Urinary incontinence

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Urinary incontinence is defined as "Involuntary loss of urine, such as leaking of urine. It is a symptom of various underlying pathological processes."[1]

Classification

Urge incontinence

Stress incontinence

Causes

Incontinence is more common after a hysterectomy.[2]

Treatment

Exercises

Kegel exercises to strengthen or retrain pelvic floor muscles and sphincter muscles can reduce stress leakage.[3] Patients younger than 60 years old benefit the most.[3] The patient should do at least 24 daily contractions for at least 6 weeks. A systematic review concluded "pelvic floor muscle training would resolve 490 cases of stress urinary incontinence."Cite error: Closing </ref> missing for <ref> tag

Anticholinergic drugs such as oxybutynin and tolterodine are effective according to a systematic review.Cite error: Closing </ref> missing for <ref> tag

References

  1. Error on call to Template:cite web: Parameters url and title must be specified. Retrieved on 2007-10-26.
  2. Altman D, Granath F, Cnattingius S, Falconer C (2007). "Hysterectomy and risk of stress-urinary-incontinence surgery: nationwide cohort study". Lancet 370 (9597): 1494–9. DOI:10.1016/S0140-6736(07)61635-3. PMID 17964350. Research Blogging.
  3. 3.0 3.1 Choi H, Palmer MH, Park J (2007). "Meta-analysis of pelvic floor muscle training: randomized controlled trials in incontinent women". Nursing research 56 (4): 226-34. DOI:10.1097/01.NNR.0000280610.93373.e1. PMID 17625461. Research Blogging.