Incontinence

Published on 23/05/2015 by admin

Filed under Internal Medicine

Last modified 23/05/2015

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Urinary Incontinence

Urinary incontinence is the involuntary loss of urine from the bladder. Loss of urine occurs at times and places which are inconvenient, inappropriate and socially embarrassing. Stress incontinence is loss of urine during coughing or straining. Urge incontinence is the inability to maintain urinary continence in the presence of frequent and persistent urges to void. Overflow incontinence occurs when the detrusor muscle becomes flaccid and often insensitive to stretch and the bladder distends. Weakness of the sphincter mechanism eventually leads to overflow, when urine leaks out through the urethra.

Causes

Urge Incontinence

Overflow Incontinence

Chronic Outflow Obstruction

Neurological

Upper Motor Neurone Lesion

• Disc lesions

• Cerebrovascular accident

• Head injury

• Spinal cord injury above sacral centre

• Spinal tumours

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