Stress Incontinence

Your Path

  • Stress incontinence

Etiology

  • Decrease/impaired resistance at level of bladder neck such that any increase in abdominal pressure (e.g. w/coughing) causes leakage of urine

Risk Factors

  • Women >> men
  • Age > 50
  • Vaginal childbirth
  • Complication of prostatectomy → damaged ext sphincter in men

Symptoms

  • Worse w/cough/sneeze/sudden movement, small amounts, rarely at night

Physical Exam Findings

  • Incont may be reproduced if cough when in stirrups
  • Sometimes prolapse bladder or uterus evident