This site is intended for healthcare professionals only

The management of urinary incontinence in women

Written by: | Published:

Urinary incontinence describes involuntary leakage of urine. Urinary incontinence is more prevalent in women than men with an increasing incidence with advancing age.1 Stress urinary incontinence refers to involuntary leakage of urine on effort or exertion whereas urge urinary incontinence refers to involuntary leakage of urine that is associated with or preceded by a sudden desire to pass urine.1

Mixed urinary incontinence occurs when stress and urge urinary incontinence co-exist. Overactive bladder syndrome (OAB) may cause urge urinary incontinence. This usually presents with increased frequency and nocturia.2 Involuntary detrusor contractions (spontaneous or provoked) that may be observed on urodynamic studies are known as detrusor overactivity.

History taking
When evaluating urinary incontinence, the cause may be apparent and there may be pre-existing factors responsible. For example, constipation, obesity, diabetes, alcohol and high fluid intake may be relevant.

It is important to assess the severity of incontinence and its impact on quality of life. Severity may be assessed by asking the patient when incontinence occurs and whether there is an activity that precipitates it. The patient may be using pads to self-manage her symptoms and may be restricting fluid intake. Furthermore there may be an effect on the patient's social life and/or sexual function.


Please login or register to read the rest of the article and to have access to downloads and comments.


What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Read a free issue from Practice Nursing

Register to read a free issue from our sister publication, Practice Nursing.

Including articles on asthma, diabetes and more. Read your copy.

Newsletter

Sign up to the newsletter

About

Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.

Newsletter

Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.

Archive

Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team

Authors

Find out how to contribute to Independent Nurse here.