Question:easy
An elderly female presented with dribbling of urine only on coughing and straining. What type of urinary incontinence is she suffering from?
An elderly female presented with dribbling of urine only on coughing and straining. What type of urinary incontinence is she suffering from?
Show Hint
Consider which type of incontinence is triggered by a sudden rise in intra-abdominal pressure rather than bladder urgency.
Updated On: Jun 23, 2026
- Stress incontinence
- Urge incontinence
- Overflow incontinence
- Neurogenic bladder
Show Solution
The Correct Option is A
Solution and Explanation
Types of Urinary Incontinence -- Quick Reference:
- Stress Incontinence: Urine leaks when intra-abdominal pressure suddenly increases (coughing, sneezing, straining). Pelvic floor laxity fails to resist the pressure surge. Common in elderly/multiparous women.
- Urge Incontinence: Strong, sudden urge followed by involuntary leakage. Due to detrusor overactivity.
- Overflow Incontinence: Continuous dribbling from an overfull bladder that cannot empty. Seen in BPH or atonic bladder.
- Neurogenic Bladder: Secondary to spinal cord or nerve damage.
This patient:
Leakage occurs only during coughing/straining -- classic triggers for $\uparrow$ intra-abdominal pressure. No urgency is described. This is the hallmark of Stress Incontinence, where relaxed pelvic floor muscles cannot maintain urethral closure against the pressure spike.
Answer: \[\boxed{\text{Stress Incontinence}}\]
- Stress Incontinence: Urine leaks when intra-abdominal pressure suddenly increases (coughing, sneezing, straining). Pelvic floor laxity fails to resist the pressure surge. Common in elderly/multiparous women.
- Urge Incontinence: Strong, sudden urge followed by involuntary leakage. Due to detrusor overactivity.
- Overflow Incontinence: Continuous dribbling from an overfull bladder that cannot empty. Seen in BPH or atonic bladder.
- Neurogenic Bladder: Secondary to spinal cord or nerve damage.
This patient:
Leakage occurs only during coughing/straining -- classic triggers for $\uparrow$ intra-abdominal pressure. No urgency is described. This is the hallmark of Stress Incontinence, where relaxed pelvic floor muscles cannot maintain urethral closure against the pressure spike.
Answer: \[\boxed{\text{Stress Incontinence}}\]
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