{"id":2949,"date":"2021-04-23T08:00:00","date_gmt":"2021-04-23T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=2949"},"modified":"2026-05-18T09:57:56","modified_gmt":"2026-05-18T02:57:56","slug":"%e6%80%a5%e8%bf%ab%e6%80%a7%e5%b0%bf%e5%a4%b1%e7%a6%81","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/zh\/2021\/04\/23\/urge-incontinence-urine-leaking\/","title":{"rendered":"\u6025\u8feb\u6027\u5c3f\u5931\u7981\uff08UI\uff09\uff1a\u4e0a\u5395\u6240\u524d\u5c3f\u6db2\u6cc4\u6f0f"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/zh\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Urge incontinence (UI) is defined as a sudden, overwhelming urge to urinate that is very difficult to suppress, resulting in involuntary urine leakage before reaching the toilet. UI is the 2nd most common type of urinary incontinence after stress incontinence, and is confirmed to be associated with aging and obesity. Interestingly, UI is predominant in males.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">The 3 major causes of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK563172\/\">Urge Incontinence<\/a><\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Overactivity of the bladder muscle (Detrusor Overactivity)<\/strong> \u2014 The bladder is designed to contract and empty when full. Normally, voiding is a controlled voluntary process. In detrusor overactivity, the bladder muscle contracts involuntarily and without warning, generating a sudden powerful urge that can cause leakage before the patient reaches the toilet<\/li>\n\n\n<li><strong>Poor bladder compliance<\/strong> \u2014 A normal bladder acts like a resilient balloon, expanding to store increasing volumes of urine. Any condition that reduces the bladder&#8217;s storage capacity forces urine to seek an exit through the urethra, resulting in urgency and leakage<\/li>\n\n\n<li><strong>Hypersensitivity of the bladder mucosa (sensory urgency)<\/strong> \u2014 The sensory nerve endings in the bladder lining overrespond to specific stimuli (caffeine, cold, bladder filling), triggering an exaggerated urge signal and causing leakage before the patient can reach the bathroom<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2955\" data-permalink=\"https:\/\/drsoaraweeurology.com\/zh\/2021\/04\/23\/urge-incontinence-urine-leaking\/isolated-image-of-unhappy-senior-man-with-thick-beard-standing-next-to-his-beautiful-wife-looking-at-camera-with-sad-facial-expressions-feeling-upset-frustrated-after-fight-people-and-relationships\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Aging.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Isolated image of unhappy senior man with thick beard standing next to his beautiful wife looking at camera with sad facial expressions, feeling upset frustrated after fight. People and relationships&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Isolated image of unhappy senior man with thick beard standing next to his beautiful wife looking at camera with sad facial expressions, feeling upset frustrated after fight. People and relationships&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Aging is one factor involved with UI.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Aging is one factor involved with UI.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Aging.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Aging.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Aging urge incontinence risk factor\" class=\"wp-image-2955\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Aging.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Aging.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Aging.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Aging.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Aging.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Aging is a key contributing factor to urge incontinence in both men and women.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Evaluation at my urology office includes a thorough history, physical examination, voiding diary, and necessary imaging studies to confirm the UI diagnosis and exclude other conditions.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">AUA-recommended treatment options for Urge Incontinence \u2014 3 levels<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Behavioral therapy (first-line):<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>Bladder training \u2014 gradually extending the intervals between bathroom visits<\/li>\n\n\n<li>Dietary modification \u2014 reducing bladder irritants<\/li>\n\n\n<li>Avoiding bladder irritants such as caffeine and smoking<\/li>\n\n\n<li>Pelvic floor muscle training (Kegel exercises)<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2957\" data-permalink=\"https:\/\/drsoaraweeurology.com\/zh\/2021\/04\/23\/urge-incontinence-urine-leaking\/cup-of-coffee-with-foam-smile-face-on-desk-isolated\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Caffeine.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark IV&quot;,&quot;caption&quot;:&quot;Cup of coffee with foam, smile face, on desk isolated&quot;,&quot;created_timestamp&quot;:&quot;1573139150&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;35&quot;,&quot;iso&quot;:&quot;2000&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Cup of coffee with foam, smile face, on desk isolated&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Avoid caffeine can possibly improve UI.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Avoid caffeine can possibly improve UI.