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Urinary Incontinence


Incontinence-associated dermatitis is a common complication of UI. Frequent skin contact with urine can lead to irritation, inflammation, and skin breakdown. The risk of IAD is further increased due to the recurrent cleansing of the genital area associated with UI. Symptoms include redness, itchiness, pain, and difficulty sleeping. Individuals should be gentle in their cleansing routine, and may consider the use of barrier creams to preserve skin integrity.22

Due to the nature of the condition, individuals with urinary incontinence may experience a lowered sense of self-esteem and self-image.23 Some may fear embarrassment and choose to isolate themselves from others, significantly limiting one’s social and work life.24 In many cases, however, control over one’s bladder can be managed, if not completely restored.25 It is important for those with UI to openly speak with their medical provider regarding their symptoms early on, as they may be signs of a more serious condition.26


  1. 1,3,4,10,11,13,15,28,29,40Leaver, R. (2017). Assessing patients with urinary incontinence: the basics. Journal Of Community Nursing, 31(1), 40-46.
  2. 2,5,12,16,19,23,26,31,32,33,42,43Bardsley, A. (2016). An overview of urinary incontinence. British Journal Of Nursing, 25(18), S14-S21.
  3. 6,14,17,18,20,30,35,37,38,39,44Testa, A. (2015). Understanding Urinary Incontinence in Adults. Urologic Nursing, 35(2), 82-86. doi:10.7257/1053-816X.2015.35.2.82
  4. 7,21,24,25,27,34,41,45Barrie, M. (2015). Identifying urinary incontinence in community patients. Journal Of Community Nursing, 29(6), 45-52.
  5. 8,9Gorina, Y., Schappert, S., Bercovitz, A., Elgaddal, N., & Kramarow, E. (2014). Prevalence of incontinence among older americans. Vital & Health Statistics. Series 3, Analytical And Epidemiological Studies, (36), 1-33
  6. 22Beeckman, D., Van Damme, N., Van den Bussche, K., & De Meyer, D. (2015). Incontinence-associated dermatitis (IAD): an update. Dermatological Nursing, 14(4), 32-36.
  7. 36Nazarko, L. (2015). Person-centred care of women with urinary incontinence. Nurse Prescribing, 13(6), 288-293.