Thursday, August 31, 2006

 

overflow incontinence

Overflow Incontinence ( kan het gevolg zijn van Calcium blockers.)

Overflow incontinence accounts for 10-15% of urinary incontinence. Overflow leakage of urine occurs when there is a mechanical or functional obstruction of the urinary bladder outlet. The obstruction leads to overfill of the bladder and incontinence due to a detrusor contraction which occurs when a certain volume is reached. In this form of chronic incontinence, the client usually does not know why she/he leaks urine and frequent dribbling is common. Often the sensation of bladder fullness is diminished and the stream of urine is weak. These symptoms occur secondary to an anatomic obstruction (i.e. enlarged prostate, urethral stricture) or an atonic bladder. An atonic bladder can result from neurologic injury, diabetic neuropathic bladder, or drug-induced atonia. Drug induced atonia can be caused by anticholinergics, narcotics, anti-depressants, and smooth muscle relaxants. Neurologic injury can be caused by spinal cord trauma or a stroke.


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