Orginal Publication Date
MCV/Q, Medical College of Virginia Quarterly
The adult bladder and urethra acting as a unit allow for the voluntary dual function of urine collection and evacuation. Urinary continence is an acquired, “learned” state, and normal anatomy and function of the nervous and genitourinary systems are necessary to maintain it. Urinary incontinence is defined as “a condition where involuntary loss of urine is a social or hygienic problem and is objectively demonstrable.” This definition takes into account both sociocultural aspects and the need for objective clinical assessment of urinary leakage. Marked individual variations in physical activity, occupation and hygienic standards call for appropriate clinical judgment when evaluation this condition. Although excessive vaginal discharge may be confused with urine loss, incontinence is often evoked to obtain psychologic or socioeconomic secondary gains. The element of the reproducibility is therefore of marked clinical importance. Eleven percent of patients evaluated in our urodynamic unit at the Medical College of Virginia had no objective evidence of urinary leakage during their evaluation.
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VCU University Archives