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Diagnosis, treatment and management of UTI in children (D&G) Kidney Biopsy Complications Parenteral Iron for Non-HD CKD Patients Management of uncomplicated Henoch-Schonlein Purpura (HSP) in under 16s Prescribing Advice on Admission – Insulin Sodium Glucose Transporter 2 Inhibitors (SGLT2i) Gentamicin in Renal Replacement Therapy Vancomycin in Renal Replacement Therapy Haemodialysis Medication Prescribing Contrast Associated AKI Low Molecular Weight Heparin Fluid Replacement in AKI Management of Urinary Symptoms Acute Kidney Injury (AKI) Urinary Tract Infection Urethral Catheterisation Kidney Transplantation Ureteric Colic & Renal Stones Intravascular Catheter Related Blood Stream Infection Care of Vascular Access Urinary Incontinence Peritoneal Dialysis Related Peritonitis
Home | Articles | Renal | Urinary Incontinence

Urinary Incontinence

Last updated 30th March 2022

Stress Incontinence

  1. Most common in women.
  2. Gives rise to leakage on coughing, laughing, lifting etc.
  3. Due to weakness in pelvic floor muscles.
  4. Advise weight loss, stopping smoking and pelvic floor exercises
  5. If fail to improve refer to Gyn for consideration for surgery.

Urge Incontinence

  1. Patients usually get “caught short “ when they get a sudden urge to void but cannot make it to the toilet in time.
  2. Commonly caused by infection or bladder overactivity. Ensure infection is excluded.
  3. Try anticholinergics such as Trospium XL 60mg od.
  4. Be aware that bladder tumours can present as urge incontince. Therefore any patient with severe symptoms particularly if they have haematuria need urgent referral.

Overflow Incontinence

  1. Most commonly found in elderly men with bladder outflow obstruction who develop dribbling incontinence and are often incontinent in their sleep.
  2. On examination they are frequently found to have a painless retention. A bladder scan is useful to confirm a significant residual volume (>400ml).
  3. These patients often require catheterisation. 

Content Updated by Ian Russell