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Urinary Incontinence
Urinary
Incontinence

Stress

Overflow

Detrusor over-activity
Leaking
Intellectual Property of Knowmedge.com

Urge

Decreased sphincter tone
Coughing
Sneezing

Decreased detrusor activity
BPH
DM neuropathy
TCAs

Treatment
Anti-cholinergics
or
TCAs

Treatment
Pelvic muscle strengthening
or
Estrogen cream
or
Surgery

Treatment
Discontinue TCAs;
address the
underlying cause

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Internal Medicine Board Review: Urinary Incontinence