Urinary incontinence: involuntary loss of urine
Stress incontinence: associated with increased intra-abdominal pressure, such as coughing, laughing, sneezing, or exertion
Urge incontin...
Important to screen for symptoms because only 45% of women who reported at least twice weekly urine leakage on a U.S. survey sought care for their symptoms (2)
Age: Stress incontinence...
Treat correctable causes (e.g., UTI).
Encourage weight loss in obese patients.
Aggressively correct constipation.
Treat mixed for primary symptom type (5)[C].
Gormley EA, Lightner DJ, Burgio KL, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline. J Urol. 2012;188(Suppl 6):2455–2563.
Ri...
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...
Rule out infection (UTI or STI) and hematuria.
Aggressively treat constipation.
Try lifestyle changes first for all types of urinary incontinence.
If lifestyle changes do not work for str...
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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 ...