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Urge incontinence

Also known as Urinary Urge Incontinence

Urge incontinence is a form of urinary incontinence characterized by the involuntary loss of urine occurring for no apparent reason while feeling urinary urgency, a sudden need or urge to urinate.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with urge incontinence, 80% report having frequent urination, 58% report having involuntary urination, and 44% report having symptoms of bladder. The symptoms that are highly suggestive of urge incontinence are frequent urination, involuntary urination, symptoms of bladder, retention of urine, and excessive urination at night, although you may still have urge incontinence without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with urge incontinence often receive urinalysis, pelvis exam, prostate specific antigen measurement, rectal examination, ultrasonography, other diagnostic procedures (interview; evaluation; consultation), lipid panel and hemoglobin a1c measurement .

Common Medications

The most commonly prescribed drugs for patients with urge incontinence include tolterodine (detrol), solifenacin (vesicare), oxybutynin, darifenacin (enablex), nitrofurantoin, estradiol, doxazosin, pentosan polysulphate sodium (elmiron), alfuzosin (uroxatral), trospium (sanctura), fesoterodine (toviaz), desloratadine (clarinex) and factor viia .

Who is at risk?

Groups of people at highest risk for urge incontinence include age 75+ years age 60-74 years. On the other hand, age 1-4 years almost never get urge incontinence.

Age

< 1 years
0.1x
1-4 years
0.0x
5-14 years
0.1x
15-29 years
0.3x
30-44 years
0.5x
45-59 years
1.3x
60-74 years
1.7x
75+ years
3.4x

Sex

Male
0.7x
Female
1.2x

Race/Ethnicity

Black
0.6x
Hispanic
1.2x
White
1.1x
Other
1.2x
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