The estimated prevalence for the types of urinary incontinence are as follows: In general, the prevalence of men is about half that of women. Increased risk is associated with prostate surgery. 11% to 34% of older men report urinary incontinence, with 2 to 11% reporting daily occurrences. Increased risk of urinary incontinence was associated with pregnancy, childbirth, diabetes, and increased body mass index.
Daily urinary incontinence is reported by 9% to 39% of women over age 60. 7% to 37% of women ages 20 to 39 report some degree of urinary incontinence. Ģ4% to 45% of women report some degree of urinary incontinence. A random sampling of hospitalized elderly patients reports that 11% of patients have persistent urinary incontinence at admission, and 23% at discharge. Caregivers report that 53% of the homebound elderly are incontinent. The prevalence is 50% or greater among residents of nursing facilities. Īpproximately 13 million Americans experience urinary incontinence. It is estimated that around 423 million people (20 years and older) worldwide experience some form of urinary incontinence. This type of incontinence is sometimes referred to as toileting difficulty.Īccurate prevalence data is difficult to obtain due to issues such as underreporting, use of differing definitions for urinary incontinence, and varying study designs. Functional urinary incontinence is the involuntary leakage of urine due to environmental or physical barriers to toileting.A common cause in men is benign prostatic hyperplasia. Bladder outlet obstruction can be caused by external compression by abdominal or pelvic masses and pelvic organ prolapse, among other causes. Neurologic diseases such as spinal cord injuries, multiple sclerosis, and diabetes can impair detrusor function. Overflow urinary incontinence is the involuntary leakage of urine from an overdistended bladder due to impaired detrusor contractility and/or bladder outlet obstruction.Mixed urinary incontinence is the involuntary leakage of urine caused by a combination of stress and urge urinary incontinence as described above.The contractions may be caused by bladder irritation or loss of neurologic control. Urge urinary incontinence is the involuntary leakage of urine that may be preceded or accompanied by a sense of urinary urgency (but can be asymptomatic as well) due to detrusor overactivity.In addition, pregnant women and women who have experienced childbirth may be prone to stress urinary incontinence.
Young women active in sports may experience this type of incontinence.
Stress urinary incontinence is the involuntary leakage of urine that occurs with increases in intraabdominal pressure (e.g., with exertion, effort, sneezing, or coughing) due to urethral sphincter and/or pelvic floor weakness.The 5 types of urinary incontinence and their causes are listed below: The management of urinary incontinence depends upon which type of incontinence is present and the severity of the symptoms. In most cases, urologic or gynecologic assessment is not necessary during the initial evaluation, but reversible causes should be ruled out. Several different types of urinary incontinence exist, including stress urinary incontinence, urge urinary incontinence, functional incontinence, mixed incontinence, and overflow incontinence. The prevalence may be underestimated as some patients do not inform health care providers of having issues with urinary incontinence for various reasons. Urinary incontinence can impact both patient health and quality of life. This medical condition is common in the elderly, especially in nursing homes, but it can affect younger adult males and females as well. Urinary incontinence is the involuntary leakage of urine. Summarize interprofessional team strategies for screening and detection of urinary incontinence to improve patient health and quality of life outcomes.Outline the management options available for the various types of urinary incontinence.Identify the key components in the evaluation of urinary incontinence.Describe the etiology of the various types of urinary incontinence.This activity reviews the etiology, evaluation, treatment, and management of the various types of urinary incontinence and highlights the role of the interprofessional team in the care of patients with this condition. This condition is prevalent in elderly adults, impacting both health and quality of life, but it can affect younger adults as well.
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