Video Duration: 6 minutes
Involuntary loss of urine in sufficient amount or frequency to constitute a social or hygienic problem.
Increased prevalence in the elderly, pregnant women or women post childbirth and Men who have had prostate surgery.
4 main types:
Functional incontinence occurs due to:
Involuntary loss of urine.
Especially with sneezing, coughing, laughing.
Prolapse - cystocele or vaginal
Urine Dip + M,C & S
FBC (looking for signs of infection)
U&Es (managing electrolyte balance which may cause confusion or result)
Urodynamic measurements can help to determine if stress or urge
Management of functional factors - environment
Anticholinergics can be used (beware can cause confusion in the elderly)
Last resort involves long term catheter use
Uro-gynaecological surgery can be used in young fit women.
Correction of prolapses can also help with internal tape fixation and other surgery.