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Old 12-02-2012
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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
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Old 12-03-2012
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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
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