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Incontinence
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Urinary Incontinence

Epidemiology: 15% old adults, 50% nursing home residents

Anatomy

Contraction: Bladder (PSNS), internal sphincter (SNS), external sphincter (Pudendal nerve: somaticm via thoracic/lumbar segments)
Sensation  Stretch receptors

Causes

Acute:

DRIP = Delirium, Restricted mobility, Infection/Inflammation/Impaction (faecal), Pharmaceutical

Chronic

Investigation

Treatment

  1. Conservative: Beds near toilet. Regular toileting. Pelvic exercises. Bladder retrainin
  2. Medical: Review drugs. Catheter
  3. Surgical procedures
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