Urge Incontinence

Urge incontinence is the most common type of incontinence identified in the older ambulatory patient. It is defined as an abrupt, urgent sensation to urinate and results in loss of urine, with both large and small amounts. Urinary frequency and nocturia are often associated with urge incontinence. Detrusor overactivity is also associated, caused by age-related smooth muscle changes, central inhibitory pathway lesions, history of pelvic irradiation, and bladder sensory or motor innervation deficits. Urge incontinence with an elevated postvoid residual volume can occur when detrusor overactivity and impaired detrusor contractility occur simultaneously. Urinary frequency and retention are common in these patients, particularly those receiving anticholinergic medications.

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