For Student

An 85-year-old man with a history of benign prostatic hyperplasia and no history of prostate cancer
or prostate procedures comes into your outpatient clinic complaining of chronic incontinence. He
says that he is frustrated because he is nearly always wet, and doesn’t notice when he is about to
become incontinent. When he does go to the bathroom to void, he has difficulty initiating a urinary
stream, and has some dribbling afterward.

Tasks:
What type of incontinence does this patient most likely have?
How it should be managed?
Student’s name
For examiner
An 85-year-old man with a history of benign prostatic hyperplasia and no history of prostate cancer
or prostate procedures comes into your outpatient clinic complaining of chronic incontinence. He
says that he is frustrated because he is nearly always wet, and doesn’t notice when he is about to
become incontinent. When he does go to the bathroom to void, he has difficulty initiating a urinary
stream, and has some dribbling afterward.
Task 1 (5.0)
The answer is (c). He suffers from overflow incontinence secondary to chronic urinary obstruction.
If it were urge incontinence, he would be receiving some warning that he needs to void. Because
it is chronic, it is less likely to be caused by something new, such as a urinary tract infection. He
is fully able to go to the bathroom by himself, so this is not functional incontinence.
Task 2 (5.0) treatment of undelying disease.

Marked prostatic enlargement Gross enlargement of the prostate on digital

examination; prominent induration or asymmetry of
the lobes.
Final score: