Urinary & Fecal Incontinence

Book excerpt: Completely updated to reflect current practice, the 3rd edition of this comprehensive resource provides a multi-disciplinary, in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options for the various types of incontinence. Assessment, behavioral therapies, and multidisciplinary care are emphasized as key elements in the treatment and management of incontinence. In addition to the life-span content discussed throughout the book, an entire chapter is devoted to bowel and bladder management in children. Authored and contributed by leaders in the Wound, Ostomy and Continence Nurses Society (WOCN). Provides an in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options to facilitate optimal assessment and care. Features detailed assessment guidelines to help clinicians accurately identify causative and contributing factors, and implement of a comprehensive management plan. Discusses urinary incontinence and fecal incontinence in separate sections to address the special considerations for each in an organized, focused, easy-to-use format. Features individual, complete chapters for each of the following types of incontinence: stress, functional, reflex (neurogenic bladder), and overactive bladder (urge incontinence). Devotes separate chapters to Pathology & Management of Postprostatectomy Incontinence and Bowel and Bladder Management in Children to ensure comprehensive coverage of these topics. Offers life-span content to help clinicians provide appropriate care for patients in every stage of life. Includes self-assessment questions with answers and rationales for review and self-testing. Integrates multidisciplinary care throughout to highlight its importance in successful treatment. Features a new chapter on Pathology & Management of Postprostatectomy Incontinence that provides detailed information on this increasingly important aspect of incontinence. Includes content on the impact of spinal cord injury on bladder and bowel function.