Urinary Incontinence Questions & Answers

Updated: Sep 23, 2019
  • Author: Sandip P Vasavada, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Questions & Answers

Overview

How common is urinary incontinence?

What are the types of urinary incontinence?

How is urinary incontinence diagnosed?

What is the focus of clinical history for the evaluation of urinary incontinence?

Which medical problems may complicate or exacerbate urinary incontinence?

Which medications are associated with urinary incontinence?

Which therapies are used to treat urinary incontinence?

When are absorbent products indicated in the treatment of urinary incontinence treatment?

Which medications are used in the treatment of urinary incontinence?

Which surgical techniques are used to treat urinary stress incontinence?

Which surgical techniques are used to treat urinary urge incontinence?

What is urinary incontinence?

How is urinary incontinence categorized?

What are terms used in describing urinary incontinence?

How does the treatment of urinary incontinence vary by type?

Which factors have increased attention to urinary incontinence?

What are the costs of urinary incontinence?

What anatomy is relevant to urinary incontinence?

What is the pathophysiology of urinary incontinence?

What is the pathophysiology of stress urinary incontinence?

What is the role of urethral hypermobility in the pathophysiology of urinary incontinence?

What is the role of intrinsic sphincter deficiency in the pathophysiology of urinary incontinence?

What is the pathophysiology of occult stress urinary incontinence?

What is the pathophysiology of urge urinary incontinence?

What is the role of detrusor overactivity in urge urinary incontinence pathophysiology?

What is the pathophysiology of urge urinary incontinence in men?

What is the role of bladder inflammation in urge urinary incontinence pathophysiology?

What is the pathophysiology of mixed urinary incontinence?

What is the pathophysiology of reflex urinary incontinence?

What is the pathophysiology of overflow urinary incontinence?

What is the pathophysiology of functional urinary incontinence?

What is the integral theory of urinary incontinence in women?

What is the pathophysiology of continuous urinary incontinence?

What is the pathophysiology of pediatric urinary incontinence?

What causes urinary incontinence?

What are the transient causes of urinary incontinence?

What are the neurological causes of urinary incontinence?

What are the pharmacologic causes of urinary incontinence?

What is the prevalence of urinary incontinence?

Which patient groups have the highest prevalence of urinary incontinence?

What are the racial predilections of urinary incontinence?

What is the prognosis of urinary incontinence?

What is the medical morbidity associated with urinary incontinence?

What is the psychological morbidity associated with urinary incontinence?

What are the complications of untreated urinary incontinence?

What is the impact of urinary incontinence in elderly persons?

What is included in patient education about urinary incontinence?

Presentation

What are the major types of urinary incontinence?

How should a history of urinary incontinence be elicited?

Which clinical history findings are characteristic of urinary incontinence?

Which medical conditions complicate or exacerbate urinary incontinence?

Which medications are associated with urinary incontinence?

What is the role of questionnaires in the evaluation of urinary incontinence?

What is the role of a voiding diary in the evaluation of urinary incontinence?

What is the pace of onset characteristic of urinary incontinence?

What is stress urinary incontinence?

What is urge urinary incontinence?

What is mixed urinary incontinence?

What is overflow urinary incontinence?

What is included in the physical exam for urinary incontinence?

What is included in the neurological exam for urinary incontinence?

How is the pelvic exam for urinary incontinence performed?

What is the cotton swab test for urinary incontinence?

What is the role of a pad test in the assessment of urinary incontinence?

What is a paper towel test for urinary incontinence?

What is the role of a cough stress test in the evaluation of urinary incontinence?

When is a standing cough stress test indicated in the evaluation of urinary incontinence?

What is the role of the Marshall test in the evaluation of urinary incontinence?

DDX

Which conditions are included in the differential diagnoses of urinary incontinence?

What are the differential diagnoses for Urinary Incontinence?

Workup

How is urinary incontinence diagnosed?

Which factors improve diagnostic accuracy of urinary incontinence?

What is the role of the emergency physician in urinary incontinence diagnosis?

Which basic tests are performed in the emergency department (ED) workup for urinary incontinence?

What is the role of imaging studies in the workup of urinary incontinence?

What is the role of urinalysis and urine culture in the workup of urinary incontinence?

What is the role of urine cytology in the workup of urinary incontinence?

What is the role of renal function studies in the workup of urinary incontinence?

What is the role of diabetes testing in the workup of urinary incontinence?

What is the role of urodynamic testing in the workup of urinary incontinence?

What is the role of chain-bead cystography in the workup of urinary incontinence?

What is the role of postvoid residual volume measurement in the workup of urinary incontinence?

What is the role of cystoscopy and urethroscopy in the workup of urinary incontinence?

What is the role of a pessary trial in the workup of urinary incontinence?

What is the role of MRI in the workup of urinary incontinence?

What is the role of ultrasonography in the workup of urinary incontinence?

