Incontinence - Revision history

Rossdonaldson1: Redirected page to Urinary incontinence

2022-12-14T15:44:40Z

← Older revision		Revision as of 15:44, 14 December 2022
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	~~==Background==~~		#REDIRECT[[Urinary incontinence]]
	*Defined as the involuntary leakage of urine
	*Estimated prevalence of ~40% of women and ~21% of men older than 65 years of age<ref>Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J. 2012 Aug;23(8):1087-93. doi: 10.1007/s00192-012-1743-x. Epub 2012 Apr 12. PMID: 22527544; PMCID: PMC3905313.</ref><ref>Shamliyan TA, Wyman JF, Ping R, Wilt TJ, Kane RL. Male urinary incontinence: prevalence, risk factors, and preventive interventions. Rev Urol. 2009 Summer;11(3):145-65. PMID: 19918340; PMCID: PMC2777062.</ref>
	*Can have profound impact on quality of life, sexual dysfunction, and morbidity (e.g., perineal infections, falls)

	~~==Clinical Features==~~
	*Three main classifications of incontinence: Stress, Urgency, Overflow
	**Stress: Involuntary leakage of urine that occurs with increases in intraabdominal pressure<ref>Abrams P, Andersson KE, Birder L, Brubaker L, Cardozo L, Chapple C, Cottenden A, Davila W, de Ridder D, Dmochowski R, Drake M, Dubeau C, Fry C, Hanno P, Smith JH, Herschorn S, Hosker G, Kelleher C, Koelbl H, Khoury S, Madoff R, Milsom I, Moore K, Newman D, Nitti V, Norton C, Nygaard I, Payne C, Smith A, Staskin D, Tekgul S, Thuroff J, Tubaro A, Vodusek D, Wein A, Wyndaele JJ; Members of Committees; Fourth International Consultation on Incontinence. Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213-40. doi: 10.1002/nau.20870. PMID: 20025020.</ref>
	**Urgency: Leakage accompanied by or immediately preceded by urgency<ref>Abrams P, Andersson KE, Birder L, Brubaker L, Cardozo L, Chapple C, Cottenden A, Davila W, de Ridder D, Dmochowski R, Drake M, Dubeau C, Fry C, Hanno P, Smith JH, Herschorn S, Hosker G, Kelleher C, Koelbl H, Khoury S, Madoff R, Milsom I, Moore K, Newman D, Nitti V, Norton C, Nygaard I, Payne C, Smith A, Staskin D, Tekgul S, Thuroff J, Tubaro A, Vodusek D, Wein A, Wyndaele JJ; Members of Committees; Fourth International Consultation on Incontinence. Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213-40. doi: 10.1002/nau.20870. PMID: 20025020.</ref>
	**Overflow: Continuous leakage or dribbling in the setting of incomplete bladder emptying
	*Mixed urinary incontinence: Symptoms of both stress and urgency

	~~==Differential Diagnosis==~~
	*[[Vaginal atrophy]]
	*[[Urinary tract infection]]
	*Urogenital fistula
	*Neurologic disorders
	*Medication toxicity
	*[[Constipation]]

	~~==Evaluation==~~
	~~===Workup===~~
	*[[Urinalysis]]
	*[[Urine culture]]

	~~===Diagnosis===~~
	*Clinical tests
	**Bladder stress test
	***PPV is ~78-97% for stress or mixed urinary incontinence<ref>Harvey MA, Versi E. Predictive value of clinical evaluation of stress urinary incontinence: a summary of the published literature. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(1):31-7. doi: 10.1007/s001920170091. PMID: 11294529.</ref>
	**Post-void residual:
	***>150cc or >1/3 total voided volume should be evaluated for voiding dysfunction

	~~==Management==~~


	~~==Disposition==~~
	*Discharge with PMD follow-up
	*Will rarely require specialist referral

	~~==See Also==~~
	*[[Urinary incontinence]]

	~~==External Links==~~


	~~==References==~~
	~~<references/>~~

Kennybroccoli: /* See Also */

2022-12-12T19:00:32Z

Kennybroccoli: /* Disposition */

2022-12-12T18:59:24Z

Disposition

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	==Disposition==		==Disposition==
			*Discharge with PMD follow-up
			*Will rarely require specialist referral

	==See Also==		==See Also==

Kennybroccoli: /* Diagnosis */

2022-12-12T18:58:44Z

Diagnosis

← Older revision		Revision as of 18:58, 12 December 2022
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	===Diagnosis===		===Diagnosis===
			*Clinical tests
			**Bladder stress test
			***PPV is ~78-97% for stress or mixed urinary incontinence<ref>Harvey MA, Versi E. Predictive value of clinical evaluation of stress urinary incontinence: a summary of the published literature. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(1):31-7. doi: 10.1007/s001920170091. PMID: 11294529.</ref>
			**Post-void residual:
			***>150cc or >1/3 total voided volume should be evaluated for voiding dysfunction

	==Management==		==Management==

Kennybroccoli: /* Workup */

2022-12-12T18:56:17Z

Workup

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	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
			*[[Urinalysis]]
			*[[Urine culture]]

	===Diagnosis===		===Diagnosis===

Kennybroccoli: /* Differential Diagnosis */

2022-12-12T18:54:41Z

Differential Diagnosis

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	*Urogenital fistula		*Urogenital fistula
	*Neurologic disorders		*Neurologic disorders
			*Medication toxicity
	*[[Constipation]]		*[[Constipation]]

