Chapter 6 – The Bladder and the Pelvic Floor

Urge urinary incontinence

Urge urinary incontinence (UUI) is the complaint of involuntary leakage accompanied by or immediately preceded by urgency (a sudden compelling desire to pass urine which is difficult to defer).(12) UUI is considered as part of an ‘overactive bladder’ (OAB) which is defined as urgency, with or without urge incontinence, usually with frequency and nocturia.(12) UUI can be triggered by coughing, changes in posture from sitting or lying to standing, hearing running water or washing hands in cold water, or putting the keys in the door. UUI can have neurogenic causes (e.g. multiple sclerosis, Parkinson’s disease, cerebrovascular accident) or non-neurogenic causes (e.g. bladder outlet obstruction, UTI, bladder tumour).

The diagnosis of UUI can be confirmed by urodynamic study, by demonstrating involuntary detrusor contraction (detrusor overactivity).

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