Overflow Urinary Incontinence

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SPHERE Bladder and Bowel Service Types of Incontinence Overflow Incontinence What is it? It is associated with a chronic urinary retention or incomplete bladder emptying. It occurs because the person is unable to fully empty their bladder. This can be evidenced by a bladder scan showing a large amount of urine in the bladder after voiding. Symptoms It is characterised by the involuntary release of urine from an overfull bladder, often in the absence of any urge to urinate. The leakage, which can cause embarrassment and discomfort, is not always the only problem. They may pass frequent small trickles of urine (weak flow and dribbling). It may also feel as though the bladder is never fully empty (incomplete emptying) and the person may not be able to empty their bladder even when they try, resulting in having to strain to start their flow. The person may or may not sense that their bladder is full. Urine left in the bladder is a breeding ground for bacteria and this can lead to repeated urinary tract infections. What treatment is available? If you suspect that an individual might have overflow incontinence a bladder scan will help with diagnosis. Symptoms may be eased by taking time to sit on the toilet, avoiding distractions when using the toilet and practicing double voiding technique. Avoiding constipation will help. Review medications – is the individual taking medications with an anti- muscurinic effect? See Advice Leaflets: - Successful Bladder Emptying Constipation and Laxatives Gastro-colic Reflex Medication Impact on the Bladder PTO See also: - NICE Clinical Guidance - Urinary Incontinence in Women: Management https://www.nice.org.uk/guidance/cg171 NICE Clinical Guidance – Lower Urinary Tract Symptoms in Men: Management https://www.nice.org.uk/guidance/cg97 .

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Urinary Incontinence: Impact on Long Term Care
Urinary Incontinence: Impact on Long Term Care Muhammad S. Choudhury, MD, FACS Professor and Chairman Department of Urology New York Medical College Director of Urology Westchester Medical Center 1 Urinary Incontinence: Overview • Definition • Scope • Anatomy and Physiology of Micturition • Types • Diagnosis • Management • Impact on Long Term Care 2 Urinary Incontinence: Definition • Involuntary leakage of urine which is personally and socially unacceptable to an individual. • It is a multifactorial syndrome caused by a combination of: • Genito urinary pathology. • Age related changes. • Comorbid conditions that impair normal micturition. • Loss of functional ability to toilet oneself. 3 Urinary Incontinence: Scope • Prevalence of Urinary incontinence increase with age. • Affects more women than men (2:1) up to age 80. • After age 80, both women and men are equally affected. • Urinary Incontinence affect 15% to 30% of the general population > 65 years. • > 50% of 1.5 million Long Term Care residents may be incontinent. • The cost to care for this group is >5 billion per year. • The total cost of care for Urinary Incontinence in the U.S. is estimated to be over $36 billion. Ehtman et al., 2012. 4 Urinary Incontinence: Impact on Quality of Life • Loss of self esteem. • Avoidance of social activity and interaction. • Decreased ability to maintain independent life style. • Increased dependence on care givers. • One of the most common reason for long term care placement. Grindley et al. Age Aging. 1998; 22: 82-89/Harris T. Aging in the eighties. NCHS # 121 1985. Noelker L. Gerontologist 1987; 27: 194-200. 5 Health related consequences of Urinary Incontinence • Increased propensity for fall/fracture.
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Urinary Retention in Women Workshop Chair: David Castro-Diaz, Spain 07 October 2015 08:30 - 11:30
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