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Overflow incontinence

Also known as Paradoxical Incontinence

Overflow incontinence is a form of urinary incontinence, characterized by the involuntary release of urine from an overly full urinary bladder, often in the absence of any urge to urinate. This condition occurs in people who have a blockage of the bladder outlet (benign prostatic hyperplasia, prostate cancer, or narrowing of the urethra), or when the muscle that expels urine from the bladder is too weak to empty the bladder normally. Overflow incontinence may also be a side effect of certain medications.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with overflow incontinence, 55% report having retention of urine, 41% report having involuntary urination, and 35% report having symptoms of bladder. The symptoms that are highly suggestive of overflow incontinence are retention of urine, involuntary urination, symptoms of bladder, excessive urination at night, impotence, symptoms of prostate, hand or finger stiffness or tightness, and hesitancy, although you may still have overflow incontinence without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with overflow incontinence often receive urinalysis, ultrasonography, rectal examination, prostate specific antigen measurement, endoscopy and endoscopic biopsy of the urinary tract, other non-or therapeutic procedures of urinary tract, other diagnostic procedures (interview; evaluation; consultation) and physical therapy exercises .

Common Medications

The most commonly prescribed drugs for patients with overflow incontinence include oxybutynin, baclofen, tamsulosin (flomax), nitrofurantoin, tolterodine (detrol), sennosides, usp (perdiem), bethanechol, alfuzosin (uroxatral), tadalafil (cialis), interferon beta-1a (avonex), darifenacin (enablex), solifenacin (vesicare) and imipramine .

Oxybutynin
$37
(28 days)
Baclofen
$18
(28 days)
Tamsulosin (Flomax)
$65
(28 days)
Nitrofurantoin
$28
(21 days)
Tolterodine (Detrol)
$121
(28 days)
Sennosides, Usp (Perdiem)
$9
(28 days)
Bethanechol
$67
(28 days)
Alfuzosin (Uroxatral)
$98
(28 days)
Tadalafil (Cialis)
$295
(28 days)
Interferon Beta-1A (Avonex)
$2711
(28 days)
Darifenacin (Enablex)
$125
(28 days)
Solifenacin (Vesicare)
$129
(28 days)
Imipramine
$29
(28 days)

Who is at risk?

Groups of people at highest risk for overflow incontinence include age 75+ years age 60-74 years.

Age

< 1 years
0.3x
1-4 years
0.6x
5-14 years
0.3x
15-29 years
0.5x
30-44 years
0.8x
45-59 years
1.2x
60-74 years
1.5x
75+ years
2.4x

Sex

Male
1.4x
Female
0.7x

Race/Ethnicity

Black
0.8x
Hispanic
0.6x
White
1.2x
Other
0.9x
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