Overflow Incontinence

Effective care for incomplete bladder emptying and constant leakage
 

 

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Understanding Overflow Incontinence

 

Overflow incontinence is a type of urinary incontinence caused by the bladder’s inability to fully empty. As a result, the bladder becomes overly full, leading to frequent dribbling or involuntary leakage of urine—even without the urge to urinate.

Some individuals may release only small amounts of urine or feel that their bladder never truly empties. Over time, the retention of urine increases the risk of urinary tract infections (UTIs) and can cause discomfort, difficulty initiating urination, and a weak urinary stream.

Understanding Overflow Incontinence

 

Urge incontinence, or overactive bladder (OAB), is a common condition marked by sudden, frequent urges to urinate – often leading to leakage. Although widespread, it’s not a natural part of aging.

Around 30% of men and 40% of women in the U.S. experience OAB symptoms, yet many delay seeking help due to stigma. Early treatment is key to managing symptoms and improving quality of life.

While lifestyle changes and behavioral strategies can help, persistent cases may benefit from advanced options like Axonics Therapy, which offers long-lasting relief.

Causes of Overflow Incontinence

The most common cause of overflow incontinence is chronic urinary retention, which may result from weakened bladder muscles or a physical blockage in the urinary tract.

Bladder Outlet Obstruction
Obstructions in the urethra or bladder neck can restrict urine flow and prevent complete emptying of the bladder. These obstructions may include:
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Enlarged prostate (often due to BPH or prostate cancer), which narrows the urethra and reduces urine flow
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Urinary tract tumors or bladder stones, which can physically block urine passage
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Urethral stricture, a narrowing of the urethra often caused by infection or scarring from surgery
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Prostate-related conditions, making men more prone to overflow incontinence
Nerve Damage
The bladder relies on proper communication between the brain and pelvic nerves. When those signals are disrupted, the bladder may not empty fully. Nerve damage can be caused by:
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Diabetes
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Multiple sclerosis
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Parkinson’s disease
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Alcoholism
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Spinal cord injuries or back surgery
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Pelvic trauma or previous surgeries
Nerve Damage
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Weak pelvic floor or bladder muscles
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Medications such as antidepressants, anticonvulsants, or diuretics can interfere with bladder control and worsen symptoms

Symptoms of Overflow Incontinence

Common signs of overflow incontinence include:

Frequent, small urine leaks—even without the urge to urinate
Dribbling or a weak urine stream
Difficulty initiating urination
Persistent sensation of a full bladder
Urinating more often than usual
Recurrent urinary tract infections (UTIs)
Without treatment, these symptoms can gradually worsen and affect quality of life.

Managing Overflow Incontinence

Treatment focuses on improving bladder function, addressing the root cause of retention, and reducing symptoms. Your care plan may include:

Bladder training – Creating scheduled bathroom breaks to gradually increase bladder capacity and restore timing control.
Pelvic floor exercises – Strengthening the muscles that support bladder control through Kegel exercises
Medications – Prescribed drugs may help relax the bladder muscle or treat contributing conditions
Catheterization – In moderate to severe cases, a catheter may be used to drain the bladder and prevent retention-related complications

Axonics Therapy for Urge Incontinence

 

For patients who do not respond to conservative treatment, Axonics Therapy provides a minimally invasive, long-term solution. This therapy works by sending mild electrical signals to stimulate the sacral nerves, improving communication between the brain and bladder.

The procedure involves implanting a small device in the lower back area, near the sacral nerve roots. At Northwest Continence Center, our surgeons specialize in this type of advanced procedure. We ensure the highest standards of precision, care, and expertise to maximize safety and outcomes.

Why Patients Trust Northwest Continence Center

We take a science-based, compassionate approach that puts your comfort and results first.

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Advanced Axonics Therapy

A minimally invasive solution that restores nerve communication for lasting relief.

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Personalized, Science-Based Care

Every treatment plan is tailored to your unique needs using proven medical approaches.

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Experienced, Specialized Providers

Our experts are trained in continence-focused procedures and neuromodulation techniques.

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Judgment-Free Patient Support

We create a respectful, compassionate environment where you feel safe and heard.

We’re More Than Just a Clinic

 

We understand that incontinence can be emotional and isolating. That’s why we’re committed to making your experience safe, respectful, and empowering. Every visit is designed to make you feel heard and supported.

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971 - 265 - 6908

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