A female patient reports an increase of involuntary loss of urine with sneezing and coughing. Her past medical history reveals uterine cancer, an abdominal hysterectomy, and radiation therapy
What type of incontinence is she most likely experiencing? a. stress incontinence c. overflow incontinence
b. urge incontinence d. functional incontinence
A
This patient is most likely experiencing stress incontinence which is the involuntary loss of urine with activities that increase abdominal pressure (e.g., sneezing, coughing, laughing, heavy lifting, physical activity). This type of incontinence can be caused by childbirth, pregnancy, previous abdominal surgery, prostate surgery, or radiation therapy. Urge incontinence is the involuntary loss of urine caused by detrusor hyperactivity. It is usually associated with a strong desire to void with a larger volume of urine. Overflow incontinence is the involuntary loss of urine caused by an overextended bladder. Incontinence occurs when bladder pressure exceeds urethral pressure. Usually a small amount of urine occurs during dribbling. There may be some hesitancy and frequency. Functional incontinence is the involuntary loss of urine resulting from the inability to reach the toilet because of physical, cognitive, or environmental impairments.
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