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Pathology - Functional Urinary Incontinence
This problem arises when a person senses the desire to urinate but cannot make it to the bathroom. The urine loss may be substantial. This disorder is widespread in elderly adults - for this reason, physiologic reasons of incontinence must be ruled out in order to achieve this diagnosis. The patient in the vignette has been evaluated for UTI and constipation, frequent causes of incontinence in this age group. His condition coincides with transferring to a facility where it is quite likely that he is not granted bathroom access as often as needed. Causes of functional incontinence include confusion; dementia; poor eyesight; poor mobility; poor dexterity; unwillingness to toilet because of melancholy, anxiety, or rage; alcoholism; or being in a setting in which it is hard to reach a toilet. Examples include someone in a wheelchair or with dementia. Patients with functional incontinence may have issues thinking, moving, or communicating that prevent them from reaching a toilet. The term “functional” denotes that the disease is not related to anatomic or physiologic dysfunction but rather to emotional or access/mobility concerns.
This problem arises when a person senses the desire to urinate but cannot make it to the bathroom. The urine loss may be substantial. This disorder is widespread in elderly adults - for this reason, physiologic reasons of incontinence must be ruled out in order to achieve this diagnosis. The patient in the vignette has been evaluated for UTI and constipation, frequent causes of incontinence in this age group. His condition coincides with transferring to a facility where it is quite likely that he is not granted bathroom access as often as needed. Causes of functional incontinence include confusion; dementia; poor eyesight; poor mobility; poor dexterity; unwillingness to toilet because of melancholy, anxiety, or rage; alcoholism; or being in a setting in which it is hard to reach a toilet. Examples include someone in a wheelchair or with dementia. Patients with functional incontinence may have issues thinking, moving, or communicating that prevent them from reaching a toilet. The term “functional” denotes that the disease is not related to anatomic or physiologic dysfunction but rather to emotional or access/mobility concerns.
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