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Pathology - Urge Urinary Incontinence
This ailment, also known as “overactive bladder” is characterized by leakage of pee because of the inability to defer voiding after sensing sense of bladder fullness (urinary urgency). Most prevalent etiology is motor or sensory instability (bladder spasms or contractions) of the detrusor muscle of the urine bladder. This instability can be connected with local genitourinary problems (UTIs, tumors, outflow obstruction) or CNS disorders (stroke, Parkinsonism, spinal cord injury, or disease); however, in most cases, no explanation can be determined. Evaluation of this condition should include evaluation for UTI or other diseases as well as functional testing of the bladder (urodynamic testing). Treatment with behavioral therapies or anticholinergic medication to relax bladder musculature is generally highly helpful. The patient in the vignette is taking hydrochlorothiazide to manage her hypertension — this diuretic medicine may be unwittingly contributing to her symptoms.
This ailment, also known as “overactive bladder” is characterized by leakage of pee because of the inability to defer voiding after sensing sense of bladder fullness (urinary urgency). Most prevalent etiology is motor or sensory instability (bladder spasms or contractions) of the detrusor muscle of the urine bladder. This instability can be connected with local genitourinary problems (UTIs, tumors, outflow obstruction) or CNS disorders (stroke, Parkinsonism, spinal cord injury, or disease); however, in most cases, no explanation can be determined. Evaluation of this condition should include evaluation for UTI or other diseases as well as functional testing of the bladder (urodynamic testing). Treatment with behavioral therapies or anticholinergic medication to relax bladder musculature is generally highly helpful. The patient in the vignette is taking hydrochlorothiazide to manage her hypertension — this diuretic medicine may be unwittingly contributing to her symptoms.
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