Related Experiment Video
Updated: May 24, 2026
03:26
Detrusor Underactivity Model in Rats by Conus Medullaris Transection
Published on: August 28, 2020
Can we prevent incontinence? ICI-RS 2011
Karl-Dietrich Sievert1, Bastian Amend, Patricia A Toomey
1Department of Urology University of Tuebingen, Tuebingen, Germany.
Neurourology and Urodynamics
|March 16, 2012
Summary
Incontinence can often be prevented through lifestyle changes and early interventions, addressing modifiable risk factors. Population-based strategies may benefit both urinary incontinence (UI) and fecal incontinence (FI).
Area of Science:
- Urology
- Gynecology
- Geriatrics
- Preventive Medicine
Background:
- Incontinence, including urinary incontinence (UI) and fecal incontinence (FI), is linked to numerous modifiable risk factors.
- Pregnancy is identified as a risk factor for UI, independent of delivery method.
- Pelvic-floor related surgery is correlated with both UI and FI, though UI may be transient with improved techniques.
Purpose of the Study:
- To review current research on the prevention of incontinence.
- To identify modifiable risk factors and effective prevention strategies for UI and FI.
Main Methods:
- Literature review of English language publications.
- Focus on studies related to incontinence prevention.
Main Results:
- Many risk factors for incontinence are modifiable through lifestyle and behavioral changes, ideally adopted early in life.
- Psychological conditions and their treatments can influence or exacerbate incontinence.
- While evidence for UI prevention is more robust than for FI, both conditions share similar risk profiles and potential benefits from prevention strategies.
Conclusions:
- Incontinence is preventable in certain cases, emphasizing the importance of primary prevention strategies.
- Early interventions, even before incontinence onset, can delay or avoid its development.
- Population-based prevention strategies may offer significant benefits for both UI and FI.
Related Concept Videos
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
01:17Urinary Tract Infection IV: Nursing Management
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
01:23Urinary Bladder
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
01:26The Micturition Reflex
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
01:21Nursing Assessment of the Genitourinary System I: Health History
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
01:30Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...