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Continence Care

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Abstract

Urinary incontinence (UI) is a major health issue worldwide. Population studies from numerous countries have reported that the prevalence of urinary incontinence ranges from approximately 5–70%, with most studies reporting a prevalence of UI in the range of 25–45% (Milsom et al. Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapsed (POP), 2009). The International Continence Society has defined “urinary incontinence” as “the objectively demonstrated involuntary loss of urine in inappropriate places and at inappropriate times that constitutes a hygienic, social and socio-economic problem” (Abrams et al. Neurourol Urodyn Suppl 37:S4, 2017). Good continence care is not simply about managing incontinence but about the skills of fine-tuned professionals seeking to listen and identify the client’s needs – particularly when the client can no longer express their preferences, values, and goals of care (An International Continence Society (ICS) report on the terminology for single-use body worn absorbent incontinence products, https://onlinelibrary.wiley.com/doi/full/10.1002/nau.24488). Even when UI cannot be completely cured, it can always be managed with products, skin care regimens, occlusive or drainage devices, and toileting equipment to ensure optimal skin integrity, odorless urine containment, social independence, comfort, and freedom of movement (Lekan-Rutledge et al. Urol Nurs 23(6):416–428, 458; quiz 429, 2003). There are numerous products, devices, and appliances obtainable to assist incontinent individuals in preserving their independence and quality of life to manage incontinence episodes, although urinary problems, in themselves, are not life-threatening (Bartoli et al. Urology 75:491–500, 2010). Continence has a substantial impact on the quality of life of individual with symptoms of urinary incontinence and overactive bladder, impacting on physical health, psychosocial functioning, daily life activities, and quality of life (Kinsey et al. J Health Psychol 21:69–81).

This chapter will discuss the causes of neuropathic lower urinary tract symptoms (NLUTS), psychological impact of incontinence, autonomy for the patient, cultural aspects that affect individuals, the impact of incontinence on caregivers, some lifestyle interventions, and selective products available to achieve social continence.

Wallace Eva has retired.

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Authors and Affiliations

  1. National Rehabilitation Hospital, Dun Laoghaire, Co Dublin, Ireland

    Eva Wallace

  2. Department of Urology, Aarhus University Hospital, Aarhus N, Denmark

    Bente Thoft Jensen & Susanne Ammitzbøll Rasmussen

  3. Neuro-urology, National Rehabilitation Hospital, Dun Laoghaire, Co Dublin, Ireland

    Caroline Ahern

Authors
  1. Eva Wallace
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  2. Bente Thoft Jensen
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  3. Caroline Ahern
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  4. Susanne Ammitzbøll Rasmussen
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Editor information

Editors and Affiliations

  1. Department of Urology Department of Neurourology, China Rehabiliation Research Center China Rehabilitation Science InstituteCapital Medical University, Beijing, China

    Limin Liao

  2. Department of Urology, Medical University Innsbruck, University Hospital, Innsbruck, Austria

    Helmut Madersbacher

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Wallace, E., Jensen, B.T., Ahern, C., Rasmussen, S.A. (2023). Continence Care. In: Liao, L., Madersbacher, H. (eds) Handbook of Neurourology. Springer, Singapore. https://doi.org/10.1007/978-981-99-1659-7_77

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  • DOI: https://doi.org/10.1007/978-981-99-1659-7_77

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-1658-0

  • Online ISBN: 978-981-99-1659-7

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