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Caffeine.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Caffeine.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Caffeine bladder irritant urge incontinence\" class=\"wp-image-2957\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Caffeine.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Caffeine.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Caffeine.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Caffeine.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Caffeine.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Avoiding caffeine is one of the most effective behavioral interventions for improving urge incontinence.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li><strong>Medications (second-line):<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>Antimuscarinic agents \u2014 block bladder muscle overactivity<\/li>\n\n\n<li>Beta-3 agonists \u2014 relax the bladder muscle to improve storage<\/li>\n<\/ul>\n<\/li>\n\n\n<li><strong>Intravesical Botulinum toxin (Botox) injection (third-line):<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>Botox is injected directly into the bladder wall via cystoscopy, temporarily paralyzing the overactive detrusor muscle<\/li>\n\n\n<li>If the patient responds well, maintenance injections are required approximately every 6 months<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"536\" data-attachment-id=\"2956\" data-permalink=\"https:\/\/drsoaraweeurology.com\/zh\/2021\/04\/23\/urge-incontinence-urine-leaking\/glass-medicine-vial-jar-botox-with-medical-syringe-pattern-on-white-background-with-blue-liquid-the-concept-of-medicine-hyaluronic-acid-beautician-drugs-virus-flu-pain-reliever-copy-space\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Botox.jpg?fit=1200%2C804&amp;ssl=1\" data-orig-size=\"1200,804\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4.5&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 77D&quot;,&quot;caption&quot;:&quot;Glass Medicine Vial jar botox with medical Syringe pattern on white background with blue liquid. The concept of medicine, hyaluronic acid, beautician, drugs, virus, flu, pain reliever. Copy space&quot;,&quot;created_timestamp&quot;:&quot;1576796012&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.0125&quot;,&quot;title&quot;:&quot;Glass Medicine Vial jar botox with medical Syringe pattern on white background with blue liquid. The concept of medicine, hyaluronic acid, beautician, drugs, virus, flu, pain reliever. Copy space.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Endoscopic botox injection has a role in UI treatment.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Endoscopic botox injection has a role in UI treatment.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Botox.jpg?fit=800%2C536&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Botox.jpg?resize=800%2C536&#038;ssl=1\" alt=\"Bladder Botox injection urge incontinence\" class=\"wp-image-2956\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Botox.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Botox.jpg?resize=300%2C201&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Botox.jpg?resize=1024%2C686&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Botox.jpg?resize=768%2C515&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Botox.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Intravesical Botox injection via cystoscopy is an effective third-line treatment for refractory urge incontinence.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Prognosis varies significantly among patients with urge incontinence. Goal-setting must be individualized \u2014 some patients aim for complete continence while others seek meaningful symptom reduction. A urologist-patient discussion is essential to align treatment expectations.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"673\" data-attachment-id=\"2959\" data-permalink=\"https:\/\/drsoaraweeurology.com\/zh\/2021\/04\/23\/urge-incontinence-urine-leaking\/doctor-holding-a-card-with-urology-medical-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urology.jpg?fit=1200%2C1009&amp;ssl=1\" data-orig-size=\"1200,1009\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 1100D&quot;,&quot;caption&quot;:&quot;Doctor holding a card with Urology, Medical concept&quot;,&quot;created_timestamp&quot;:&quot;1467458392&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;29&quot;,&quot;iso&quot;:&quot;400&quot;,&quot;shutter_speed&quot;:&quot;0.025&quot;,&quot;title&quot;:&quot;Doctor holding a card with Urology, Medical concept&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Urologist is a specialist who take care of UI.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Urologist is a specialist who take care of UI.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urology.jpg?fit=800%2C673&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urology.jpg?resize=800%2C673&#038;ssl=1\" alt=\"Urologist urge incontinence specialist\" class=\"wp-image-2959\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urology.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urology.jpg?resize=300%2C252&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urology.jpg?resize=1024%2C861&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urology.jpg?resize=768%2C646&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Urology.jpg?resize=14%2C12&amp;ssl=1 14w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">A urologist specializes in the evaluation and individualized management of urge incontinence.