Kennybroccoli: /* Differential Diagnosis */

2022-12-12T18:53:52Z

Differential Diagnosis

← Older revision		Revision as of 18:53, 12 December 2022
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	==Differential Diagnosis==		==Differential Diagnosis==
			*[[Vaginal atrophy]]
			*[[Urinary tract infection]]
			*Urogenital fistula
			*Neurologic disorders
			*[[Constipation]]

	==Evaluation==		==Evaluation==

Kennybroccoli: /* Clinical Features */

2022-12-12T18:48:53Z

Clinical Features

← Older revision		Revision as of 18:48, 12 December 2022
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	==Clinical Features==		==Clinical Features==
			*Three main classifications of incontinence: Stress, Urgency, Overflow
			**Stress: Involuntary leakage of urine that occurs with increases in intraabdominal pressure<ref>Abrams P, Andersson KE, Birder L, Brubaker L, Cardozo L, Chapple C, Cottenden A, Davila W, de Ridder D, Dmochowski R, Drake M, Dubeau C, Fry C, Hanno P, Smith JH, Herschorn S, Hosker G, Kelleher C, Koelbl H, Khoury S, Madoff R, Milsom I, Moore K, Newman D, Nitti V, Norton C, Nygaard I, Payne C, Smith A, Staskin D, Tekgul S, Thuroff J, Tubaro A, Vodusek D, Wein A, Wyndaele JJ; Members of Committees; Fourth International Consultation on Incontinence. Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213-40. doi: 10.1002/nau.20870. PMID: 20025020.</ref>
			**Urgency: Leakage accompanied by or immediately preceded by urgency<ref>Abrams P, Andersson KE, Birder L, Brubaker L, Cardozo L, Chapple C, Cottenden A, Davila W, de Ridder D, Dmochowski R, Drake M, Dubeau C, Fry C, Hanno P, Smith JH, Herschorn S, Hosker G, Kelleher C, Koelbl H, Khoury S, Madoff R, Milsom I, Moore K, Newman D, Nitti V, Norton C, Nygaard I, Payne C, Smith A, Staskin D, Tekgul S, Thuroff J, Tubaro A, Vodusek D, Wein A, Wyndaele JJ; Members of Committees; Fourth International Consultation on Incontinence. Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213-40. doi: 10.1002/nau.20870. PMID: 20025020.</ref>
			**Overflow: Continuous leakage or dribbling in the setting of incomplete bladder emptying
			*Mixed urinary incontinence: Symptoms of both stress and urgency

	==Differential Diagnosis==		==Differential Diagnosis==

Kennybroccoli: /* Background */

2022-12-12T18:17:07Z

Background

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	*Defined as the involuntary leakage of urine		*Defined as the involuntary leakage of urine
	*Estimated prevalence of ~40% of women and ~21% of men older than 65 years of age<ref>Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J. 2012 Aug;23(8):1087-93. doi: 10.1007/s00192-012-1743-x. Epub 2012 Apr 12. PMID: 22527544; PMCID: PMC3905313.</ref><ref>Shamliyan TA, Wyman JF, Ping R, Wilt TJ, Kane RL. Male urinary incontinence: prevalence, risk factors, and preventive interventions. Rev Urol. 2009 Summer;11(3):145-65. PMID: 19918340; PMCID: PMC2777062.</ref>		*Estimated prevalence of ~40% of women and ~21% of men older than 65 years of age<ref>Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J. 2012 Aug;23(8):1087-93. doi: 10.1007/s00192-012-1743-x. Epub 2012 Apr 12. PMID: 22527544; PMCID: PMC3905313.</ref><ref>Shamliyan TA, Wyman JF, Ping R, Wilt TJ, Kane RL. Male urinary incontinence: prevalence, risk factors, and preventive interventions. Rev Urol. 2009 Summer;11(3):145-65. PMID: 19918340; PMCID: PMC2777062.</ref>
	*Can have profound impact on quality of life, sexual dysfunction, and morbidity (eg.,g, perineal infections, falls)		*Can have profound impact on quality of life, sexual dysfunction, and morbidity (e.g., perineal infections, falls)

	==Clinical Features==		==Clinical Features==

Kennybroccoli: /* Background */

2022-12-12T18:16:46Z

Background

← Older revision		Revision as of 18:16, 12 December 2022
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	==Background==		==Background==
			*Defined as the involuntary leakage of urine
			*Estimated prevalence of ~40% of women and ~21% of men older than 65 years of age<ref>Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J. 2012 Aug;23(8):1087-93. doi: 10.1007/s00192-012-1743-x. Epub 2012 Apr 12. PMID: 22527544; PMCID: PMC3905313.</ref><ref>Shamliyan TA, Wyman JF, Ping R, Wilt TJ, Kane RL. Male urinary incontinence: prevalence, risk factors, and preventive interventions. Rev Urol. 2009 Summer;11(3):145-65. PMID: 19918340; PMCID: PMC2777062.</ref>
			*Can have profound impact on quality of life, sexual dysfunction, and morbidity (eg.,g, perineal infections, falls)

	==Clinical Features==		==Clinical Features==

← Older revision		Revision as of 19:00, 12 December 2022
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	==See Also==		==See Also==
			*[[Urinary incontinence]]

	==External Links==		==External Links==