Professional Documents
Culture Documents
swati singh
Registrar
Introduction
Incidence
Anatomy / Physiology
Types of Incontinance
Aetiology
Management
Conclusion
INTRO DUCTI ON
Cont ine nce i s th e abi li ty t o p as s uri ne or
fa ece s volu nt ar il y i n a s oci all y a cc ept abl e
.pl ace
:T he cont in ent pe rson can
reco gni ze t he need
identi fy the co rrec t pl ace
hol d on un ti l he r eaches the corr ec t p la ce
to pa ss uri ne or fa ece s
Inconti nenc e - i nvol unt ar y l oss of ur in e whi ch
is obje ct ively demons tra ble & it is s oci al
. and h ygi eni c p robl em
INCIDENCE
Urinary incontinence - not a recent
medical or social phenomena. Disorders
of urinary tract written in ancient times.
1 in 3 female age 55 or more complain of
incontinence.
1 in 10 women will have surgery for
prolapse or SI in life time. One third will
need further surgery.
Physiology of Micturition
• Bladder innervation:
somatic, parasympathetic (PSN) and
sympathetic (SNS)
3. Stress or
sphincter incontinence.
4. Urge incontinence
(precipitancy-detrusor
instability or detrusor
dyssynergia).
5. Nocturnal enuresis.
Incidence of Subtypes of
Urinary Incontinence in Women
Stress Incontinence
50%
Urge Incontinence
20%
STRESS INCONTINENCE
)SPHINCTER INCONTINENCE-GENUINE
STRESS INCONTINENCE
Grade I
Incontinence occurs only with severe
stress, such as coughing, sneezing, etc …
Grade II
Incontinence with moderate stress, such as
rapid movement or walking up and down
stairs
Grade III
Incontinence with mild stress, such as
TYPES OF STRESS INCONTINENCE
Type 1 : There is complete loss of the
posterior urethrovesical angle.
6. Genit al pro la ps e:
3. Vaginal cones:
A set consists of 5 or 9 cones.
Weight ranges from 20 to 100 grams.
Patient inserts the cone in the vagina and
keeps it for 15 minutes twice daily.
If this succeeds she inserts the next cone.
This improves the tone of the pelvic floor
muscles.
4.Oestrogen therapy for menopausal
patients:
It causes thickening of the urethral
mucosa and engorgement of the
underlying blood vessels