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Urge Incontinence<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is the difference between urge incontinence and stress incontinence?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Urge incontinence is urine leakage triggered by a sudden, uncontrollable urge to void \u2014 the bladder contracts involuntarily before the patient can reach the toilet. Stress incontinence, by contrast, is leakage caused by physical exertion that increases abdominal pressure (coughing, sneezing, lifting, laughing), without an urge sensation. UI is the 2nd most common type of incontinence, is more prevalent in males, and is associated with aging and obesity. Both conditions can coexist as &#8220;mixed incontinence.&#8221;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What lifestyle changes can improve urge incontinence?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Per AUA guidelines, first-line management is behavioral therapy. This includes bladder training (gradually increasing the time between bathroom visits), reducing or eliminating bladder irritants such as caffeine and alcohol, maintaining a healthy body weight, and pelvic floor muscle training (Kegel exercises). These interventions can significantly reduce urge episodes and leakage frequency without medications. Keeping a voiding diary to track fluid intake, voiding times, and leakage episodes helps both patient and urologist identify patterns and monitor progress.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">When is Botox injection recommended for urge incontinence?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Intravesical Botulinum toxin (Botox) injection is recommended as a third-line treatment when behavioral therapy and oral medications have not provided adequate symptom control. The procedure is performed via cystoscopy under local anesthesia. Botox temporarily paralyzes the overactive bladder muscle, reducing involuntary contractions and urgency episodes. Effects typically last 6 months, after which repeat injection is required to maintain benefit. The procedure is safe when performed by an experienced urologist and is well-supported by AUA evidence guidelines.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are experiencing urge incontinence and would like specialist evaluation, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is the difference between urge incontinence and stress incontinence?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Urge incontinence: involuntary bladder contraction causing leakage before reaching toilet. Stress incontinence: leakage from physical exertion (coughing, sneezing) increasing abdominal pressure, without urge. UI is 2nd most common type, more prevalent in males, associated with aging and obesity.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What lifestyle changes can improve urge incontinence?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"AUA first-line: bladder training (extend intervals between voids), reduce caffeine\/alcohol, maintain healthy weight, pelvic floor exercises (Kegels). A voiding diary helps track patterns and monitor progress.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"When is Botox injection recommended for urge incontinence?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Third-line: when behavioral therapy and oral medications are insufficient. Intravesical Botox via cystoscopy temporarily paralyzes the overactive bladder. Effects last ~6 months; repeat injection needed for sustained benefit.\"\n      }\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Urge incontinence (UI) is defined as a sudden, overwhelming urge to urinate that is very difficult to suppress, resulting in involuntary urine leakage before reaching the toilet. UI is the 2nd most common type of urinary incontinence after stress incontinence, and is confirmed to be associated with aging and obesity. Interestingly, UI is predominant in [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10115,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Urge incontinence (UI): 3 causes of urine leaking before reaching the toilet, AUA treatment guidelines including behavioral therapy, medications, and bladder Botox injection.","jetpack_seo_html_title":"Urge Incontinence: Causes & Treatment Options | Dr. Soarawee Bangkok","jetpack_seo_noindex":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1367],"tags":[1404,1403,1394],"class_list":["post-2949","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-female-urology","tag-incontinence","tag-urge-incontinence","tag-urinary-incontinence"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Urge-Incontinence.jpg?fit=1200%2C630&ssl=1","jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-Lz","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/posts\/2949","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/comments?post=2949"}],"version-history":[{"count":18,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/posts\/2949\/revisions"}],"predecessor-version":[{"id":9733,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/posts\/2949\/revisions\/9733"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/media\/10115"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/media?parent=2949"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/categories?post=2949"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/tags?post=2949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}