Urinary incontinence differential diagnosis

Urinary incontinence Microchapters
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References

Type Of Incontinence	Causes	Prevalence	Pathophysiology	History Findings	Signs and symptoms
					Urgency	Frequency	Dribbling of urine	Amount of dribbling with each episode of incontinence	Ability hold urge	Nocturia
Urge incontinence (detrusor instability)	Stroke Alzheimer's disease Parkinson's disease Benign prostatic hyperplasia (BPH)	9% in women age 40-44 years 31% in women older than 75 years 42% in men older than 75 years	Detrusor overactivity Increased parasympathetic drive to the bladder (S2-S4)
Stress incontinence	Genitourinary surgical procedures Multiple childbirths	25-45% in women > 30 years	Weakness of the uretheral sphincter Weakness of the pelvic floor muscles
Overflow incontinence	Benign prostatic hyperplasia Fecal impaction	5% of patients with chronic incontinence	Overdistension of the bladder Impaired bladder contractility Bladder outlet obstruction (BOO)
Mixed incontinence (urge and stress)	Stroke Alzheimer's disease Parkinson's disease Benign prostatic hyperplasia (BPH) Genitourinary surgical procedures Multiple childbirths	-	Combined urge and stress incontinence
Functional incontinence	Altered mental status	-	Inability to reach the toilet to urinate Environmental barriers Physical barriers