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Functional: Urinary Incontinence
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== Types of Urinary Incontinence == # '''Stress urinary incontinence (SUI)''' #* Occurs when the intra-abdominal pressure exceeds the intraurethral pressure #* More common in females; usually occurs in males only after a prostatectomy in which the external urethral sphincter is damaged # '''Urgency urinary incontinence''' '''(UUI)''' #* Involuntary leakage of urine, accompanied or immediately preceded by urgency # '''Mixed urinary incontinence (MUI)''' #* Complaint of involuntary leakage associated with urgency and with exertion, effort, sneezing, or coughing. Thus in MUI, both SUI and urgency incontinence (“OAB wet”) are present in the same person. #**'''A person with SUI and “OAB dry” does not have MUI''' #* Management should be aimed at the most bothersome symptoms # '''Continuous urinary incontinence''' # '''Nocturnal Enuresis''' #* '''Definition of nocturnal enuresis: the complaint of involuntary urinary loss of urine that occurs during sleep''' #** Differentiated from nocturia which is intentionally getting out of bed to pass urine at night and is preceded and followed by sleep #* An important symptom, especially in males, as it may indicate that these males are in high-pressure chronic urinary retention, which is usually associated with upper tract dilation and the risk of renal failure. #* Nocturnal enuresis, without residual urine, may be related to the overactive bladder. This can be treated with antimuscarinics and potentially with desmopressin in the melt formulation. # '''Postmicturition leakage or dribble''' # '''Insensible urinary incontinence''' #* '''Urethral diverticula (typically postvoid urine loss), ectopic ureter in females (typically continuous urine loss), and overflow incontinence''' (typically small-volume frequent urine loss, urinary frequency, and small volume voids) '''should be considered''' # '''Other (coital incontinence, giggle incontinence)'''
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