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UNIT-2
SIGNS & SYMPTOMS
INCONTINENCE
DEFINITION
• Inability of body to control the evacuative
functions of urination is called
incontinence.
TYPES
• Stress incontinence
• Urge incontinence
• Overflow incontinence
• Mixed incontinence
• Structural incontinence
• Functional incontinence
• Bedwetting
• Transient incontinence
• Giggle incontinence
Stress incontinence / effort incontinence, is due
to insufficient strength of pelvic floor muscle.
Urge incontinence: involuntary loss of urine
occurring for no apparent reason while suddenly
feeling the need or urge to urinate.
Transient incontinence is a temporary version of
incontinence. It can be triggered by medications,
restricted mobility, severe constipation can
obstruct urinary tract and outflow.
• Overflow incontinence: people cannot stop
their bladders from constantly dribbling or
continuing to dribble for some time after they
have passed urine.
• Mixed incontinence is common in the elderly female
population and can sometime be complicated by urinary
retention, which makes it a treatment challenge requiring
staged multimodal treatment.
• Structural incontinence: Rarely, structural problems
can cause incontinence, usually diagnosed in childhood
eg. ectopic ureters. Fistulas caused by obstetric and
gynecologic trauma or injury can lead to incontinence.
• Functional incontinence: occurs when a person
recognizes the need to urinate but cannot make it to the
bathroom. Causes are dementia, confusion,
unwillingness to toilet because of depression, anxiety or
anger, drunkenness.
• Bedwetting is episodic UI while sleep. It is normal in
young children.
• Giggle incontinence is an involuntary response to
laughter. It is usually affect children.
ETIOLOGY
• Polyuria (excessive urine production)
• Caffeine or cola beverages
• Enlarged prostate
• Neurological disorders also interfere with nerve
function of bladder, eg. Multiple sclerosis, spinal
bifida, spinal cord injury
• Unconsciousness.
TREATMENT
• Behavioural management
• Bladder retraining
• Medication eg. Fesoterodine, oxybutynin.
• Surgical interventions may be used.
THANKYOU

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Incontinence

  • 2.
  • 3. DEFINITION • Inability of body to control the evacuative functions of urination is called incontinence.
  • 4. TYPES • Stress incontinence • Urge incontinence • Overflow incontinence • Mixed incontinence • Structural incontinence • Functional incontinence • Bedwetting • Transient incontinence • Giggle incontinence
  • 5. Stress incontinence / effort incontinence, is due to insufficient strength of pelvic floor muscle. Urge incontinence: involuntary loss of urine occurring for no apparent reason while suddenly feeling the need or urge to urinate. Transient incontinence is a temporary version of incontinence. It can be triggered by medications, restricted mobility, severe constipation can obstruct urinary tract and outflow.
  • 6.
  • 7. • Overflow incontinence: people cannot stop their bladders from constantly dribbling or continuing to dribble for some time after they have passed urine.
  • 8. • Mixed incontinence is common in the elderly female population and can sometime be complicated by urinary retention, which makes it a treatment challenge requiring staged multimodal treatment. • Structural incontinence: Rarely, structural problems can cause incontinence, usually diagnosed in childhood eg. ectopic ureters. Fistulas caused by obstetric and gynecologic trauma or injury can lead to incontinence.
  • 9.
  • 10. • Functional incontinence: occurs when a person recognizes the need to urinate but cannot make it to the bathroom. Causes are dementia, confusion, unwillingness to toilet because of depression, anxiety or anger, drunkenness. • Bedwetting is episodic UI while sleep. It is normal in young children. • Giggle incontinence is an involuntary response to laughter. It is usually affect children.
  • 11. ETIOLOGY • Polyuria (excessive urine production) • Caffeine or cola beverages • Enlarged prostate • Neurological disorders also interfere with nerve function of bladder, eg. Multiple sclerosis, spinal bifida, spinal cord injury • Unconsciousness.
  • 12. TREATMENT • Behavioural management • Bladder retraining • Medication eg. Fesoterodine, oxybutynin. • Surgical interventions may be used.
  • 13.