2/28/2024 0 Comments Overflow incontinence cancerPelvic examination in women can identify atrophic vaginitis and urethritis Urethritis Bacterial urinary tract infections (UTIs) can involve the urethra, prostate, bladder, or kidneys. Such weakness does not cause incontinence but can complicate treatment if other causes of incontinence coexist. Less severe detrusor weakness is common among older women. In women, detrusor underactivity is usually idiopathic. The detrusor may become underactive in men with chronic outlet obstruction as the detrusor is replaced by fibrosis and connective tissue, preventing the bladder from emptying even when the obstruction is removed. Anticholinergics and opioids greatly decrease detrusor contractility these drugs are common transient causes. read more or to nerve roots supplying the bladder (eg, by disk compression, tumor, or surgery), by peripheral or autonomic neuropathies, or by other neurologic disorders (see table ). The anatomy of the spinal column is reviewed elsewhere. Occasionally, the spinal nerves are affected. It may be caused by injury to the spinal cord Spinal Trauma Trauma to the spine may cause injuries involving the spinal cord, vertebrae, or both. This variant may mimic prostatism in men or stress incontinence in women.ĭetrusor underactivity causes urinary retention and overflow incontinence in about 5% of patients with incontinence. ![]() read more, bladder trabeculation, and a postvoid residual volume of > 50 mL. Urinary retention may be Acute Chronic Causes include impaired bladder contractility, bladder outlet obstruction. read more, a weak flow rate, urinary retention Urinary Retention Urinary retention is incomplete emptying of the bladder or cessation of urination. Frequency may be accompanied by a sensation of an. Detrusor overactivity (hyperactivity) with impaired contractility is a variant of urge incontinence characterized by urgency, frequency Urinary Frequency Urinary frequency is the need to urinate many times during the day, at night (nocturia), or both but in normal or less-than-normal volumes. Detrusor overactivity may be idiopathic or may result from dysfunction of the frontal micturition inhibitory center (commonly due to age-related changes, dementia, or stroke) or outlet obstruction. The detrusor muscle contracts intermittently for no apparent reason, usually when the bladder is partially or nearly full. read more that causes the urethra to kink during straining to void.ĭetrusor overactivity is a common cause of urge incontinence in older and younger patients. Anterior vaginal wall prolapse is commonly referred to as cystocele or urethrocele (when the. In women, outlet obstruction can result from previous surgery for incontinence or from a prolapsed cystocele Anterior and Posterior Vaginal Wall Prolapse Anterior and posterior vaginal wall prolapse involve protrusion of an organ into the vaginal canal. (See also Constipation in Children.) No bodily function is more variable and. In both sexes, fecal impaction Fecal impaction Constipation is difficult or infrequent passage of stool, hardness of stool, or a feeling of incomplete evacuation. Urethral stricture can be Congenital Acquired Anything that damages the urethral epithelium or corpus spongiosum can. read more, or urethral stricture Urethral Stricture Urethral stricture is scarring that obstructs the anterior urethral lumen. Diagnosis is suggested by digital rectal examination. ![]() Symptoms are typically absent until tumor growth causes hematuria and/or obstruction with pain. read more, prostate cancer Prostate Cancer Prostate cancer is usually adenocarcinoma. ![]() Symptoms are those of bladder outlet obstruction-weak stream, hesitancy, urinary. Obstruction in men commonly results from benign prostatic hyperplasia Benign Prostatic Hyperplasia (BPH) Benign prostatic hyperplasia (BPH) is nonmalignant adenomatous overgrowth of the periurethral prostate gland. Outlet obstruction is a common cause of incontinence in men, although most men with obstruction are not incontinent.
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