Most patients with advanced HD are incontinent, although this may
be minimized
with regular toileting.
Although urinary urgency, leading to intermittent incontinence may
occur earlier
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,
urinary retention
due to anticholinergic drugs or tricyclic antidepressants leading
to overflow incontinence,
sedation or immobility caused by neuroleptics or sedatives, depression,
dementia,
or mechanical problems.
Urologic consultation may be helpful in defining the nature of the
bladder dysfunction
and obtaining specific recommendations.
