Incontinence

Question 1

What is Stress Incontinence?

Answer 1

Involuntary leakage of urine secondary to some form of exertion/physical stress:

• Coughing
• Sneezing
• Exertion

Question 2

What can cause Stress Incontinence?

Answer 2

• Postpartum
• Pelvic Floor Muscle Weakness

Question 3

What is Urge Incontinence?

Answer 3

Involuntary contraction of the detrusor muscle with a strong desire to void (urgency)

spastic detrusor

Question 4

What can cause Urge Incontinence?

Answer 4

• Infections
• UMN Lesions
• Parkinson’s Disease (Rigidity)

Question 5

What is Overflow Incontinence?

Answer 5

Incontinence secondary to an acontractile or under-active detrusor muscle.

Bladder overdistended, cannot completely empty, urine dribbles or leaks out.

Question 6

What is Functional Incontinence?

Answer 6

Incontinence secondary to mobility, dexterity, cognitive deficits.

Question 7

What can cause Functional Incontinence?

Answer 7

• Dementia
• Lower Extremity Weakness

Cases where a patient just cannot get to the bathroom in time.

Question 8

Treatment for: Stress Incontinence

Answer 8

Strengthen pelvic floor muscles

Question 9

Treatment for: Urge Incontinence

Answer 9

• Treat infections
• Make a voiding schedule; timing of how much/when to drink and when to void.

Question 10

Treatment for: Functional Incontinence

Answer 10

• Clear clutter
• improve accessibility
• Cues/Prompt Voiding
• Strengthen LE’s

Question 11

Treatment for: Overflow Incontinence

Answer 11

• Promote “double voiding”
• Medications, catheterization