00021 Total urinary incontinence

00021 Total urinary incontinence

Definition of the NANDA label

Total urinary incontinence is the state in which the individual presents a continuous and unpredictable loss of urine.

Defining characteristics

  • Urinary flow that occurs at unpredictable intervals, without bladder distention or bladder contractions or spasms.
  • Incontinence that does not respond to treatment.
  • Nocturia.
  • Failure in the perception of bladder filling.
  • Lack of awareness of incontinence.

Related factors

  • Neurological dysfunction that involves the triggering of urination at unpredictable moments.
  • Neurological disorder that prevents the perception of bladder filling.
  • Neuromuscular injuries related to surgical practices.
  • Diseases or injuries of the spinal cord or nerve roots.
  • Anatomical abnormality (fistula).


  • Urinary continence.
  • Urinary elimination.
  • Tissue integrity: skin and mucous membranes.


  • Urinary incontinence care.
  • Management of urinary elimination.
  • Perineal care.