n CME : Your SA Journal of CPD - Medifile

Volume 21, Issue 4
  • ISSN : 0256-2170



Extracted from text ... 238 C M E A p r i l 2 0 0 3 Vo l . 2 1 No. 4 MEDIFILE Urinary incontinence is a common condition experienced by the elderly. Statistics have shown that at a conservative estimate 50% of the elderly staying in nursing facilities are incontinent. The normal process of micturition is dependent on a complex integration of neurological, muscular and psychological factors: When the bladder fills, the detrusor muscle must relax. Both the internal and external urinary sphincters remain closed and in order to maintain continence, the pelvic floor muscles must be sufficiently strong. In order for the bladder to empty, the detrusor muscle must contract and the internal ..

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