Urinary incontinence
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Summary of Urinary incontinence
Urgency incontinence
Urinary incontinence is any involuntary leakage of urine that is often a result of an underlying medical condition but is under-reported to medical practitioners. Enuresis is often used to refer to urinary incontinence in children (e.g. nocturnal enuresis, commonly known as bed wetting). There are four main types of incontinence:
- Urge incontinence due to an overactive bladder
- Stress incontinence due to poor closure of the bladder
- Overflow incontinence due to either poor bladder contraction or blockage of the urethra
- Functional incontinence due to medications or health problems making it difficult to reach the bathroom
Stress incontinence
Individuals with stress incontinence have involuntary leakage of urine that occurs with increases in intra-abdominal pressure (eg, with exertion, sneezing, coughing, laughing) in the absence of a bladder contraction. It is most common in younger women, with the highest incidence in women ages 45 to 49 years.
Overflow incontinence
Overflow incontinence typically presents with continuous urinary leakage or dribbling in the setting of incomplete bladder emptying. Associated symptoms can include weak or intermittent urinary stream, hesitancy, frequency, and nocturia.
Urge incontinence
Patients with urgency incontinence experience the urge to void immediately preceding or accompanied by involuntary leakage of urine. "Overactive bladder" is a term that describes a syndrome of urinary urgency with or without incontinence, which is often accompanied by nocturia and urinary frequency. The terms "urgency incontinence" and "overactive bladder with incontinence" are often used interchangeably.
Flashcards on Urinary incontinence
Urinary incontinence
34 flashcards
Preview
Dementia secondary to commonly presents with a classic triad of urinary incontinence, gait instability and dementia due to distortion of the corona radiata.
Questions on Urinary incontinence
Urgency incontinence
USMLE® Step 1 style questions
1 questions
Urgency incontinence
USMLE® Step 2 style questions
1 questions
Stress incontinence
USMLE® Step 1 style questions
2 questions
Stress incontinence
USMLE® Step 2 style questions
5 questions
Overflow incontinence
USMLE® Step 2 style questions
2 questions
Urge incontinence
USMLE® Step 1 style questions
1 questions
Urge incontinence
USMLE® Step 2 style questions
3 questions
Preview
A 64-year-old postmenopausal woman comes to the gynaecology clinic because of urinary incontinence for 2 years. She says that she is "having trouble holding my urine." On further questioning, she says that whenever she coughs, sneezes, or laughs urine leaks out. Otherwise, she is able to make it to the bathroom without a problem. She has 5 children, and all were born by normal vaginal delivery. Pelvic examination is noncontributory. Which of the following is the most likely diagnosis?
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