Need Help on Bladder and incontinence types - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam

Thread Tools Search this Thread Display Modes
Old 12-02-2012
Hitman's Avatar
USMLE Forums Master
Steps History: Not yet
Posts: 928
Threads: 17
Thanked 538 Times in 375 Posts
Reputation: 548
Default Need Help on Bladder and incontinence types

How to differentiate

Urge incontinence , Functional incontinence , overflow type .

And : Bladder instability, spastic bladder , neurogenic bladder , overactive bladder .

how are the above incontinence and types of bladder related . if you could provide any clues as to how to identify these types on usmle , it would be of great help

thank you
Reply With Quote Quick reply to this message

Old 12-03-2012
USMLE Forums Master
Steps History: 1+CK+CS
Posts: 1,868
Threads: 149
Thanked 2,078 Times in 1,046 Posts
Reputation: 2098

Stress Incontinence
1. Involuntary loss of urine
2. With coughing and sneezing
3. No urine lost at night

Urge incontinence aka Hypertonic Bladder

1. Involuntary loss of urine
2. Cannot suppress urge to void
3. Urine loss day and night

Overflow Incontinence aka Hypotonic bladder
1. Involuntary loss of urine
2. Detrusor muscle not contracted
3. Urine loss day and night

You can read here for the details

Stress incontinence is characterized by urine leakage associated with increased abdominal pressure from laughing, sneezing, coughing, climbing stairs, or other physical stressors on the abdominal cavity and, thus, the bladder.[2, 6, 5]

Urge urinary incontinence is involuntary leakage accompanied by or immediately preceded by urgency.

Mixed urinary incontinence is a combination of stress and urge incontinence; it is marked by involuntary leakage associated with urgency and also with exertion, effort, sneezing or coughing.

Functional incontinence is the inability to hold urine due to reasons other than neuro-urologic and lower urinary tract dysfunction.

Successful treatment of urinary incontinence must be tailored to the specific type of incontinence and its cause (see Treatment). The usual approaches are as follows:
  • Stress incontinence - Pelvic floor physiotherapy, anti-incontinence devices, and surgery
  • Urge incontinence - Changes in diet, behavioral modification, pelvic-floor exercises, and/or medications and new forms of surgical intervention
  • Mixed incontinence - Pelvic floor physical therapy, anticholinergic drugs, and surgery
  • Overflow incontinence - Catheterization regimen or diversion
  • Functional incontinence - Treatment of the underlying cause
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
Reply With Quote Quick reply to this message
The above post was thanked by:
doxorubicin (12-03-2012), fadi551 (12-03-2012), goulartmd (12-04-2012), Hitman (12-03-2012), slamdunk (12-05-2012), Thrax_usmle (02-07-2015), venky2600 (04-16-2013)


Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
Spastic vs Atonic Bladder? SarahM USMLE Step 1 Forum 0 10-07-2012 03:47 PM
smoking and bladder CA? zohaib USMLE Step 2 CK Forum 1 03-11-2012 11:20 AM
Bladder Cancer Best Diagnostic Test apertiff USMLE Step 2 CK Forum 1 10-25-2010 01:28 AM
Outpouching from the bladder Yallah USMLE Step 1 Forum 3 04-24-2010 09:49 PM
Neurogenic Bladder StepTaker USMLE Step 1 Bits & Pieces 1 12-07-2009 10:35 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2016 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)