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Incontinence, Urinary Adult Male

Jason R Ramos, FAAFP, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • 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...

DIAGNOSIS

HISTORY

  • 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 ...

TREATMENT

Conservative, nonmedication interventions, such as behavioral modification, timed voiding, bladder training, and pelvic floor muscle training, should be considered first-line therapies, prio...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • To assess associated symptoms, severity, and hassles of incontinence, there are:

    • Michigan Incontinence Symptom Index (M-ISI) (3).

  • International Consul...

REFERENCES

1
Khandelwal  C, Kistler  C. Diagnosis of urinary incontinence. Am Fam Physician.  2013;87(8):543–550. [View Abstract on OvidMedline]
2
...

CODES

ICD10

  • 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...

CLINICAL PEARLS

  • 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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