Functional incontinence occurs when some obstacle or
disability makes it difficult for you to reach or use a toilet in time to
urinate. It is often caused by:
- A problem with walking (such as needing a walker
or crutches) that prevents you from reaching a toilet in time to
urinate.
- A medical condition (such as
arthritis) that makes it difficult for you to remove
clothing before urinating.
- A problem with reasoning (such as
dementia) that keeps you from realizing that urination
is necessary or from locating a bathroom.
Treatment
Functional incontinence is treated by
using
behavioral methods that teach you to urinate on a
timed voiding schedule and by modifying your environment so you can get to and
use the toilet more quickly. This may involve rearranging furniture, making
clothes easier to remove, or making other changes.
Medicines are
not used to treat functional incontinence.
Continence products
such as
absorbent pads or disposable underwear, incontinence
clamps, and pressure cuffs are usually used when other methods of treating
incontinence have failed or cannot be used. These methods do not treat the
incontinence but may make it possible to manage the problem.