INCONTINENCE DEFINATION Urinary incontinence is the involuntary leakage

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INCONTINENCE DEFINATION : Urinary incontinence is the involuntary leakage of urine sufficient to be

INCONTINENCE DEFINATION : Urinary incontinence is the involuntary leakage of urine sufficient to be a health or social problem.

• Involuntary Leakage of urine , creating a health or social problem. •

• Involuntary Leakage of urine , creating a health or social problem. • -more common in females. • -increases with age , at home , acute care setting , • and in nursing homes. • It predisposes to, perineal rash , bed sores, • UTI , urosepsis , falls , fractures , embarrassment • Isolation , depression , anxiety , sexual dysfunction

• • • Geriatric incontinence remains neglected by Patients and physicians alike. It

• • • Geriatric incontinence remains neglected by Patients and physicians alike. It is more related to age related diseases and Functional impairment than age it self. Incontinence is usually treatable and often curable at all ages.

Pathobiology • Continence depends on integrity of lower urinary tract function and also on

Pathobiology • Continence depends on integrity of lower urinary tract function and also on presence of adequate mentation, mobility , motivation and manual dexterity. • With age bladder capacity does not change but bladder sensation and contractility decrease. • Detrusor overactivity. • Bladder ischemia and or inflammation. • Urethral length , sphincter strength decreases in women and prostate enlarges in men.

• Types of urinary incontinence • 1) transient urinary incontinence • 2) causes

• Types of urinary incontinence • 1) transient urinary incontinence • 2) causes of established urinary incontinence related to lower urinary tract. • 3)causes of incontinence unrelated to lower urinary tract (functional incontinence )

• Types of urinary incontinence • 1) transient urinary incontinence • 2) causes

• Types of urinary incontinence • 1) transient urinary incontinence • 2) causes of established urinary incontinence related to lower urinary tract. • 3)causes of incontinence unrelated to lower urinary tract (functional incontinence )

• Established incontinence with uti • Urge incontinence- detrusor overactivity • Ischemia. cns

• Established incontinence with uti • Urge incontinence- detrusor overactivity • Ischemia. cns lesions, urethral obstruction, stress incontinence, bladder stones or ca. • Detrusor hyperactivity with impaired contractility • Detrusor underactivity ----idiopathic.

CLINICAL MANIFESTATIONS • • • 1. Urge incontinence – 2. urinary frequency ( >8

CLINICAL MANIFESTATIONS • • • 1. Urge incontinence – 2. urinary frequency ( >8 voids/day) 3. nocturia 4. nocturnal incontinence 5. Stress incontinence

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