Most patients with advanced HD are incontinent, although this may
with regular toileting.
Although urinary urgency, leading to intermittent incontinence may
in the course of the disease, this is not a typical finding, and
should be evaluated
further before attributing it to HD alone.
Causes may include neurogenic bladder, urinary tract infections,
due to anticholinergic drugs or tricyclic antidepressants leading
to overflow incontinence,
sedation or immobility caused by neuroleptics or sedatives, depression,
or mechanical problems.
Urologic consultation may be helpful in defining the nature of the
and obtaining specific recommendations.