Which symptom is typical for urge-predominant incontinence?

Which symptom is typical for urge-predominant incontinence?

• A. Leakage only during exertion.
• B. Leakage during physical activity.
• C. Nocturnal symptoms are absent.
• D. Sudden, intense urge with leakage and frequent urge symptoms, often with nocturnal symptoms.

Answer: (D)

Urge-predominant incontinence hinges on detrusor overactivity, which causes a sudden, compelling urge to void that’s hard to defer, followed by leakage. The best description captures that pattern: a sudden, intense urge with leakage, along with frequent urge-to-void episodes and often nocturnal voids. This contrasts with leakage only during exertion, which points to stress incontinence, and with the absence of nocturnal symptoms, which is less typical for urge-predominant cases.

Urge-predominant incontinence hinges on detrusor overactivity, which causes a sudden, compelling urge to void that’s hard to defer, followed by leakage. The best description captures that pattern: a sudden, intense urge with leakage, along with frequent urge-to-void episodes and often nocturnal voids. This contrasts with leakage only during exertion, which points to stress incontinence, and with the absence of nocturnal symptoms, which is less typical for urge-predominant cases.