Urinary incontinence differential diagnosis: Difference between revisions
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==Differential diagnosis== | ==Differential diagnosis== | ||
Urinary incontinence may have different etiologies depending upon the underlying dysfunction. The various types of urinary incontonence should be differentiated from each other for optimal management. The following table differentiates the various types of urinary incontinence:<ref name="urlpdfs.semanticscholar.org">{{cite web |url=https://pdfs.semanticscholar.org/0a01/f4ccaf0d943bd1d8d009b9d9ae6de1260511.pdf |title=pdfs.semanticscholar.org |format= |work= |accessdate=}}</ref><ref name="pmid16702587">{{cite journal |vauthors=Brown JS, Bradley CS, Subak LL, Richter HE, Kraus SR, Brubaker L, Lin F, Vittinghoff E, Grady D |title=The sensitivity and specificity of a simple test to distinguish between urge and stress urinary incontinence |journal=Ann. Intern. Med. |volume=144 |issue=10 |pages=715–23 |date=May 2006 |pmid=16702587 |pmc=1557357 |doi= |url=}}</ref><ref name="pmid18364487">{{cite journal |vauthors=Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE |title=What type of urinary incontinence does this woman have? |journal=JAMA |volume=299 |issue=12 |pages=1446–56 |date=March 2008 |pmid=18364487 |doi=10.1001/jama.299.12.1446 |url=}}</ref><ref name="pmid9611005">{{cite journal |vauthors=Videla FL, Wall LL |title=Stress incontinence diagnosed without multichannel urodynamic studies |journal=Obstet Gynecol |volume=91 |issue=6 |pages=965–8 |date=June 1998 |pmid=9611005 |doi= |url=}}</ref><ref name="pmid20025027">{{cite journal |vauthors=DuBeau CE, Kuchel GA, Johnson T, Palmer MH, Wagg A |title=Incontinence in the frail elderly: report from the 4th International Consultation on Incontinence |journal=Neurourol. Urodyn. |volume=29 |issue=1 |pages=165–78 |date=2010 |pmid=20025027 |doi=10.1002/nau.20842 |url=}}</ref><ref name="urlDiagnosis of Urinary Incontinence - American Family Physician">{{cite web |url=https://www.aafp.org/afp/2013/0415/p543.html#afp20130415p543-b6 |title=Diagnosis of Urinary Incontinence - American Family Physician |format= |work= |accessdate=}}</ref><ref name="pmid21075990">{{cite journal |vauthors=Frank C, Szlanta A |title=Office management of urinary incontinence among older patients |journal=Can Fam Physician |volume=56 |issue=11 |pages=1115–20 |date=November 2010 |pmid=21075990 |pmc=2980426 |doi= |url=}}</ref><ref name="pmid16985854">{{cite journal |vauthors=Imam KA |title=The role of the primary care physician in the management of bladder dysfunction |journal=Rev Urol |volume=6 Suppl 1 |issue= |pages=S38–44 |date=2004 |pmid=16985854 |pmc=1472846 |doi= |url=}}</ref> | |||
{| class="wikitable" | {| class="wikitable" | ||
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" + |Type Of Incontinence | ! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" + |Type Of Incontinence | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]
Differential diagnosis
Urinary incontinence may have different etiologies depending upon the underlying dysfunction. The various types of urinary incontonence should be differentiated from each other for optimal management. The following table differentiates the various types of urinary incontinence:[1][2][3][4][5][6][7][8]
| Type Of Incontinence | Causes | Prevalence | Pathophysiology | History Findings | Signs and symptoms | Management | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Urgency | Frequency
(> 8 times/day) |
Dribbling of urine | Amount of dribbling with each episode of incontinence | Ability hold urge | Nocturia | Post-void residual volume | ||||||
| Urge incontinence (detrusor instability) |
|
|
|
|
+ | + | - |
|
- | ++ | < 50 ml |
|
| Stress incontinence |
|
|
|
|
- | - | + |
|
+ | +/- | < 50 ml |
|
| Overflow incontinence |
|
|
|
|
- | - | + |
|
+ | + | > 200 ml |
|
| Mixed incontinence (urge and stress) |
|
- |
|
|
+ | +/- | + |
|
+/- | +/- | Variable |
|
| Functional incontinence |
|
- |
|
|
- | - | + |
|
+ | + | < 50 ml |
|
References
- ↑ "pdfs.semanticscholar.org" (PDF).
- ↑ Brown JS, Bradley CS, Subak LL, Richter HE, Kraus SR, Brubaker L, Lin F, Vittinghoff E, Grady D (May 2006). "The sensitivity and specificity of a simple test to distinguish between urge and stress urinary incontinence". Ann. Intern. Med. 144 (10): 715–23. PMC 1557357. PMID 16702587.
- ↑ Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE (March 2008). "What type of urinary incontinence does this woman have?". JAMA. 299 (12): 1446–56. doi:10.1001/jama.299.12.1446. PMID 18364487.
- ↑ Videla FL, Wall LL (June 1998). "Stress incontinence diagnosed without multichannel urodynamic studies". Obstet Gynecol. 91 (6): 965–8. PMID 9611005.
- ↑ DuBeau CE, Kuchel GA, Johnson T, Palmer MH, Wagg A (2010). "Incontinence in the frail elderly: report from the 4th International Consultation on Incontinence". Neurourol. Urodyn. 29 (1): 165–78. doi:10.1002/nau.20842. PMID 20025027.
- ↑ "Diagnosis of Urinary Incontinence - American Family Physician".
- ↑ Frank C, Szlanta A (November 2010). "Office management of urinary incontinence among older patients". Can Fam Physician. 56 (11): 1115–20. PMC 2980426. PMID 21075990.
- ↑ Imam KA (2004). "The role of the primary care physician in the management of bladder dysfunction". Rev Urol. 6 Suppl 1: S38–44. PMC 1472846. PMID 16985854.