Psychosomatic Medicine
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Psychosomatic Medicine 24:507-510 (1962)
© 1962 American Psychosomatic Society

Emotional Factors in Stress Incontinence

P. ABOULKER 1 and L. CHERTOK 1

1 Department of Urology, Hopital Cochin, Paris, France

Diurnal orthostatic incontinence is considered to be an organic disorder and is most frequently treated surgically. There is in the literature not a single instance in which any reference is made to the role of emotional factors in this disturbance.

The case presented is a classic case of stress incontinence. Since childhood the patient had always been incontinent when coughing, exerting herself, or running. After several operations her symptoms worsened, the incontinence being almost complete and activity entirely precluded. Nocturnal enuresis also appeared.

Psychological investigation revealed emotional immaturity after an unhappy childhood with many frustrations. There was no opportunity for deeper psychological treatment and supportive psychotherapy aided by hypnosis for symptom removal was used.

The symptoms disappeared, the patient was able to return to social life and was still active 3 years later.

Submitted on December 4, 1961






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Copyright © 1962 by the American Psychosomatic Society