A 60-year-old woman with stage III anterior vaginal wall prolapse has a post-void residual volume of 250 mL. She has no urge to void and dribbles continuously. This pattern of incontinence is best described as:

• A Stress urinary incontinence
• B Urge urinary incontinence
• C Functional incontinence
• D Overflow incontinence ✓

Explanation

Large post-void residual with continuous dribbling and no urge indicates overflow incontinence due to chronic retention. In severe cystocele, the urethra may kink, causing incomplete emptying and overflow. This differs from stress incontinence (leakage with raised intra-abdominal pressure), urge incontinence (detrusor overactivity with urgency), and functional incontinence (inability to reach toilet).

Reference: Harrison's Principles of Internal Medicine, 21st ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.