pelvic floor muscles ensures stability in the urogenital area. If possible, incorporate a little pelvic floor training into your daily routine. <\/li>\n<\/ul>\n<p><strong>In<\/strong> principle, <strong>incontinence<\/strong> is easily treatable. Getting medical advice as early as possible and treating the symptoms and their causes improves the quality of life of those affected. We would be happy to advise you personally!  <\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2272-2-0-5\" class=\"so-panel widget widget_fn-info-box-widget panel-last-child\" data-index=\"14\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-fn-info-box-widget so-widget-fn-info-box-widget-base\"\n\t\t\t\n\t\t><div class=\"uk-child-width-1-1 uk-grid-match\" uk-grid><div>\n        <div class=\"fn-info-box-title\">\n          <div class=\"uk-grid-small\" uk-grid>            <div class=\"uk-width-auto\"><img decoding=\"async\" src=\"https:\/\/www.kontinenzzentrum.ch\/wp-content\/uploads\/ICON_info.svg\" class=\"attachment-small size-small\" alt=\"\" \/>            <\/div>            <div class=\"uk-width-expand\">\n              <h4 class=\"uk-h3\">Find Out More about Incontinence<\/h4>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"fn-info-box-content\">\n              <p>Are you affected by <strong>incontinence<\/strong> or do you suspect an incipient bladder dysfunction? Find out more about your individual assessment and treatment options for urinary incontinence.<\/p>\n<p>You can reach our Continence Center in Hirslanden, Zurich, by telephone at <b><a class=\"\" href=\"tel:+41443872910\">+41 44 387 29 10<\/a><\/b>, by e-mail at <b><a class=\"\" href=\"mailto:&#107;&#111;ntine&#110;&#122;&#122;&#101;n&#116;r&#117;m&#46;&#104;&#105;r&#115;la&#110;&#100;e&#110;&#64;&#104;&#105;r&#115;&#108;&#97;nden.ch\">&#107;on&#116;i&#110;en&#122;z&#101;n&#116;&#114;&#117;&#109;&#46;&#104;i&#114;sl&#97;nd&#101;&#110;&#64;&#104;&#105;&#114;&#115;l&#97;nd&#101;n&#46;&#99;h<\/a><\/b> or via our <strong><a title=\"Simply use our contact form!\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/about-us\/appointment.html\">contact form<\/a><\/strong>.<\/p>\n<p><div class=\"uk-flex uk-child-width-auto uk-grid-small\" uk-grid><div><a class=\"uk-button uk-button-primary\" href=\"tel:+41443872910\"><i class=\"fas fa-phone-alt uk-margin-small-right\"><\/i>+41 44 387 29 10<\/a><\/div><div><a class=\"uk-button uk-button-primary\" href=\"https:\/\/www.kontinenzzentrum.ch\/en\/about-us\/appointment.html\"><i class=\"fas fa-comments uk-margin-small-right\"><\/i>Book an Appointment Online<\/a><\/div><\/div><\/p>\n        <\/div>\n      <\/div><\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Incontinence (Involuntary Loss of Urine) Causes, Symptoms, Diagnosis and Treatment of Urinary Incontinence Incontinence refers to an involuntary and therefore involuntary loss of urine. Those affected can no longer fully control the emptying of their bladder. Involuntary loss of urine can occur equally in women and men. Women are affected slightly more often than men: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1184,"parent":2262,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2272","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Incontinence: causes - forms - examinations - treatment<\/title>\n<meta name=\"description\" content=\"Incontinence is easily treatable! 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