A 58-year-old woman complains of loss of urine when coughing and sneezing, and d

barry

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A 58-year-old woman complains of loss of urine when coughing and sneezing, and d

A 58-year-old woman complains of loss of urine when coughing and sneezing, and during exercise. She has had three children. Describe the possible causes of urinary incontinence in this patient.

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bio_man

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12 years ago

Stress incontinence is found most commonly in women with relaxed pelvic musculature deprived of estrogen. Stress incontinence may occur with a sudden increase in intra-abdominal pressure such as coughing or sneezing, which forces urine through the external sphincter. Aging, multiple pregnancies, and obesity are risk factors in increasing the relaxation and/or pressure from above.

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