The patient's condition at the end of therapy will have the greatest influence on the outcome. Their incontinence is only a temporary side effect of another disease or condition, and the incontinence is relieved when the primary condition is resolved. I patients may have other medical problems ranging from angina to shingles, but the condition is not believed to have any direct causal effect on the incontinence. One elderly Class I patient was making good progress until she fractured her hip in a fall and had to drop out of the program. The range of compromise resulting from all chronic conditions is extreme, and probably warrants further subdivision.
Some patients appear only mildly affected, while others are severely affected.
Myofascial Restrictions Patients with severe scar tissue, pelvic imbalances and similar problems often become incontinent as a result of chronic pelvic pain. The incontinence usually cannot be treated apart from the chronic condition. Disruption of Sexual Life Incontinence often follows within 6 months of disruption of a previously active sexual life. This condition results when the patient's response to the event is sudden denial of need for or interest in sex, suddenly reversing a life-long pattern. Elderly patients not in good health Patients in a general state of physical decline due to the aging process.