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Urinary Incontinence

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Practical Urology: Essential Principles and Practice

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

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Abstract

Urinary incontinence (UI) or the involuntary leakage of urine is a distressing and serious health problem. Its psychosocial and economic burden leads to significant quality of life issues. The prevalence of urinary incontinence (UI) differs by type, etiology, gender, age, and distribution1 (see Fig. 32.1). The three most common types of UI are stress urinary incontinence (SUI), urge urinary incontinence (UUI), or a combination of both, mixed urinary incontinence (MUI). The International Continence Society (ICS) defines SUI as involuntary leakage on effort or exertion, or on sneezing or coughing. UUI refers to involuntary leakage accompanied or immediately preceded by urgency. MUI is defined as a complaint of involuntary leakage associated with urgency and also with exertion, effort, sneezing, or coughing.3 UI is a manifestation of different types of injury and disease processes of the lower urinary tract or the nervous system that regulates it.4 This chapter describes the epidemiology, economics, and pathophysiology of incontinence. The importance of a proper work-up for accurate diagnosis is included. Conservative, pharmacological, and surgical therapy for women and men is delineated.

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Authors and Affiliations

  1. Female Urology and Reconstructive Surgery, University of Kansas Medical Center, Kansas City, KS, USA

    Priya Padmanabhan

  2. Department of Urology, Vanderbilt University Medical Center, Nashville, TN, USA

    Roger Dmochowski

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  1. Priya Padmanabhan
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  2. Roger Dmochowski
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Editors and Affiliations

  1. Dept. of Urology, J Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, United Kingdom

    Christopher R. Chapple

  2. Dept. Urology, University of Virginia Health System, Charlottesville, Virgin Islands, USA

    William D. Steers

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Padmanabhan, P., Dmochowski, R. (2011). Urinary Incontinence. In: Chapple, C., Steers, W. (eds) Practical Urology: Essential Principles and Practice. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84882-034-0_32

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