Symptomatic infection may increase urinary tract irritation and resulting incontinence. Incontinence may be secondary to delirium and will often stop when acute delirium resolves. Transient Causes of Incontinence (DIAPPERS) Cause These transient causes of incontinence can be remembered with the pneumonic “DIAPPERS” (Table 1). Non-urologic causes of incontinence are usually reversible when the underlying issue is identified and corrected. Incontinence can be related to non-urologic or urologic causes. Treatment of urinary incontinence is dependent on the underlying type of incontinence. Since incontinence is often treatable and can result in significant impairment in quality of life, it is imperative the health care professional be adept at identifying patients who might benefit from treatment. Patients may not report incontinence to their primary care providers due to embarrassment or misconceptions regarding treatment. Urinary incontinence is a significant quality of life challenge, affecting tens of millions of patients, women and men.
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