Treatment

How is urinary incontinence treated?

What is the role of absorbent products in urinary incontinence treatment?

What are the criteria for use of absorbent products in the treatment of urinary incontinence?

When are absorbent products contraindicated in the treatment of urinary incontinence?

What types of absorbent products are used in the treatment of urinary incontinence?

What is the role of urethral occlusion devices in urinary incontinence treatment?

What is the role of catheterization in urinary incontinence treatment?

What is the role of indwelling urethral catheters in the treatment of urinary incontinence?

What are the symptoms of bladder infection from catheters for urinary incontinence?

How are bladder infection from catheters for urinary incontinence prevented?

What are the disadvantages of Foley catheters for urinary incontinence prevented?

What is the role of suprapubic catheters in urinary incontinence treatment?

When is a suprapubic catheter indicated in urinary incontinence treatment?

What are advantages of suprapubic catheters in urinary incontinence treatment?

What are the possible complications of suprapubic catheters in urinary incontinence treatment?

What is the role of intermittent catheterization in urinary incontinence treatment?

What are the advantages of intermittent catheterization for urinary incontinence treatment?

What how frequently should the bladder be drained with intermittent catheterization for urinary incontinence?

What is the role of self-catheterization in urinary incontinence treatment?

What are the contraindications for use of intermittent catheterization in urinary incontinence treatment?

What is the role of medicated and silver-coated catheters in urinary incontinence treatment?

Which medications are used for urinary incontinence treatment?

What is the role of alpha agonists in urinary incontinence treatment?

What is the role of tricyclic antidepressants (TCAs) in urinary incontinence treatment?

What is the role of duloxetine in urinary incontinence treatment?

What is the role of anticholinergic agents in urinary incontinence treatment?

Which precautions should be taken when using anticholinergic agents in urinary incontinence treatment?

What is the role of darifenacin (Enablex) in urinary incontinence treatment?

What is the role of fesoterodine (Toviaz) in urinary incontinence treatment?

What is the role of antispasmodic drugs in urinary incontinence treatment?

What is the role of calcium channel blockers in urinary incontinence treatment?

What is the role of beta-adrenergic agonists in urinary incontinence treatment?

What is the role of estrogen therapy in urinary incontinence treatment?

What is the role of botulinum toxin in urinary incontinence treatment?

What is the role of capsaicin in urinary incontinence treatment?

What is the role of potassium channel openers in urinary incontinence treatment?

What is the role of prostaglandin in urinary incontinence treatment?

What is the role of patient-derived adipose stem cells (ASCs) in urinary incontinence treatment?

How is nocturnal enuresis treated in urinary incontinence?

How is nighttime voiding treated in urinary incontinence?

What is the role of pelvic floor rehabilitation in urinary incontinence treatment?

Which patients benefit from pelvic floor muscle training for urinary incontinence?

Which treatments may be combined with pelvic floor muscle training for urinary incontinence?

What is the role of vaginal cones in urinary incontinence treatment?

What is the role of biofeedback in urinary incontinence treatment?

What is the role of electrical stimulation in urinary incontinence treatment?

What is the role of acupuncture in urinary incontinence treatment?

What is the role of extracorporeal magnetic resonance therapy in urinary incontinence treatment?

What is the role of weight loss in urinary incontinence treatment?

What is the role of behavioral therapy in urinary incontinence treatment?

What is the efficacy of bladder training for urinary incontinence?

When is surgery indicated to treat urinary incontinence?

What is the role of surgery in the treatment of stress urinary incontinence in women?

What is the role of surgery in the treatment of stress urinary incontinence in men?

What is the role of surgery in the treatment of urge urinary incontinence?

Which dietary modifications are used in the treatment of urinary incontinence?

Which fluid intake modifications are used in urinary incontinence treatment?

When is emergency department (ED) care indicated in urinary incontinence treatment?

Which specialist consultations are beneficial to patients with urinary incontinence?

Medications

What is the role of medications in urinary incontinence treatment?

Which medications in the drug class Beta3 Agonists are used in the treatment of Urinary Incontinence?

Which medications in the drug class Botulinum Toxins are used in the treatment of Urinary Incontinence?

Which medications in the drug class Alpha-Adrenergic Blockers are used in the treatment of Urinary Incontinence?

Which medications in the drug class Antidepressants, Serotonin/Norepinephrine Reuptake Inhibitors are used in the treatment of Urinary Incontinence?

Which medications in the drug class Estrogens are used in the treatment of Urinary Incontinence?

Which medications in the drug class Tricyclic Antidepressants are used in the treatment of Urinary Incontinence?

Which medications in the drug class Antispasmodic Drugs are used in the treatment of Urinary Incontinence?

Which medications in the drug class Anticholinergic Agents are used in the treatment of Urinary Incontinence?

Which medications in the drug class Alpha-Adrenergic Agonists are used in the treatment of Urinary Incontinence?