![]() ![]() These contractions may be due to a defect in afferent sensory signaling from the urinary tract or central processing of these signals, and/or due to detrusor muscle dysfunction ( figure 1). Medications that can increase bladder contractility or exacerbate obstructive effects ( table 1)Īlthough the specific mechanisms that cause UUI are poorly understood, UUI is partly related to uninhibited bladder contractions.Neurologic conditions affecting the brain (stroke, normal pressure hydrocephalus) that can also cause UUI (see 'Patients with neurologic disease' below).(See "Lower urinary tract symptoms in males", section on 'Etiologies of LUTS'.)Ĭauses of BOO or overactive bladder include: The etiologies of LUTS are discussed in detail separately. UUI is one of the components that may be seen with lower urinary tract symptoms (LUTS) in men. ![]() ![]() UUI is typically associated with either bladder outlet obstruction (BOO) or overactive bladder (OAB) syndrome, also called detrusor overactivity, causing urinary urgency and frequency. Urge urinary incontinence - Urge urinary incontinence (UUI), the most common type of incontinence among men, manifests as a sudden and compelling desire to pass urine that is difficult to defer and is accompanied by involuntary leakage. The etiology of each type of incontinence may be multifactorial with a variety of contributing pathophysiologic mechanisms. (See "Female urinary incontinence: Evaluation" and "Female urinary incontinence: Treatment".)ĬAUSES/CLASSIFICATIONS OF INCONTINENCE - Types of male urinary incontinence differ in their etiologies, clinical manifestations, and treatments.Ī patient may have more than one type of urinary incontinence. Urinary incontinence in women is discussed separately. This topic will discuss the epidemiology, causes, classification, evaluation, diagnosis, and management of urinary incontinence in men. ![]() The prevalence in men living in nursing homes is higher compared with those in community settings and men with urinary incontinence have a higher risk of institutionalization. In other studies, the prevalence of urinary incontinence in men older than 65 years ranged from 11 to 34 percent, with a prevalence of daily incontinence of 2 to 11 percent. In a study among community-dwelling men, the prevalence of at least one urinary incontinence episode in the preceding 12 months increased from almost 5 percent at ages 19 to 44 years, to 11.2 percent at ages 45 to 64 years, to 21 percent in men older than 65 years. Men are more likely to experience urinary incontinence as they get older. Some evidence suggests that urinary incontinence may have a greater emotional and social impact on quality of life for men than for women. Men with urinary incontinence have a higher rate of depression and are more likely to decrease participation in activities (eg, decrease work hours, change employment, or take voluntary early retirement). Urinary incontinence can limit participation in activities and lower quality of life. Only one in five men with symptoms is likely to seek care, and men are only half as likely as women to seek care (22 versus 45 percent, respectively), despite the availability of many types of treatments. Men are sometimes reluctant to bring incontinence to the attention of their clinician. INTRODUCTION - Urinary incontinence is defined as involuntary leakage of urine. ![]()
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