Question

A pt. 2nd degree cervical prolapse C/o dribbling of urine on cough

• A. Stress incontinence
• B. Overflow incontinence
• C. Cystitis
• D. Functional incontinence

Answer 1

The Correct Option is A

The scenario presented involves a patient with a second-degree cervical prolapse who experiences dribbling of urine when coughing. To determine the type of urinary incontinence involved, let's examine the given options:

1. Stress incontinence: This occurs when there is unintentional loss of urine during physical activities that increase abdominal pressure, such as coughing, sneezing, or exercising. It is commonly associated with pelvic floor weakness often seen in cases of prolapse.
2. Overflow incontinence: This arises when there is a constant dribbling of urine due to an overfilled bladder that cannot empty properly. It is less likely associated with actions like coughing.
3. Cystitis: Inflammation of the bladder causing frequent, painful urination. It doesn’t directly cause incontinence upon coughing.
4. Functional incontinence: Incontinence due to physical or mental inability to reach the bathroom in time, not directly linked to an increase in intra-abdominal pressure.

Given the symptoms of dribbling urine on coughing in conjunction with a cervical prolapse, the most accurate diagnosis is Stress incontinence. This type aligns with the description, as the prolapse can weaken pelvic support structures, leading to urine leakage during activities that increase abdominal pressure.