Urinary incontinence (UI) is a pathologic condition of an acute or chronic nature that refers to the involuntary loss of urine leading to medical, financial, social, or hygienic prob...
3 Incontinence Questions tool questionnaire:
During the last 3 months, have you leaked urine (even a small amount)? If no, end quiz.
During the last 3 months, did you leak urine (check ...
To assess associated symptoms, severity, and hassles of incontinence, there are:
Michigan Incontinence Symptom Index (M-ISI).
International Consultatio...
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...
Think “outside” the lower urinary tract: Comorbid medical illness and impairments are independently associated with UI; treat contributing comorbidities and rule out secondary causes.
A...
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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 ...