Overflow incontinence occurs in patients when the body can’t sense when the bladder is full, resulting in unexpected urine leakage. In those with overflow incontinence, it is also common for the bladder to not become completely empty after urination. Dr. Ghomi is a board-certified Urogynecologist with extensive experience diagnosing and treating patients for urinary incontinence. Call (862) 657-3150 to schedule an appointment at our urogynecology office in North Jersey today!

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What Are the Symptoms of Overflow Incontinence?

In addition to sudden and unexpected leaks, individuals with overflow incontinence may experience the following symptoms:

  • Weak Urine Stream: Many people with overflow incontinence have difficulty initiating urination and may only pass a small amount of urine at a time.
  • Frequent Nighttime Urination: It’s common for individuals—particularly women—to wake multiple times during the night with the urge to urinate.
  • Recurring Urinary Tract Infections (UTIs): Because the bladder may not empty completely, residual urine can promote bacterial growth, increasing the risk of UTIs.

What Causes Overflow Incontinence?

While overflow incontinence is more common in men, women can also experience it. The condition often results from weakened bladder muscles that develop over time. Other potential causes include:

  • Bladder stones
  • Previous pelvic or hip injuries
  • Prolapse of the uterus or bladder

How Is Overflow Incontinence Diagnosed?

Your doctor may ask you to keep a bladder diary to track urinary patterns and incidents over time. In addition, several diagnostic tests may be used:

  • Post-Void Residual (PVR) Test: Measures how much urine remains in the bladder after urination.
  • Bladder Pressure Test: Involves slowly filling the bladder with warm water while using sensors to measure pressure changes and detect potential issues.
  • Cystoscopy: A small device called a cystoscope is inserted into the bladder, allowing the physician to visually examine the bladder and urethra.

How Is Overflow Incontinence Treated?

Treatment typically begins with behavioral strategies like bladder training and Kegel exercises. Medications, including alpha-blockers and anticholinergics, may also be prescribed. If these treatments are not effective, medical devices or surgery may be considered.

What Devices Are Used to Treat Overflow Incontinence?

  • Pessary: A supportive ring placed near the urethra to help hold the bladder in position and reduce leakage.
  • Urethral Inserts: Small, disposable devices used during physical activities to block urine leakage. These are typically worn temporarily throughout the day.

How Is Overflow Incontinence Treated Surgically?

Surgery is generally considered a last-resort option for managing overflow incontinence when other therapies have not provided sufficient relief. The goal of surgical treatment is to enhance bladder control by supporting the bladder and urethral muscles.