Question

65-year-old male patient comes to the clinic with a history of diabetes mellitus for the past 15 years. The patient is unable to hold in urine and states that he chooses not to ambulate in the community due to this problem. Based on the patient's subjective report and symptoms, what condition does the patient exhibit?

A. Stress incontinence
B. Overflow incontinence
C. Spastic bladder incontinence
D. Functional incontinence

Answer 1

The patient likely exhibits overflow incontinence, indicated by the inability to empty the bladder properly, leading to involuntary urine leakage. Urinalysis, culture, and other evaluations can confirm underlying conditions, and monitoring fluid intake and ambulation may improve symptoms.

Step-by-step explanation:

Identifying the Type of Urinary Incontinence

The patient, a 65-year-old male with a history of diabetes mellitus, presents with an inability to hold in urine and has limited his ambulation due to this issue. The condition this patient exhibits, based on his symptoms, is likely overflow incontinence. Overflow incontinence is characterized by the bladder's inability to empty properly, leading to frequent leakage of small amounts of urine. Physical challenges, presence of comorbid conditions like prostatitis, and intentional reduced fluid intake contribute to this condition. The patient's history of diabetes and symptoms such as difficulty holding urine suggest that he might be experiencing overflow incontinence rather than stress, spastic bladder, or functional incontinence.

It's important to note that urinalysis and culture can provide further confirmation of any underlying infections contributing to the patient's condition, and monitoring of fluid intake and increased assistant in ambulation can help manage symptoms.