Urinary incontinence with PSP

Urinary incontinence is a common symptom that can occur in people with PSP (progressive supranuclear palsy). Urinary incontinence is the involuntary loss of urine, which can range from occasional leaking to a complete loss of bladder control. It can be caused by a variety of factors related to PSP, including muscle weakness, rigidity, and difficulty with coordination.

There are several types of urinary incontinence, including:

1. Stress incontinence: Leakage of urine that occurs when there is pressure on the bladder, such as during coughing, sneezing, or physical activity.
2. Urge incontinence: Loss of urine that occurs with a sudden, intense urge to urinate that cannot be suppressed.
3. Overflow incontinence: Inability to completely empty the bladder, resulting in frequent dribbling of urine.
4. Mixed incontinence: A combination of stress and urge incontinence.

Management of urinary incontinence in PSP may involve a combination of lifestyle changes, behavioral techniques, and medications. For example, reducing fluid intake, avoiding bladder irritants, and establishing a regular toileting schedule may help reduce episodes of incontinence. Pelvic floor muscle exercises, also known as Kegel exercises, can help strengthen the muscles that control urination. In some cases, medications such as anticholinergics or alpha-blockers may be prescribed to help manage incontinence.

It's important for people with PSP and their caregivers to discuss any urinary incontinence symptoms with their healthcare provider. They can provide specific guidance on management strategies based on individual needs and circumstances.