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Transient Urinary Incontinence: Management

Transcient Topic
FB Dr Soarawee
Soarawee Weerasopone, MD

Minimally Invasive Uro-Oncologist
Royal Phnom Penh hospital, Kingdom of Cambodia

Urinary incontinence (UI) is a common complaint at my Urology office. UI being defined as the involuntary leakage of urine, affects millions of people all over the world with the prevalence increasing in elderly. Patients more likely terrifying with their first episode of UI and trying to seek a medical profession for specific treatment. Good news in between bad news, there are some reversible causes of UI, which is, if we’ve treated them correctly, the UI will be resolved with no need to take any further investigation or management. In this topic we will discuss about “Transient Urinary Incontinence”

Transient Urinary Incontinence is the reversible incontinence usually came up with a sudden onset and presenting less than 6 weeks at a time of the evaluation. Several of the reversible causes, can be easily recall by mnemonic DIAPPERS.

  • Delirium
  • Infection
    • Any infection-related issues
    • Especially acute urinary tract infection
Illness
Any non urinary-related illness can affect urinary function.
  • Atrophic vaginitis
  • Pharmaceuticals
    • Antihypertensives
    • Pain killers – NSAID, Opioids derivative
    • Psychotherapeutics – antidepressants or sedative drugs
    • Alcohol – increases urine production with impaired nervous system
    • Antihistamines – inhibits bladder contraction
Pill
Several medications have a negative effect on urinary function.
  • Psychological disorder
    • Depression
  • Excessive urine output
    • Hyperglycemic state
  • Reduced mobility
    • Bed ridden patients
    • Healthy patients who admit inpatient with more times staying in bed
  • Stool impaction
    • The fecal impact within rectum can compress the urethra and make the difficulty of urination
Constipation
Constipation is easily correctable cause in transient urinary incontinence.

Once patients came to see me along with incontinence-related problem. The above mentioned of the risk factors would always document and correct them if possible. When the patients’ problems are resolved since we corrected all risk factors, then the “Transient urinary incontinence” will be the diagnosis. If not, the further evaluation is needed in order to clarify the cause of urinary incontinence. See you in next topic!

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