INCONTINENCE

Jyotsna(Jo) Jadhav, RN, BSN

CLC Restorative Care Coordinator

TYPES OF INCONTINENCE

➢Stress Incontinence

➢Urge Incontinence (Overactive Bladder)

➢Mixed Incontinence

➢Overflow Incontinence

➢Functional Incontinence

➢Relax Incontinence

Stress Incontinence

➢Urine leaks out when you jump, cough , exercise or lift something.

➢Any Physical exertion that increases abdominal pressure also puts pressure on

bladder.

➢The word “stress” actually refers to the physical strain associated with leakage

➢The leakage occurs even though you don’t feel the urge to urinate.

➢Age is likewise a factor in stress incontinence

➢In women, as they get older, the muscles in her pelvic floor and urethra weaken.

➢In men, pelvic fracture or urinary sphincter damage through prostate surgery.

Urge Incontinence (overactive Bladder)

➢I you have a strong urge to urinate even when your bladder isn’t full.

➢Overwhelming urge to urinate frequently followed by loss of urine

before reaching to the bathroom.

➢You may need to urinate often, including throughout the night.

➢This condition occurs in men and women.

➢May be caused by a minor condition, such as infection or more severe

condition such as neurologic disorder or diabetes.

Mixed Incontinence

➢If you have symptoms of both overactive bladder and stress

incontinence.

➢Most women with incontinence have both stress and urge symptoms.

➢Mixed incontinence also occurs in men who have had prostate

removal or an enlarged prostate.

➢Frail older people of either gender.

Overflow Incontinence

➢You experience urine leakage, dribbling with or without feeling a need to go.

➢Overflow incontinence occurs when something blocks urine from flowing

normally.

➢It can occur in men and women if the bladder muscle becomes under reactive.

➢Men are much more diagnosed with overflow than women because of prostate-

related conditions like enlarged prostate, tumor, bladder stones or scar tissue.

➢Woman with prolapse of her uterus or bladder (meaning that the organ has

dropped out of its proper position), her urethra can become kinked like a

garden hose, interfering with the flow of urine.

➢Nerve damage (from injuries, childbirth, surgeries, diseases such as diabetes,

MS or shingles)and aging prevent bladder muscle to contract normally.

Functional Incontinence

➢If Urinary tract is functioning properly but other illnesses or

disabilities are preventing from staying dry. For example: medication,

dementia, arthritis, mental illness etc.

➢This problem can affect anyone with a condition that makes it

excessively difficult to move to the bathroom and undress in time.

➢If a medication such as diuretic used to treat high BP or HF causes to

produce large amounts of urine and can develop incontinence.

Reflex Incontinence

➢This incontinence occurs when the bladder muscle contracts and

urine leaks (often large amounts) without any warning or urge.

➢This is a result of damage to the nerves that normally warn the brain

that bladder is filling.

➢It is usually appears in people with neurological impairment from

Multiple sclerosis, Spinal cord injuries or damage from surgery or

radiation.

Treatment

❖Scheduled Toileting

❖Bladder training

❖Kegel exercises

❖Avoidance of Constipation

❖Physical Activities

❖Weight Loss

❖Praises for appropriate toileting

❖Medications.