Continence Glossary


Acute incontinence The sudden onset of episodes of involuntary loss of urine, usually associated with an acute illness or physical inability to reach a toilet or toilet substitute.

Allograft Source is from the same species.

Anterior Front side.

Autograft Source is from the patient’s own body.

Bladder Capacity Amount of fluid bladder can hold.

Bladder Compliance Ability of bladder to expand to accommodate urine.

Bladder Pressure pressure created by detrusor muscle and abdominal muscles = introvesical pressure.

Coaptation The adjustment of separate parts to each other, as in two sections of tissue.

Continuous in-dwelling catheterization Catheterization in which the catheter is left in the patient for several days at a time without changing.  It is connected to a collection bag, which has to be emptied regularly.

Cystocele Bladder herniating through a defect in the Anterior Vaginal Wall.

Cystometrogram Measurement of pressure in bladder in  relations to volume of fluid.

Cystometrogram (CMG) The graphic representation of intravesical(bladder) pressure as a function of volume.

Cystometry The study of bladder filling and storage.

Detrusor The outer, largely longitudinally arranged musculature of the bladder wall (also referred to as the detrusor muscle).

Distal Far from the point of attachment or origin.

Diverticula Pouchlike bulges through the muscular wall of a tubular organ.  (The singular is "diverticulum.")

Dysinergia Condition in which bladder and urethra muscles contract at the same time.

Electromyography The recording and study of skeletal muscle activity, specifically the external sphincter and perineal floor musculature, by means of surface or needle electrodes to determine whether the muscle is contracting.

End point The point at which a sufficient amount of Contigen implant has been injected to achieve coaptation (defined below).

Enterocele Small intestine herniating through a defect in the Apex of the vagina.

Established or persistent Repeated episodes of involuntary loss of urine.

Estrogen Hormone given to restore elasticity and thickness to the urethral mucosa.

External sphincter The voluntary, striated skeletal muscle sphincter derived from the musculature of the urogenital diaphragm.

Fascia Sheet of fibrous connective tissue appearing beneath the skin and enveloping vessels, nerves, glands, and forming tendon sheaths.

Fibrous Containing, consisting of, or resembling fibers.

Functional incontinence Incontinence due to an inability to reach a toilet at the appropriate time.  This typically occurs in patients who are confined to a bed due to a physical impairment such as broken bones.

Hematuria The presence of blood or blood cells in the urine.

Internal meatus The internal opening between the bladder and the urethra.

Internal sphincter The involuntary smooth muscle sphincter.

Intravesical Pressure The total pressure inside the bladder; it consists of three components:  detrusor pressure, intra-abdominal pressure, and hydrostatic pressure due to the weight of urine in the bladder.

Intrinsic sphincter deficiency Type of stress incontinence attributable to  (ISD) sphincter muscle incompetence.  It is also known as poor or nonfuctioning urethral closure mechanism, or Type III stress incontinence.

Leak Point Pressure Abdominal pressure exerted in the bladder required to make a patient leak

Levator Ani Main muscle group supporting the pelvic floor.

Micturition reflex A normal reaction to a rise in fluid pressure within the urinary bladder.

Occlusion A closing up or blocking off.

Paravaginal defect Defect to the side wall of the Vagina.

Pelvic Prolapse The herniation of various portions of the vaginal wall.

Plication To suture together.

Post Void Residual Amount of urine left in bladder after voiding.

Posterior Back side.

Pubocervical Fascia Fascial Plane seperating bladder and vagina.

Pubovaginal Sling Procedure for the treatment of stress incontinence in which the urethra is suspended with a piece of tissue or synthetic material

Rectocele Rectum herniating through a defect on the Posterior Vaginal Wall.

Rectovaginal Fascia Fascial plane seperating rectum and vagina

Reflex incontinence The leakage of urine (usually larger amounts than in stress incontinence) due to an inability to delay voiding (usually resulting from paralysis); the patient has no "warning" of the urgency to void before the bladder contracts because there is no sensation of the bladder filling.  This type is generally confined to spinal cord injured patients.

Sacral An area in relation to the base of the vertabral column.

Stress Incontinence Involuntary loss of urine due to abdominal pressure.

Submucosa A supporting layer of loose connective tissue directly under a mucous membrane.

Symphysis pubis The rigid articulation of the two pubic bones in the midline of the lower anterior part of the abdomen.<br> The type of stress incontinence attributable to.

Urethra The tube that carries urine from the bladder to outside the body; in males, its also the channel through which semen is ejaculated.

Urethral hypermobility Rotational descent of the proximal urethra and bladder neck. This descent occurs when the patient exerts abdominal stress, forcing the bladder neck area to drop to or below the urogenital diaphragm. Depending on how much descent is experienced, this is frequently referred to as type I or II stress incontinence.

Urethritis Inflammation of the urethra.

Urethrovesical Another name for the bladder neck.

Urethrovesical junction The point at which the bladder and urethra come together.

Urge incontinence The leakage of urine (usually larger amounts than in stress incontinence) due to an inability to delay voiding ; the patient has a "warning" of the urgency to void before the bladder contracts.

Urodynamics Study of the function of the urinary tract and its associated nervous system.

Uroflowmetry Measurement of urine flow rate - used to determine voiding function.

Valsalva leak point pressure The abdominal pressure measured in the bladder when leakage occurs with the Valsalva maneuver.

Wheal A raised red spot on the skin; an allergic reaction.

Xenograft Source is another species.