Total urinary Incontinence

Continuous and unpredictable loss of urine.

NOTE: In this book, the diagnosis total urinary incontinence will be used to refer to continuous urine loss from an extraurethral loss, and stress urinary incontinence will be used to refer to leakage from sphincter incompetence, regardless of severity.

Defining Characteristics: Continuous urine flow varying from dribbling incontinence superimposed upon an otherwise identifiable pattern of voiding to severe urine loss without identifiable micturition episodes

Related Factors: 
  • Ectopia (ectopic ureter opens into the vaginal vault or cutaneously; 
  • bladder ectopia with exstrophy/epispadias complex); 
  • fistula (opening from bladder or urethra to vagina or skin that bypasses urethral sphincter mechanism, allowing continuous urine loss)

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Tissue Integrity: Skin and Mucous Membranes
  • Urinary Continence
  • Urinary Elimination
Client Outcomes
  • Urine loss is adequately contained, clothing remains unsoiled, and odor is controlled
  • Maintains intact perineal skin
  • Maintains dignity, hides urine containment device in clothing, and minimizes bulk and noise related to the device

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