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| ==Background==
| | #REDIRECT[[Urinary incontinence]] |
| *Defined as the involuntary leakage of urine
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| *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>
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| *Can have profound impact on quality of life, sexual dysfunction, and morbidity (e.g., perineal infections, falls)
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| ==Clinical Features==
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| *Three main classifications of incontinence: Stress, Urgency, Overflow
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| **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>
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| **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>
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| **Overflow: Continuous leakage or dribbling in the setting of incomplete bladder emptying
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| *Mixed urinary incontinence: Symptoms of both stress and urgency
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| ==Differential Diagnosis==
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| *[[Vaginal atrophy]]
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| *[[Urinary tract infection]]
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| *Urogenital fistula
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| *Neurologic disorders
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| *Medication toxicity
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| *[[Constipation]]
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| ==Evaluation==
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| ===Workup===
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| *[[Urinalysis]]
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| *[[Urine culture]]
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| ===Diagnosis===
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| ==Management==
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| ==Disposition==
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| ==See Also==
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| ==External Links==
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| ==References==
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| <references/>
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