title: Managing incontinence due to detrusor instability.
abstract: Urinary incontinence affects around 3.5 million people of all ages in the UK. For many, incontinence severely restricts their routine activities and damages their quality of life and self-esteem. In about one-third of women sufferers, and around a half of all men with incontinence, the cause is detrusor instability. This condition is characterised by involuntary bladder contractions or pressure rises during bladder filling, which result in a strong or uncontrollable urge to pass urine and, often, incontinence. Here, we consider a primary care-based approach to managing urinary incontinence in adults, concentrating on the medical management of detrusor instability.
mesh_terms: D000328:Adult; D006801:Humans; D009122:Muscle Hypertonia / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D009130:Muscle, Smooth / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology; D001745:Urinary Bladder Diseases / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D014549:Urinary Incontinence / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*