Type | Mechanism | Symptoms | Signs | Treatment |
stress | abdominal pressure against a weakened urethral sphincter | momentary leak with a small amount lost with sneezing laughing, etc. | nonpalpable bladder, atrophy and incontinence | kegel excercises, pessary, consult urology/gyne |
urge | decreased detrusor contraction
increasing of sensory pathways deconditioned voiding reflex |
urge to void
moderate volume nocturia dysuria |
nonpalpable bladder
signs of CNS disease fecal impaction |
decreased night fluids
pads retrain bladder with regular toileting |
overflow | poor detruser control
outlet obstruction (ie BPH) decreased bladder sensation |
continuous dribble
decreased stream force urinary obstruction |
large tender bladder
large prostate decreased perineal sensation decreased anal reflex motor disease |
catheter
consult urology for bladder dynamics |
functional | decreased mobility or environmental | incontinent on way to bathroom or in early morning | non palpable bladder | improve mobility
change environment |
true | fistula
ectopic ureteric orifice |
constant dribble
small amount of urine |
urine from vagina or ectomic orifice | surgery |
post void dribble | psychogenic
prostatitis obstruction |