2. Detrusor laxity leads to large atonic
bladders, which cannot generate sufficient
intravesicular pressure that is required to
initiate urination. The bladder is
hyperdistended and this causes “overflow
incontinence”. It’s occurrence in isolation
can be seen with diabetes mellitus, sacral
spinal cord injury, pelvic malignancies or
surgery, and multiple sclerosis – all of which
damage the nerve supply to the bladder. It can occur in combination with detrusor
hyperactivity (DHIC) as mentioned above.