Which patient has stress incontinence?
a. The patient states her bladder empties, but she doesn't know when it will happen because she has no sensation of fullness or urge to void.
b. The patient states she has a strong urge to void, but usually cannot make it to the toilet in time.
c. The obese patient complains of dribbling urine when she sneezes or bends over.
d. The patient states she urinates small amounts frequently, but examination shows bladder distention.
C
Stress urinary incontinence is the uncontrolled loss of urine caused by physical exertion in the absence of a detrusor muscle contraction. Urge urinary incontinence can be unpredictable. Functional incontinence can occur when unable to reach the toilet in time. Urgency can lead to urinary retention.
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