Overflow incontinence is loss of urine from an overfull bladder. Most times patients with this disorder do not feel the sensation of fullness or are unable to empty the bladder due to an obstruction in the opening of the bladder. Patients with a neurological disorder or using medication that decrease the contractility of the bladder, or over the aggressive repair of the bladder during a prolapse repair complain of this problem.
A complete evaluation along with information from Ultrasound, cystoscopy, and urodynamic testing is helpful in the diagnosis of overflow incontinence.
Treatment in most cases is conservative and at times medication can be helpful. Surgical removal of the obstruction may be helpful in some patients. A bladder pacemaker can also be helpful in treating overflow incontinence.