Overflow Incontinence is described as

• A. Involuntary loss of urine associated with overdistention and overflow of the bladder
• B. Leakage due to sudden urge
• C. No leakage
• D. Nocturnal enuresis

Answer: (A)

Overflow incontinence occurs when the bladder becomes overdistended because it can’t empty properly, so urine leaks involuntarily as pressure builds. This type of leakage is tied to a full, overfilled bladder and is often caused by detrusor underactivity or an outlet obstruction (such as an enlarged prostate, urethral stricture, or certain neuro problems). You might notice a weak, intermittent stream, hesitancy, a feeling of incomplete emptying, and a high post-void residual urine.

The other scenarios don’t describe this pattern: a sudden urge causing leakage is urge incontinence; no leakage isn’t incontinence; nocturnal enuresis refers to bedwetting at night. Understanding this helps target treatment to relieve the obstruction or improve bladder emptying, sometimes with catheterization, medications, or surgery.