urinary%20incontinence
URINARY INCONTINENCE
Urinary incontinence is the complaint of involuntary urine leakage.
Stress urinary incontinence is the involuntary urine leakage on effort or exertion or when coughing or sneezing.
Urge urinary incontinence is the one associated with or immediately preceded by urgency.
Mixed urinary incontinence is the involuntary urine leakage associated with both urgency and with exertion, effort, coughing or sneezing.

Urinary%20incontinence Management

Monitoring

Consider immediate referral to a specialist in the following conditions:

  • Incontinence w/ abdominal &/or pelvic pain
  • Hematuria in the absence of an infection
  • Suspected fistula
  • Complex neurological conditions (eg Parkinson’s disease, spinal cord injury)
  • Abnormal findings (eg pelvic mass or symptomatic organ prolapse beyond the hymen)

Consider elective referral to a specialist in the following conditions:

  • Persistent symptoms after an adequate therapeutic trial
  • Uncertain diagnosis & lack of reasonable treatment plan
  • Significant increase in PVRV that does not resolve after treatment of possible precipitants (eg medications, stool impaction)
  • Prior pelvic surgery or pelvic irradiation
  • Desire for surgical treatment
Editor's Recommendations
Most Read Articles
Pearl Toh, 5 days ago
The combination therapy comprising carfilzomib, cyclophosphamide and dexamethasone (KCd) is effective, with a tolerable safety profile, in an Asian cohort with high-risk multiple myeloma (MM) — thus providing a more economical alternative as a potential upfront regimen in resource-limited settings, according to leading experts during a myeloma education webinar.
Audrey Abella, 20 Oct 2020
Extremes of sleep duration (≤5 or ≥10 hours/day), which is a known mortality risk factor in the general population, may increase absolute mortality in adults with type 2 diabetes (T2D), a prospective study has shown.
Pearl Toh, 21 Sep 2020
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
Yesterday
Nocturia is a risk factor for mortality, according to the results of the Nagahama Study, which boasts of a low incidence of missing data and high representation of the general population.