Table 1.
Type | Symptoms | Common Causes | Treatment |
---|---|---|---|
Stress | Involuntary loss of urine usually small amounts) simultaneous with increase in intra-abdominal pressure such as those caused by coughing, sneezing, laughing) | Weakness and laxity of pelvic floor musculature resulting in hyper mobility of the bladder base and proximal portion of the urethra. Bladder outlet or urethral sphincter weakness (intrinsic sphincter deficiency) related to prior surgery or trauma. | Surgery Kegle Exercise Biofeedback |
Urge | Leakage of urine (usually larger but often variable volumes) because of inability to delay voiding after sensation of bladder fullness is perceived | Detruser hyperactivity isolated or associated with one or more of the following: Local genitourinary condition such as cystitis, urethritis, tumors, stones, diverticula, outflow obstruction, impaired bladder contractility (DHIC) Central nervous system disorders such as stroke, dementia, parkinsonism, spinal cord injury, or disease |
Medication Bladder Drill |
Incomplete Emptying | Leakage of urine (usually small amounts) resulting from mechanical forces or an over-distended bladder | Anatomic obstruction by prostate, large cystocele Acontractile bladder associated with diabetes mellitus or spinal cord injury |
Surgery Catheter |