Stress incontinence: associated with increased intra-abdominal pressure, such as coughing, laughing, sneezing, or exertion
Urge incontinence: sudden uncontrollable loss of urine, prec...
Age: Stress incontinence is more common in women aged 19 to 64 years, whereas mixed incontinence is more common in women >65 years. Onset from childhood indicates congenital causes...
Treat correctable causes such as infection and/or constipation.
Begin with conservative options as first line.
Surgical options may be offered sooner for women with moderate to...
R32 Unspecified urinary incontinence
N39.3 Stress incontinence (female) (male)
N39.41 Urge incontinence
N39.46 Mixed incontinence
N39.45 Continuous leakage
N39.42 Incontinence without sensory aw...
Most urinary incontinence diagnoses can be made via history and exam in conjunction with urinary stress tests, PVR, and urinalysis. Urodynamics do not add value beyond this in uncompli...
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<bold>Figure 29.4.</bold> Surgical therapy for urinary incontinence. (<bold>A1–A3</bold>) Anterior vaginal wall repair, the Kelly-Kennedy procedure. (<bold>A1</bold>) Anterior vaginal wall is opened and undermined. (<bold>A2</bold>) Paraurethral tissue lateral to the urethrovesical (UV) junction is sutured. (<bold>A3</bold>) This creates a firm bar of tissue that supports the UV junction. (<bold>B1–B4</bold>) Retropubic suspension procedures, the Marshall-Marchetti-Krantz procedure. (<bold>B1</bold>) The suture is placed in the per...
<bold>Figure 29.4.</bold> Surgical therapy for urinary incontinence. (<bold>A1–A3</bold>) Anterior vaginal wall re...
Figure 29.4. Pessaries. (A) Inflatable. (B) Doughnut. (C) Smith-Hodge. (D) Cube.
Figure 29.5. Surgical therapy for urinary incontinence. (A1-A3) Anterior vaginal wall repair, the Kelly-Kennedy procedure. (A1) Anterior vaginal wall is opened and undermined. (A2) Paraurethral tissue lateral to the urethrovesical (UV) junction is sutured. (A3) This creates a firm bar of tissue that supports the UV junction. (B1-B4) Retropubic suspension procedures, the Marshall-Marchetti-Krantz procedure. (B1) The suture is placed in the periurethral tissue and then into the pubic periost...
Figure 29.5. Surgical therapy for urinary incontinence. (A1-A3) Anterior vaginal wall repair, the Kelly-Kennedy procedure. (A1) Anterior ...