Bladder Weakness and Urinary Incontinence

Urinary Incontinence: Complications

The following are the most important diseases or complications that may be contributed to by urinary incontinence (bladder weakness): Skin and subcutaneous (L00-L99). Skin infections, unspecified Skin irritations, unspecified Incontinence-associated dermatitis/inflammatory reaction of the skin (IAD); DD (differential diagnoses) decubitus (pressure ulcers due to bedsores), allergic or toxic contact dermatitis, and intertrigo (itchy, weeping skin … Urinary Incontinence: Complications

Urinary Incontinence: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination (with empty bladder) – it is checked whether the uterus (uterine) and vagina (vagina) have lowered … Urinary Incontinence: Examination

Urinary Incontinence: Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment. Urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity / resistance) – to exclude infectionMan: midstream urine; woman: catheter urine. Laboratory parameters 2nd order – depending on the results … Urinary Incontinence: Test and Diagnosis

Urinary Incontinence: Drug Therapy

Therapy target Restoration of urinary continence or improvement of quality of life. Therapy recommendations Therapy recommendations are based on the type of urinary incontinence: Overactive bladder (OAB), urge incontinence, urge symptoms: SS-3 mimetic: mirabegron (first-line therapy for OAB; level I evidence/recommendation grade A [guidelines: 3]). Anticholinergics/antimuscarinics, if appropriate. If necessary, also botulinum toxin (onabotulinum toxin … Urinary Incontinence: Drug Therapy

Urinary Incontinence: Diagnostic Tests

Obligatory medical device diagnostics. Sonography (ultrasonography) or urosonography (assessment of the morphology of the urogenital tract/urinary and reproductive tract). Residual urine determination – determination of the amount of urine remaining in the urinary bladder after urination Note: With anticholinergic medication, residual urine determination should be performed before and during anticholinergic medication. Determination of bladder capacity … Urinary Incontinence: Diagnostic Tests

Urinary Incontinence: Prevention

To prevent urinary incontinence (bladder weakness), attention must be paid to reducing individual risk factors. Behavioral risk factors Consumption of stimulants Alcohol Physical activity Physical stresses Psycho-social situation Psychological stress Overweight (BMI ≥ 25; obesity) – dependence broken down by incontinence type: Mixed urinary incontinence to be recorded (+52%), Pure stress or urge incontinence (+33% … Urinary Incontinence: Prevention

Urinary Incontinence: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate urinary incontinence: Pathognomonic (indicative of a disease). Imperative urge to urinate: inability to voluntarily retain urine. Continuous urination in extraurethral urinary incontinence. The following symptoms and complaints may indicate overactive bladder (ÜAB; “overactive bladder”, OAB): Pathognomonic Pollakisuria: frequent urination (“frequency”). Imperative urination: sudden onset, difficult to delay strong … Urinary Incontinence: Symptoms, Complaints, Signs

Urinary Incontinence: Causes

Pathogenesis (development of disease) Stress incontinence (formerly stress incontinence) is an involuntary leakage of urine as a result of an increase in pressure in the abdomen, as occurs under stress (e.g., coughing, sneezing, jumping, walking). The cause is failure of the closure mechanism of the urinary bladder due to muscle weakness often associated with pelvic … Urinary Incontinence: Causes

Urinary Incontinence: Medical History

Medical history (history of illness) is an important component in the diagnosis of urinary incontinence (bladder weakness). Family history Social history What is your occupation? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). When does urine leakage occur? Do you have … Urinary Incontinence: Medical History

Urinary Incontinence: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Epispadias (urethral cleft formation)-mildest form of bladder exstrophy-epispadias complex; rarely occurs in isolation Urethra (urethra), short or long. Ureteral ectopia (mis-orifice of the ureter distal (“remote”) from the bladder neck into the urethra, prostate, vagina/vagina, or uterus/uterine). Respiratory System (J00-J99) Bronchitis, chronic (permanent inflammation of the respiratory tract … Urinary Incontinence: Or something else? Differential Diagnosis